title: Physicians' experiences with HPV vaccine delivery: evidence from developing country with multiethnic populations.
abstract: Physicians' experiences in providing human papillomavirus (HPV) immunization were assessed by mailed questionnaire. Response rate of 41.4% was achieved. Malay Muslim physicians were more likely to agree that cultural sensitivity is an issue when recommending HPV vaccines. Pediatricians and family physicians were more likely to agree that acceptance is better if vaccines were recommended to prevent cervical cancer than to prevent a sexually transmitted disease. Near 70% rated success of HPV vaccines recommendation in their practice as very poor with the majority patients preferred to postpone immunization. Physicians reported cultural disparities in vaccine uptake and perceived high vaccination cost limits its use.
authors.affiliation: Medical Education & Research Development Unit (MERDU), Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia. wonglp@ummc.edu.my
authors.forename: Li Ping
authors.initials: LP
authors.lastname: Wong
mesh_terms: D003365:Costs and Cost Analysis; D003466:Cultural Characteristics; D003906:Developing Countries; D005006:Ethnicity; D005260:Female; D006801:Humans; D030361:Papillomavirus Infections / Q000517:prevention & control; D053918:Papillomavirus Vaccines / Q000008:administration & dosage* / Q000191:economics; D010342:Patient Acceptance of Health Care; D010820:Physicians; D015229:Sexually Transmitted Diseases, Viral / Q000517:prevention & control; D011795:Surveys and Questionnaires; D016312:Treatment Refusal; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control; D014611:Vaccination / Q000191:economics / Q000706:statistics & numerical data
chemical_list: D053918:Papillomavirus Vaccines