title: Factors affecting HPV vaccine use among recent family medicine residency graduates.
abstract: OBJECTIVE
  Many adolescents seek care by family physicians for well visits and have the opportunity for HPV vaccination during these visits. Limited information is available regarding what affects physicians in offering the vaccine. The purpose of this study was to examine factors that affect family physician administration of the HPV vaccine.
  
  
  METHODS
  We used a mail survey of recent graduates from family medicine residencies affiliated with the South Carolina Area Health Education Consortium.
  
  
  RESULTS
  The response rate was 51.3%. Almost 79% offer the HPV vaccine at least most of the time to their adolescent female patients in their practice. Approximately 83% of respondents reported supporting the use of the HPV vaccine in males, but less than 8% reported having actually offered the vaccine to males. Those physicians who are female (OR=8.95, 95% CI=1.56--51.3), practice full time in an office setting (OR=9.08, 95% CI=1.71--48.3), are involved in teaching (OR=8.86, 95% CI=1.75--44.9), and practice in a family medicine setting (OR=8.20, 95% CI=1.69-39.8) had greater odds of offering the vaccine. Those who currently practiced in the southeastern United States were less likely to offer the vaccine (OR=0.04, 95% CI=0.002--0.59).
  
  
  CONCLUSIONS
  Recent graduates of family medicine training programs frequently offer the HPV vaccine to adolescent females. Multiple practice factors affected the odds of offering the vaccine. Though most respondents agree with using the vaccine in males, most do not offer it to males.
authors: Virtua Family Medicine Residency, Voorhees, NJ 08043, USA. rpost@virtua.org
authors: Robert E
authors: RE
authors: Post
authors: Peter J
authors: PJ
authors: Carek
authors: Arch G
authors: AG
authors: Mainous
authors: Vanessa A
authors: VA
authors: Diaz
authors: Sharleen P
authors: SP
authors: Johnson
mesh_terms: D000293:Adolescent; D000328:Adult; D005194:Family Practice / Q000379:methods*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007396:Internship and Residency; D016015:Logistic Models; D008297:Male; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012737:Sex Factors; D013022:South Carolina; D011795:Surveys and Questionnaires
chemical_list: D053918:Papillomavirus Vaccines