title: Qualitative responses to a national physician survey on HPV vaccination.
abstract: BACKGROUND
  Independently offered comments on a physician survey may reveal new insight into physician recommendations for human papillomavirus (HPV) vaccination to their patients. The current study is a follow-up to a previous report of free-response comments and describes remarks from the second of two surveys regarding physicians' HPV vaccine recommendation practices. A secondary objective was to investigate comments specific to male HPV vaccination, which was FDA approved after the first survey was completed.
  
  
  METHODS
  In 2011, a mailed survey assessing physicians' HPV-related knowledge, attitudes, and vaccination practices was conducted among a national sample of U.S. primary care physicians, including Family Physicians, Pediatricians, and Obstetricians/Gynecologists. Comments were analyzed using grounded theory and content analysis.
  
  
  RESULTS
  Of 928 completed surveys received, 134 participants provided comments, which were coded into four overall categories: 1) the survey process, 2) personal strategy for discussing HPV vaccine, 3) clinical practice guidelines preference, and 4) barriers to vaccine administration. Twenty-six comments were specific to males, with 17 physicians stating they did not recommend HPV vaccine to males. Physicians also cited the need for more information about HPV vaccine safety and efficacy for males.
  
  
  CONCLUSIONS
  Respondents used the open-ended portion of the survey to reemphasize issues that were most important to them and to offer insight about the vaccine and survey process.
  
  
  BACKGROUND
  This study was funded by a grant from the National Institutes of Health (R01AI076440-01).
authors.affiliation: University of South Florida, College of Medicine, Department of Oncologic Science, Tampa, FL 33612, United States. Susan.vadaparampil@moffitt.org
authors.forename: Susan T
authors.initials: ST
authors.lastname: Vadaparampil
authors.forename: Devin
authors.initials: D
authors.lastname: Murphy
authors.forename: Maria
authors.initials: M
authors.lastname: Rodriguez
authors.forename: Teri L
authors.initials: TL
authors.lastname: Malo
authors.forename: Gwendolyn P
authors.initials: GP
authors.lastname: Quinn
mesh_terms: D003625:Data Collection / Q000379:methods*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010820:Physicians / Q000523:psychology*; D010818:Practice Patterns, Physicians'; D036301:Qualitative Research; D014481:United States
chemical_list: D053918:Papillomavirus Vaccines