221957 Too busy for their health? Understanding healthcare providers' role in increasing HPV vaccination among college female students

Monday, November 8, 2010 : 5:15 PM - 5:30 PM

Kristen Jozkowski, MS , Applied Health Science, Indiana University, Bloomington, IN
Alireza Geshnizjani, MPH , Applied Health Science, Indiana University, Bloomington, IN
Susan E. Middlestadt, PhD , Department of Applied Health Science, Indiana University, Bloomington, IN
BACKGROUND: HPV is the leading cause of cervical cancer and the most common STI among women in the US. HPV infection increases the likelihood of contacting other STIs, including HIV. The HPV vaccine provides protection against the most common cancer and wart causing strains of HPV. Provider-level interventions may be effective in increasing vaccination rates. METHODS: In order to investigate facilitators and barriers in providers discussing the HPV vaccine with their patients and to gauge their comfort and confidence level, in-depth interviews were conducted with women's clinic healthcare providers at the university health center of a large Midwestern university. RESULTS: Participants included female nurse practitioners and medical doctors who were predominantly white and had been employed by the university health center for over 5 years. Most providers felt comfortable and confident discussing sexuality issues with their patients, including asking them about the HPV vaccine. Providers mentioned using a health history questionnaire to guide them through patients' sexual health histories and behaviors. However, they stated that time restraints greatly limit their ability to adequately address preventative health practices like Gardasil vaccinations. Additionally, providers indicated they often did not remember to address HPV vaccination with their patient even when adequate time was available. CONCLUSIONS: Public health professionals should design structural interventions to utilize other staff to assist providers in addressing prevention issues and individual level interventions to focus on training providers to improve their time management skills. Such interventions may help to reduce rates of HPV/HIV and other STIs among college women.

Learning Areas:
Provision of health care to the public
Public health or related research

Learning Objectives:
1. Identify factors that influenced providersí ability to address HPV vaccination and other sexual health issues with their patients. 2. Understand the role of healthcare providers in increasing the rate of HPV vaccination among college women. 3. Explain how interventions may be able to utilize healthcare providers and other healthcare facility staff to increase HPV vaccination rates.

Keywords: College Students, Providers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have earned my Masters degree in Applied Health Science and am currently working toward my PhD in Health Behavior. During my graduate school career, I have been involved with sexual health related research. I am one of the co-Principle Investiagtors on this study and thus have been involved with it since it's conception. I am familiar with the data and methodology of this study as well as the background.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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