Human Papillomavirus Vaccinations: Provider Education to Enhance Vaccine Uptake

Clin Pediatr (Phila). 2023 Sep;62(8):840-848. doi: 10.1177/00099228221147850. Epub 2023 Jan 19.

Abstract

Human papillomavirus (HPV) is the number one sexually transmitted infection (STI) worldwide. The Centers for Disease Control and Prevention (CDC) approximated that 92% of HPV-related cancers might be prevented by receiving the HPV 9-valent vaccine (Gardasil 9). The 2-dose HPV vaccine for children ages 11 to 12 years provides almost 100% protection against strains affiliated with cervical, vaginal, and vulvar cancers. Provider education is essential to decrease clinical knowledge deficits and increase vaccination uptake. Evidence-based provider recommendations expressed to eligible individuals improves vaccination rates. Evidence-based approaches for vaccine-hesitant parents involve using the presumptive announcement approach, asking for and addressing main concerns, and trying again if the parent initially declines. Seventy percent of parents who initially decide not to get their child vaccinated later agree to the vaccine or schedule a follow-up appointment. The CDC guidelines for HPV vaccinations, including the catch-up and adult guidelines, are reviewed. A clinical vignette with case scenarios and a Q&A quiz are included.

Keywords: EBP; Gardasil 9; HPV; HPV-related diseases; STI; announcement approach; cervical cancer prevention; clinical practice guidelines; evidence-based practice; human papillomavirus; management recommendations; pediatric immunization provider education; pediatric medicine; pediatric vaccination guidelines; quality improvement tool; sexually transmitted infection; vaccine-hesitant parents.

Publication types

  • Review

MeSH terms

  • Adult
  • Child
  • Female
  • Health Knowledge, Attitudes, Practice
  • Human Papillomavirus Viruses
  • Humans
  • Neoplasms* / drug therapy
  • Papillomavirus Infections* / prevention & control
  • Papillomavirus Vaccines*
  • Vaccination

Substances

  • Papillomavirus Vaccines