Physicians' Intentions to Change Pap Smear Frequency Following Human Papillomavirus Vaccination

Abstract Study Objective We evaluated factors associated with physicians' intentions to perform Pap smears in human papillomavirus-vaccinated women. Design Physicians were mailed a survey asking about intentions to change cervical cancer screening based on patients' human papillomavirus va...

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Bibliographic Details
Published in:Journal of pediatric & adolescent gynecology 2012-12, Vol.25 (6), p.384-389
Main Authors: Bruder, K.L., MD, Downes, K.L., MPH, Malo, T.L., PhD, Giuliano, A.R., PhD, Salmon, D.A., PhD, Vadaparampil, S.T., PhD
Format: Article
Language:English
Subjects:
Adult
Attitude of Health Personnel
Female
Group Practice - statistics & numerical data
Gynecology - statistics & numerical data
HPV vaccines
Human papillomavirus
Humans
Institutional Practice - statistics & numerical data
Intention
Internal Medicine - statistics & numerical data
Logistic Models
Male
Middle Aged
Multivariate Analysis
Obstetrics - statistics & numerical data
Obstetrics and Gynecology
Papanicolaou Test
Papillomavirus Vaccines
Pediatrics
Physicians
Practice Patterns, Physicians
Private Practice - statistics & numerical data
Surveys and Questionnaires
Time Factors
Vaccination
Vaginal Smears
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Summary:Abstract Study Objective We evaluated factors associated with physicians' intentions to perform Pap smears in human papillomavirus-vaccinated women. Design Physicians were mailed a survey asking about intentions to change cervical cancer screening based on patients' human papillomavirus vaccination status. Participants A national sample of 1,738 Family Physicians, Internal Medicine Physicians, Pediatricians, and Obstetricians and Gynecologists was selected from the American Medical Association Physician Masterfile. Completed surveys were received from 1,118 physicians, of which 791 were included in the analyses. Main Outcome Measures Bivariate analyses compared physician, practice, and patient characteristics by intention change screening frequency. Significant variables were included in a multivariable logistic regression model. Results Overall, 81.8% (n = 647) of physicians reported not planning to change Pap smear frequency for vaccinated women. Internal Medicine physicians were significantly more likely than Obstetrician/Gynecologists to report intentions to change frequency for vaccinated patients. Other factors significantly associated with the intention to change frequency were self-identification as a late adopter of new vaccines, a solo practice, and practicing primarily in a clinic or hospital-based setting. Conclusions Although it appears most clinicians understand that human papillomavirus vaccination should not alter current screening practices, there is a need to develop and evaluate interventions for physicians who are likely to change their screening pattern based on human papillomavirus vaccination receipt.
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2012.07.004