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. 2020 Jan;103(1):180-188.
doi: 10.1016/j.pec.2019.07.026. Epub 2019 Jul 25.

Are health care providers making the most of patient encounters to promote HPV vaccination among cigarette smokers?

Lisa T Wigfall  1 , Ledric D Sherman  2 , Whitney R Garney  2 , Megan S Patterson  2 , Francisco A Montiel Ishino  2 , Susan T Vadaparampil  3
Affiliations

Are health care providers making the most of patient encounters to promote HPV vaccination among cigarette smokers?

Lisa T Wigfall et al. Patient Educ Couns. 2020 Jan.

Abstract

Objective: To examine providers' HPV vaccine communication among adult cigarette smokers with household members aged ≤26 years.

Methods: In this cross-sectional study, we used 2017 Health Information National Trends Survey (HINTS 5, Cycle 1; N = 3191) data to derive a subsample (n = 725/3191; 22.7%) of adults with household members aged ≤26 years. Forward stepwise multivariable logistic regression analyses were performed to examine providers' HPV vaccine communication, adjusting for patients' smoking status (main independent variable); HPV awareness and knowledge; HPV vaccine awareness and beliefs; and sociodemographic characteristics that contribute to disparities in HPV vaccine coverage.

Results: Current/former smokers (35.0%) had lower HPV-related awareness/knowledge than nonsmokers (65%). Few reported providers discussed (27.4%) or recommended (24.0%) HPV vaccine. Non-Hispanic Whites who knew HPV was a sexually transmitted disease and heard of HPV vaccine were 2-6 times more likely to report provider HPV vaccine communication. Provider HPV vaccine communication differences by smoking status were not statistically significant.

Conclusion: Providers' HPV vaccine communication was higher among adults who had higher HPV-related awareness/knowledge. Although active/passive exposure to cigarette smoke increases cervical cancer risk, providers' HPV vaccine communication was not increased for current/former smokers.

Practice implications: Current/former smokers' HPV-related awareness/knowledge and providers' HPV vaccine communication need to be increased.

Keywords: Cervical cancer; Cigarette smoking; HPV vaccine; Patient-Provider communication; Provider recommendation; Secondhand smoke.

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Conflict of interest statement

Conflicts of Interest: None.

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References

    1. A Satterwhite CL, Torrone E, Meites E, Dunne EF, Mahajan R, Ocfemia MCB, … & Weinstock H (2013). Sexually transmitted infections among US women and men: prevalence and incidence estimates. Sex Transm Dis 2008; 40:187–93. - PubMed
    1. STD/STI statistics: Fast facts. American Social Health Association website http://www.ashasexualhealth.org/stdsstis/hpv/fast-facts/. Assessed April 26, 2018.
    1. Meites E, Kempe A, Markowitz LE. Use of a 2-Dose Schedule for Human Papillomavirus Vaccination — Updated Recommendations of the Advisory Committee on Immunization Practices MMWR 2016; 65:1405–8. - PubMed
    1. Petrosky E, Bocchini JA, Hariri S, Chesson H, Curtis CR, Saraiya M, et al. Use of 9-Valent Human Papillomavirus (HPV) Vaccine: Updated HPV Vaccination Recommendations of the Advisory Committee on Immunization Practices MMWR 2015; 64:300–4. - PMC - PubMed
    1. MMWR, August 29, 2014, Vo1 63, #RR05 Human Papillomavirus Vaccination: Recommendations of the Advisory Committee on Immunization Practices (ACIP).

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