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Dental provider practices and perceptions regarding adolescent vaccination.
Allison L Naleway1, Michelle L Henninger1, Lisa A Waiwaiole1
1Center for Health Research, Kaiser Permanente Northwest, Portland, OR.
Journal of Public Health Dentistry
|November 9, 2017
Summary
Dental providers know which adolescent vaccines are recommended but face barriers like lack of time and knowledge when discussing them. More education and tools are needed to integrate vaccine recommendations into dental practice.
Area of Science:
- Public Health
- Dental Medicine
- Vaccinology
Background:
- Adolescent vaccination is crucial for public health.
- Dental providers are positioned to discuss preventive care with adolescents.
Purpose of the Study:
- To evaluate dental providers' knowledge and practices concerning adolescent vaccinations.
- To identify barriers dental providers face in recommending vaccines.
- To understand dental providers' perceptions of their role in adolescent vaccination.
Main Methods:
- A survey was conducted among 234 dental providers in Portland, Oregon.
- Assessed knowledge of recommended adolescent vaccines (influenza, Tdap, HPV, meningococcal conjugate).
- Examined barriers to vaccine recommendation and perceived role in vaccination promotion.
Main Results:
- Over 80% correctly identified key adolescent vaccines; 60% identified meningococcal conjugate.
- Only 44% had discussed vaccines with adolescent patients.
- Common barriers included lack of knowledge (66%), patient acceptance uncertainty (62%), and time constraints (61%).
- Providers perceived greater parental concerns about vaccine safety and effectiveness than their own.
- While 80% supported discussing preventive care, only 54% felt they should discuss vaccinations specifically.
Conclusions:
- Dental providers encounter significant barriers to recommending adolescent vaccines.
- Despite comfort with general preventive care discussions, vaccine recommendations are less traditional.
- Additional education and communication tools are necessary to support dental providers in vaccine promotion.
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