Barriers to cervical cancer prevention in a safety net clinic: gaps in HPV vaccine provider recommendation and series completion among Ob/Gyn patients

  • 0Department of Obstetrics, Gynecology, and Reproductive Sciences, Jackson Memorial Hospital, Miami, FL, United States.

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Summary

This summary is machine-generated.

Many patients lack knowledge about HPV vaccination and have not received the vaccine, with provider discussion being a key barrier. Improving access and provider recommendation are crucial for increasing HPV vaccine uptake and preventing cervical cancer.

Area Of Science

  • Public Health
  • Vaccinology
  • Gynecology

Background

  • Human Papillomavirus (HPV) is a common infection linked to cervical cancer.
  • HPV vaccination is a critical tool for primary prevention of HPV-related cancers.
  • Understanding patient knowledge and barriers is essential for improving vaccine uptake.

Purpose Of The Study

  • To assess patient knowledge and uptake of HPV vaccination in a diverse Ob/Gyn population.
  • To identify factors influencing vaccination decisions, barriers, and provider communication.
  • To evaluate vaccine uptake following expanded eligibility in a safety net clinic.

Main Methods

  • A 28-item Likert scale survey was administered to 304 diverse patients.
  • Pharmacy and chart reviews were conducted for quality improvement.
  • Descriptive statistics were used to analyze survey and clinical data.

Main Results

  • 62% of patients reported no discussion of HPV vaccination with a physician.
  • 79% had not received the HPV vaccine; 69% cited lack of provider recommendation as a barrier.
  • Among those recommended, 57% found the vaccine unavailable the same day.

Conclusions

  • Significant gaps exist in provider discussion and patient receipt of HPV vaccines.
  • Lack of provider recommendation and vaccine availability are major barriers.
  • Enhancing provider communication, vaccine access, and convenience are vital for cervical cancer prevention.

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