Pediatrics

background and objectives:Because physicians\u2019 practices could be modified to reduce missed opportunities for human papillomavirus (HPV) vaccination, our goal was to: (1) describe self-reported practices regarding recommending the HPV vaccine; (2) estimate the frequency of parental deferral of HPV vaccination; and (3)identify characteristics associated with not discussing it.methods:A national survey among pediatricians and family physicians (FP) was conducted between October 2013 and January 2014. Using multivariable analysis, characteristics associated with not discussing HPV vaccination were examined.results:Response rates were 82% for pediatricians (364 of 442) and 56% for FP (218 of 387). For 11\u201312 year-old girls, 60% of pediatricians and 59% of FP strongly recommend HPV vaccine; for boys,52% and 41% ostrongly recommen. More than one-half reported 6525% of parents deferred HPV vaccination. At the 11\u201312 year well visit, 84% of pediatricians and 75% of FP frequently/always discuss HPV vaccination. Compared with physicians who frequently/always discuss, those who occasionally/rarely discuss(18%) were more likely to be FP (adjusted odds ratio [aOR]: 2.0 [95% confidence interval (CI): 1.1\u20133.5), be male (aOR: 1.8 [95% CI: 1.1\u20133.1]), disagree that parents will accept HPV vaccine if discussed with other vaccines (aOR: 2.3 [95% CI: 1.3\u20134.2]), report that 25% to 49% (aOR: 2.8 [95% CI: 1.1\u20136.8]) or 6550% (aOR: 7.8 [95% CI: 3.4\u201317.6]) of parents defer, and express concern about waning immunity (aOR: 3.4 [95% CI: 1.8\u20136.4]).conclusions:Addressing physicians\u2019 perceptions about parental acceptance of HPV vaccine, the possible advantages of discussing HPV vaccination with other recommended vaccines, and concerns about waning immunity could lead to increased vaccination rates.CC999999/Intramural CDC HHS/United States5U48DP0011938/DP/NCCDPHP CDC HHS/United StatesMM-1040-08/08/PHS HHS/United States2018-08-22T00:00:00Z26729738PMC6104512vault:3072