Evidence map›Paper›PMID 31653171›Full record

ArticleAsian Pacific journal of cancer prevention : APJCP2019

Barriers, Attitudes and Clinical Approach of Lebanese Physicians Towards HPV Vaccination; A Cross- Sectional Study.

Joseph Abi Jaoude, Halim Saad, Loulwa Farha, Hiba Dagher, Diana Khair, Mohamad Ali Kaafarani, Zeina Jamaluddine, Patrick Cherfan

Abstract read
In one paragraph

Article in Asian Pacific journal of cancer prevention : APJCP, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Joseph Abi JaoudeFaculty of Medicine, American University of Beirut, Beirut, Lebanon.
Halim SaadFaculty of Medicine, American University of Beirut, Beirut, Lebanon.
Loulwa FarhaFaculty of Medicine, American University of Beirut, Beirut, Lebanon.
Hiba DagherFaculty of Medicine, American University of Beirut, Beirut, Lebanon.
Diana KhairDepartment of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Mohamad Ali KaafaraniFaculty of Medicine, American University of Beirut, Beirut, Lebanon.
Zeina JamaluddineCenter for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Patrick CherfanFaculty of Medicine, American University of Beirut, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHPV infection is associated with the development of cervical and oropharyngeal cancer. HPV vaccination prevents cervical cancer, but is still not part of Lebanon's routine vaccination schedule. As such, understanding physicians' practice towards HPV vaccination is essential. MATERIAL AND

methodsWe conducted a cross-sectional study in Greater Beirut, Lebanon to assess the barriers, attitudes and clinical approach of Lebanese physicians towards HPV vaccination. We also aimed to analyze the factors associated with physicians' barriers to HPV vaccination.

resultsIn total, 228 physicians completed the survey. Our results show that physicians and parents consider the cost of HPV vaccination to be a main barrier (58.9% and 80.7% respectively). Also, parents tend to have concerns about vaccine safety (78.1%), efficacy (68.6%), and lack education concerning HPV infection (81.8%). Furthermore, female physicians tend to have fewer barriers when compared to male physicians (aOR = 0.39; p-value = 0.007). Additionally, physicians who completed residency programs in the USA also showed fewer barriers when compared to physicians who completed Lebanese residency programs (aOR = 0.24; p-value = 0.040). Finally, physicians with higher knowledge score have fewer barriers when compared to those with lower knowledge scores (aOR = 0.42; p-value = 0.018).

conclusionsPhysician gender, residency program and level of knowledge play a role in HPV vaccine barriers and recommendation in Lebanon. Future improvements in cost and awareness about HPV might improve vaccination rates. Creating uniform practices towards HPV vaccine is warranted to improve patient care.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticePractice Patterns, Physicians'AdultAgedCross-Sectional StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedPapillomaviridaePapillomavirus InfectionsPapillomavirus VaccinesPhysiciansPrognosisPapillomavirus VaccinesattitudesBarriersHuman papillomavirus (HPV)physiciansVaccination

Identifiers

PMID31653171
PMCPMC6982667

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.