Are health care providers making the most of patient encounters to promote HPV vaccination among cigarette smokers?. Issue 1 (January 2020)

• Record Type: Journal Article
• Authors: Wigfall, Lisa T.; Sherman, Ledric D.; Garney, Whitney R.; Patterson, Megan S.; Montiel Ishino, Francisco A.; Vadaparampil, Susan T.
• Is Part Of: Patient education and counseling. Volume 103:Issue 1(2020)
• Page Start: 180
• Page End: 188
• Publication Date: 2020-01
• Subjects: HPV vaccine -- Cigarette smoking -- Secondhand smoke -- Cervical cancer -- Provider recommendation -- Patient-Provider communication; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2019.07.026
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: (Limits: 3–5 bullets; 85 characters and spaces each). Smokers had less HPV-related awareness, knowledge, and beliefs than nonsmokers. HPV knowledge was positively associated with providers' HPV vaccine communication. HPV vaccine awareness was also positively associated with providers' communication. Smoking status did not affect providers' HPV vaccine communication. 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.