TY - JOUR ID - 88777 TI - Barriers, Attitudes and Clinical Approach of Lebanese Physicians Towards HPV Vaccination; A Cross- Sectional Study JO - Asian Pacific Journal of Cancer Prevention JA - APJCP LA - en SN - 1513-7368 AU - Abi Jaoude, Joseph AU - Saad, Halim AU - Farha, Loulwa AU - Dagher, Hiba AU - Khair, Diana AU - Kaafarani, Mohamad Ali AU - Jamaluddine, Zeina AU - Cherfan, Patrick AD - Faculty of Medicine, American University of Beirut, Beirut, Lebanon. AD - Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon. AD - Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon. Y1 - 2019 PY - 2019 VL - 20 IS - 10 SP - 3181 EP - 3187 KW - Human papillomavirus (HPV) KW - Vaccination KW - physicians KW - Barriers KW - attitudes DO - 10.31557/APJCP.2019.20.10.3181 N2 - Objectives: HPV 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 Methods: We 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. Results: In 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). Conclusions: Physician 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. UR - https://journal.waocp.org/article_88777.html L1 - https://journal.waocp.org/article_88777_a4b4624e00a3f5a2083bd2f585f5f54a.pdf ER -