The HPV vaccine: knowledge and attitudes among public health nurses and general practitioners in Northern Norway after introduction of the vaccine in the school-based vaccination programme

Abstract

Objective: To investigate knowledge of and attitudes to human papillomavirus (HPV) infection, HPV vaccination, cervical cancer, related sources of information and factors associated with will- ingness to vaccinate one ’ s own daughter among primary health care (PHC) personnel. <br>Design: Cross-sectional study. <br>Setting: PHC. <br>Subjects: All public health nurses (PHNs) and general practitioners (GPs) in Northern Norway were invited to answer a structured electronic questionnaire; 31% participated ( N ¼ 220). <br>Main outcome measures: Self-reported and actual knowledge, information sources, attitudes and willingness to vaccinate their (tentative) daughter. <br>Results: 47% of respondents knew that HPV infection is a necessary cause of cervical cancer. PHNs had higher self-reported and actual knowledge about HPV vaccination and cervical cancer than GPs. PHNs used the Norwegian Institute of Public Health ’ s numerous information sources on HPV, while GPs had a low user rate. 88% of PHNs and 50% of GPs acquired information from the pharmaceutical industry. 93% PHNs and 68% of GPs would vaccinate their 12-year-old daughter. In a multivariate logistic regression analysis, willingness to vaccinate one ’ s daughter was positively associated with younger age, being PHN (OR ¼ 5.26, 95%CI 1.74 – 15.94), little con- cern about vaccine side effects (OR ¼ 3.61, 95%CI 1.10 – 11.81) and disagreement among experts (OR ¼ 7.31, 95%CI 2.73 – 19.60). <br>Conclusions: Increased knowledge about HPV infection and vaccination is needed, particularly among GPs. Those least concerned about side effects and disagreements among experts were most likely to vaccinate their daughter. These findings are of interest for public health authorities responsible for the Norwegian vaccination and cervix cancer screening programmes, and pro- viders of training of PHC personnel.