Physician Attitudes: HPV Vaccination for Boys Survey

1. HPV Vaccination Attitudes, New Indication for Boys

This survey is being conducted by the California Immunization Coalition in collaboration with the California Department of Public Health Immunization Branch in order to assess attitudes, preferences, and knowledge of new HPV vaccination indications. Your response with help inform us to develop appropriate messaging for health care providers, patients, and parents. We appreciate your time!

1. Name (optional)

Name (optional)

2. I am a

I am a Pediatrician

Family Physician

Physician's Assistant

Nurse Practictioner

Other (please specify)

3. Do you (or staff in your office) currently administer the HPV vaccine to female patients?

Do you (or staff in your office) currently administer the HPV vaccine to female patients? Yes

If no, why not?

4. Were you aware that the quadrivalent HPV vaccine (Gardasil) has now been licensed to vaccinate males age 9-26 to prevent genital warts?

Were you aware that the quadrivalent HPV vaccine (Gardasil) has now been licensed to vaccinate males age 9-26 to prevent genital warts? Yes

5. Were you aware of the CDC's Advisory Committee on Immunization Practices (ACIP) 2009 recommendation to permit use of quadrivalent HPV vaccine for males 9-26 to reduce their risk of developing genital warts?

Were you aware of the CDC's Advisory Committee on Immunization Practices (ACIP) 2009 recommendation to permit use of quadrivalent HPV vaccine for males 9-26 to reduce their risk of developing genital warts? Yes

6. If you answered "yes" above, where did you learn about this new indication? (Check all that apply)

If you answered "yes" above, where did you learn about this new indication? (Check all that apply) Vaccine Manufacturer (Merck)

ACIP Meeting summary or CDC update

Announcement from my medical association (e.g., AAP, AAFP, CMA)

Media (newspaper or TV)

Internet source

Conference, meeting, or training

A professional colleague

Other (please specify)

7. How important is it to you to use the HPV vaccine to prevent these health concerns for your male patients?

	Very important	Somewhat important	Not Important	Not sure
genital warts	*How important is it to you to use the HPV vaccine to prevent these health concerns for your male patients? genital warts Very important	genital warts Somewhat important	genital warts Not Important	genital warts Not sure
penile cancer	penile cancer Very important	penile cancer Somewhat important	penile cancer Not Important	penile cancer Not sure
anal cancer	anal cancer Very important	anal cancer Somewhat important	anal cancer Not Important	anal cancer Not sure
Head and neck cancers	Head and neck cancers Very important	Head and neck cancers Somewhat important	Head and neck cancers Not Important	Head and neck cancers Not sure
Reducing HPV sexual transmission to women to prevent cervical cancer	Reducing HPV sexual transmission to women to prevent cervical cancer Very important	Reducing HPV sexual transmission to women to prevent cervical cancer Somewhat important	Reducing HPV sexual transmission to women to prevent cervical cancer Not Important	Reducing HPV sexual transmission to women to prevent cervical cancer Not sure

8. Do you vaccinate male patients with the HPV vaccine?

	Age 9-18	Age 9-26	Only preteens	Only older teens or adult men	Any age
Yes I have begun to	*Do you vaccinate male patients with the HPV vaccine? Yes I have begun to Age 9-18	Yes I have begun to Age 9-26	Yes I have begun to Only preteens	Yes I have begun to Only older teens or adult men	Yes I have begun to Any age
Not yet, but I plan to start	Not yet, but I plan to start Age 9-18	Not yet, but I plan to start Age 9-26	Not yet, but I plan to start Only preteens	Not yet, but I plan to start Only older teens or adult men	Not yet, but I plan to start Any age
I have not decided whether to vaccinate males yet	I have not decided whether to vaccinate males yet Age 9-18	I have not decided whether to vaccinate males yet Age 9-26	I have not decided whether to vaccinate males yet Only preteens	I have not decided whether to vaccinate males yet Only older teens or adult men	I have not decided whether to vaccinate males yet Any age
No plans to vaccinate males	No plans to vaccinate males Age 9-18	No plans to vaccinate males Age 9-26	No plans to vaccinate males Only preteens	No plans to vaccinate males Only older teens or adult men	No plans to vaccinate males Any age

If no plans, why not?

9. Do you plan to recommend the HPV Vaccine for your preteen MALE patients?

Do you plan to recommend the HPV Vaccine for your preteen MALE patients? Yes. I plan to actively promote HPV vaccine for males.

Yes. But only if a parent or patient asks for it.

Not sure

10. What do you perceive to be the biggest barriers to vaccinating male patients? (1 = biggest barrier; 4 = smallest barrier)

	1	2	3	4
Parents unconcerned about HPV risks for boys	*What do you perceive to be the biggest barriers to vaccinating male patients? (1 = biggest barrier; 4 = smallest barrier) Parents unconcerned about HPV risks for boys 1	Parents unconcerned about HPV risks for boys 2	Parents unconcerned about HPV risks for boys 3	Parents unconcerned about HPV risks for boys 4
Parents worried about HPV vaccine safety	Parents worried about HPV vaccine safety 1	Parents worried about HPV vaccine safety 2	Parents worried about HPV vaccine safety 3	Parents worried about HPV vaccine safety 4
Cost of the vaccine, if health plans do not cover it	Cost of the vaccine, if health plans do not cover it 1	Cost of the vaccine, if health plans do not cover it 2	Cost of the vaccine, if health plans do not cover it 3	Cost of the vaccine, if health plans do not cover it 4
Physicians less likely to recommend it for boys	Physicians less likely to recommend it for boys 1	Physicians less likely to recommend it for boys 2	Physicians less likely to recommend it for boys 3	Physicians less likely to recommend it for boys 4

Other (please specify)

11. Which of the following topics would you use to explain the benefits of HPV vaccination for preteen boys when talking to parents? (check apply that apply)

Which of the following topics would you use to explain the benefits of HPV vaccination for preteen boys when talking to parents? (check apply that apply) Sexual health talking points for preteens

Information on genital warts

Information on penile, anal, and other cancers

Safety information on the HPV Vaccine

Information on "herd immunity" to protect girls and women from cervical cancer

Financial assistance for vaccine costs

Including HPV in the preteen vaccine platform along with Tdap and menningococcal vaccines

Other (please specify)

12. Which of the following information would be helpful to you and your staff to help inform patients or parents about HPV vaccination for males?

Which of the following information would be helpful to you and your staff to help inform patients or parents about HPV vaccination for males? Sexual health talking points for preteens

Information on genital warts

Information on penile, anal, and other cancers

Safety information on the HPV Vaccine

Information on "herd immunity" to protect girls and women from cervical cancer

Financial assistance for vaccine costs

Including HPV in the preteen vaccine platform along with Tdap and menningococcal vaccines

Other (please specify)

Physician Attitudes: HPV Vaccination for Boys Exit this survey

1. HPV Vaccination Attitudes, New Indication for Boys

1. Name (optional)

2. I am a

3. Do you (or staff in your office) currently administer the HPV vaccine to female patients?

4. Were you aware that the quadrivalent HPV vaccine (Gardasil) has now been licensed to vaccinate males age 9-26 to prevent genital warts?

5. Were you aware of the CDC's Advisory Committee on Immunization Practices (ACIP) 2009 recommendation to permit use of quadrivalent HPV vaccine for males 9-26 to reduce their risk of developing genital warts?

6. If you answered "yes" above, where did you learn about this new indication? (Check all that apply)

7. How important is it to you to use the HPV vaccine to prevent these health concerns for your male patients?

8. Do you vaccinate male patients with the HPV vaccine?

9. Do you plan to recommend the HPV Vaccine for your preteen MALE patients?

10. What do you perceive to be the biggest barriers to vaccinating male patients? (1 = biggest barrier; 4 = smallest barrier)

11. Which of the following topics would you use to explain the benefits of HPV vaccination for preteen boys when talking to parents? (check apply that apply)

12. Which of the following information would be helpful to you and your staff to help inform patients or parents about HPV vaccination for males?

Physician Attitudes: HPV Vaccination for Boys
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