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!

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* 1. Name (optional)

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* 2. I am a

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

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

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* 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?

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

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* 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
penile cancer
anal cancer
Head and neck cancers
Reducing HPV sexual transmission to women to prevent cervical cancer

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* 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
Not yet, but I plan to start
I have not decided whether to vaccinate males yet
No plans to vaccinate males

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

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* 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
Parents worried about HPV vaccine safety
Cost of the vaccine, if health plans do not cover it
Physicians less likely to recommend it for boys

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* 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)

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* 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?

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