Table 3.
Improvement in comfort with counseling patients on the human papillomavirus (HPV) vaccine after an educational lecture (N = 900)
| Comfort with counseling | Pre-lecture n (% agree or strongly agree) |
Post-lecture n (% agree or strongly agree) |
Improveda (freq., %) |
p-valueb | Results of binary logistic regression. Adjusted odds ratio (95% CI)c |
|---|---|---|---|---|---|
| I am comfortable counseling eligible women 18–26 years old on HPV vaccination. Medical student Nursing student |
255 (50.0) 152 (39.5) |
476 (93.5) 337 (88.0) |
239 (47.1) 209 (55.7) |
0.01 | 1.31 (0.98, 1.76) |
| I am comfortable counseling eligible men 18–26 years old on HPV vaccination. Medical student Nursing student |
236 (46.3) 145 (37.7) |
475 (93.1) 330 (85.7) |
255 (50.2) 214 (56.8) |
0.05 | 1.18 (0.88, 1.59) |
| I am comfortable counseling parents of girls on the HPV vaccine for their child. Medical student Nursing student |
255 (50.4) 155 (40.4) |
475 (93.1) 337 (87.5) |
235 (46.6) 206 (54.8) |
0.02 | 1.42 (1.05, 1.91) |
| I am comfortable counseling parents of boys on the HPV vaccine for their child. Medical student Nursing student |
245 (48.5) 154 (40.2) |
474 (92.9) 328 (85.6) |
244 (48.5) 203 (54.4) |
0.08 | 1.24 (0.92, 1.67) |
| I am willing to discuss HPV vaccination when patients come in for other problems. Medical student Nursing student |
361 (75.7) 223 (60.0) |
459 (94.4) 334 (88.1) |
98 (20.8) 125 (34.9) |
<0.001 | 2.17 (1.53, 3.07) |
| I need the following to be more comfortable with counseling patients/parents: b | |||||
Medical student Nursing student |
432 (85.2) 362 (94.5) |
167 (32.9) 218 (56.8) |
300 (59.8) 155 (41.3) |
<0.001 | 0.45 (0.34, 0.62) |
Medical student Nursing student |
364 (71.7) 356 (92.2) |
131 (25.6) 191 (49.9) |
292 (57.6) 178 (47.2) |
0.002 | 0.61 (0.45, 0.82) |
Medical student Nursing student |
192 (38.0) 256 (67.2) |
99 (19.5) 158 (41.4) |
193 (38.5) 142 (38.1) |
0.99 | 1.00 (0.73, 1.35) |
Medical student Nursing student |
213 (42.2) 254 (66.5) |
120 (23.5) 170 (44.5) |
192 (38.2) 141 (37.9) |
0.94 | 1.11 (0.82, 1.50) |
Medical student Nursing student |
200 (39.6) 254 (66.3) |
98 (19.2) 157 (40.9) |
199 (39.5) 150 (40.0) |
0.88 | 1.13 (0.83, 1.52) |
| I am comfortable educating vaccine hesitant patients about HPV vaccination. Medical student Nursing student |
275 (54.1) 168 (44.8) |
445 (88.8) 313 (82.8) |
206(41.4) 176 (48.8) |
0.03 | 1.37 (1.01, 1.85) |
| I am comfortable offering the HPV vaccine to patients who are: |
|||||
Medical student Nursing student |
230 (45.6) 165 (43.9) |
423 (83.9) 312 (82.3) |
230 (46.4) 166 (45.6) |
0.82 | 1.04 (0.77, 1.40) |
Medical student Nursing student |
320 (63.5) 200 (52.6) |
476 (94.1) 339 (89.0) |
164 (32.9) 152 (41.1) |
0.01 | 1.65 (1.21, 2.26) |
Medical student Nursing student |
393 (77.7) 244 (63.4) |
484 (95.8) 347 (91.1) |
101(20.2) 121 (32.4) |
<0.001 | 2.25 (1.59, 3.19) |
| I am uncomfortable recommending a vaccine against sexually transmitted infections.d Medical student Nursing student |
65 (12.8) 43 (11.1) |
74 (14.5) 79 (20.6) |
66 (13.0) 69 (18.3) |
0.03 | 1.95 (1.29, 2.93) |
Bolded items indicate significance at p < 0.05. HPV = human papillomavirus; CI = confidence interval
aImprovement indicates a change from “disagree” or “strongly disagree” on the pre-lecture survey to “neutral,” “agree,” or “strongly agree” on the post-lecture survey for each item. A change from “neutral” on the pre-lecture survey to “agree” or “strongly agree” was also considered improvement.
bChi-square tests conducted to get p-value in unadjusted analyses. Significant p-values in adjoining column do not indicate significance in adjusted binary logistic regression analyses.
cLogistic model controlled for human papillomavirus vaccination initiation. Significant p-values in adjoining column do not indicate significance in adjusted binary logistic regression analyses.
dReverse scored items.