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Pharmacy 2017, 5(3), 45;

Pharmacists’ Attitudes and Perceived Barriers to Human Papillomavirus (HPV) Vaccination Services

Health Outcomes Research and Policy, Harrison School of Pharmacy Auburn University, 020 James E. Foy Hall, Auburn, AL 36849, USA
College of Medicine, University of South Alabama, 307 N University Blvd, Mobile, AL 36688, USA
Department of Pharmacy Practice, College of Pharmacy, University of Arkansas for Medical Sciences, 4301 W Markham St, Little Rock, AR 72205, USA
Author to whom correspondence should be addressed.
Received: 15 May 2017 / Revised: 5 June 2017 / Accepted: 3 August 2017 / Published: 7 August 2017
(This article belongs to the Special Issue Impact of Pharmacists in the Community Setting)
Full-Text   |   PDF [230 KB, uploaded 7 August 2017]


Use of non-traditional settings such as community pharmacies has been suggested to increase human papillomavirus (HPV) vaccination uptake and completion rates. The objectives of this study were to explore HPV vaccination services and strategies employed by pharmacies to increase HPV vaccine uptake, pharmacists’ attitudes towards the HPV vaccine, and pharmacists’ perceived barriers to providing HPV vaccination services in community pharmacies. A pre-piloted mail survey was sent to 350 randomly selected community pharmacies in Alabama in 2014. Measures included types of vaccines administered and marketing/recommendation strategies, pharmacists’ attitudes towards the HPV vaccine, and perceived system and parental barriers. Data analysis largely took the form of descriptive statistics. 154 pharmacists completed the survey (response rate = 44%). The majority believed vaccination is the best protection against cervical cancer (85.3%), HPV is a serious threat to health for girls (78.8%) and boys (55.6%), and children should not wait until they are sexually active to be vaccinated (80.1%). Perceived system barriers included insufficient patient demand (56.5%), insurance plans not covering vaccination cost (54.8%), and vaccine expiration before use (54.1%). Respondents also perceived parents to have inadequate education and understanding about HPV infection (86.6%) and vaccine safety (78.7%). Pharmacists have positive perceptions regarding the HPV vaccine. Barriers related to system factors and perceived parental concerns must be overcome to increase pharmacist involvement in HPV vaccinations. View Full-Text
Keywords: human papillomavirus; community pharmacy; cervical cancer; adolescent vaccination human papillomavirus; community pharmacy; cervical cancer; adolescent vaccination
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Hastings, T.J.; Hohmann, L.A.; McFarland, S.J.; Teeter, B.S.; Westrick, S.C. Pharmacists’ Attitudes and Perceived Barriers to Human Papillomavirus (HPV) Vaccination Services. Pharmacy 2017, 5, 45.

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