TABLE 4

Perceived Barriers to HPV Vaccination Among Surveyed Pediatricians and Family Physicians (N = 680)

Response, %
PediatriciansFamily Physicians
Definitely A BarrierSomewhat A BarrierDefinitely A BarrierSomewhat A Barrier
Failure of some insurance companies to cover HPV vaccinationa26213628
Lack of adequate reimbursement for HPV vaccinationa18202725
“Up-front” costs for my practice to purchase HPV vaccinea15192421
Parent concerns about the safety of HPV vaccine527421
Parent opposition to HPV vaccination for moral or religious reasons419528
Parent concerns that vaccination against a sexually transmitted infection may encourage earlier or riskier sexual behavior419426
Parent concerns about the efficacy of HPV vaccine116214
Difficulty ensuring that patients will complete a 3-dose vaccine seriesb111414
The time it takes me to discuss HPV vaccination with parentsb110313
My concern about adding another vaccine to the vaccine scheduleb1538
My concerns about the safety of HPV vaccineb1235
My concerns about the efficacy of HPV vaccine1125
  • Items are presented in rank order, according to the proportion of pediatricians who perceived the issue as definitely a barrier.

  • a P < .01 for comparison of responses of definitely a barrier between pediatricians and family physicians.

  • b P < .05 for comparison of responses of definitely a barrier between pediatricians and family physicians.