A human rights approach to understanding provider knowledge and attitudes toward the human papillomavirus vaccine in São Paulo, Brazil

Objective: To determine the extent to which human rights considerations influence the attitudes of healthcare providers in Brazil with regard to access to the human papillomavirus (HPV) vaccine for females over 13 and males of all ages. Methods: From May to August 2015, we conducted a cross-sectiona...

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Main Authors:	Meredith H. Kruse, Robert A. Bednarczyk, Dabney P. Evans
Format:	Article
Language:	English
Published:	Elsevier 2020-06-01
Series:	Papillomavirus Research
Subjects:	HPV vaccine Immunization program Cancer Access Human rights Brazil
Online Access:	http://www.sciencedirect.com/science/article/pii/S2405852120300124

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spelling	doaj-c8f0b8800f71447395680e9fe9a5b97d2020-11-25T02:50:27ZengElsevierPapillomavirus Research2405-85212020-06-019A human rights approach to understanding provider knowledge and attitudes toward the human papillomavirus vaccine in São Paulo, BrazilMeredith H. Kruse0Robert A. Bednarczyk1Dabney P. Evans2Emory University, Rollins School of Public Health, Hubert Department of Global Health, Atlanta, USAEmory University, Rollins School of Public Health, Hubert Department of Global Health, Atlanta, USA; Emory University, Rollins School of Public Health, Department of Epidemiology, Atlanta, USA; Emory University, Emory Vaccine Center, Atlanta, USA; Emory University, Winship Cancer Institute, Cancer Prevention and Control Program, Atlanta, USAEmory University, Rollins School of Public Health, Hubert Department of Global Health, Atlanta, USA; Corresponding author. Emory University, Rollins School of Public Health, Hubert Department of Global Health, 1518 Clifton Road, N.E., Atlanta, GA, 30322, USA.Objective: To determine the extent to which human rights considerations influence the attitudes of healthcare providers in Brazil with regard to access to the human papillomavirus (HPV) vaccine for females over 13 and males of all ages. Methods: From May to August 2015, we conducted a cross-sectional study among healthcare providers in eight public health clinics in the city of Mauá, Brazil. Frequency analysis was conducted across three subject areas: access, knowledge, and attitudes. Results: A total of 154 surveys were analyzed. Providers reported their perception that Brazilians do not have equal access to health (80%) and the vaccine exclusions limit an individual's right to health (72%). Providers stated it is medically effective to vaccinate females over the age of 13 (77%), these females should be vaccinated (84%), and they would vaccinate them (82%). Similar responses were reported for males. Conclusion: Cervical cancer is the 4th leading cause of cancer among females in Brazil. Most cervical cancer cases are caused by persistent HPV infection, preventable through HPV vaccination. Limiting access to the HPV vaccine when medically efficacious is a perceived infringement of an individual's right to health. Brazil has a constitutional responsibility to reduce these access barriers.http://www.sciencedirect.com/science/article/pii/S2405852120300124HPV vaccineImmunization programCancerAccessHuman rightsBrazil
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Meredith H. Kruse Robert A. Bednarczyk Dabney P. Evans
spellingShingle	Meredith H. Kruse Robert A. Bednarczyk Dabney P. Evans A human rights approach to understanding provider knowledge and attitudes toward the human papillomavirus vaccine in São Paulo, Brazil Papillomavirus Research HPV vaccine Immunization program Cancer Access Human rights Brazil
author_facet	Meredith H. Kruse Robert A. Bednarczyk Dabney P. Evans
author_sort	Meredith H. Kruse
title	A human rights approach to understanding provider knowledge and attitudes toward the human papillomavirus vaccine in São Paulo, Brazil
title_short	A human rights approach to understanding provider knowledge and attitudes toward the human papillomavirus vaccine in São Paulo, Brazil
title_full	A human rights approach to understanding provider knowledge and attitudes toward the human papillomavirus vaccine in São Paulo, Brazil
title_fullStr	A human rights approach to understanding provider knowledge and attitudes toward the human papillomavirus vaccine in São Paulo, Brazil
title_full_unstemmed	A human rights approach to understanding provider knowledge and attitudes toward the human papillomavirus vaccine in São Paulo, Brazil
title_sort	human rights approach to understanding provider knowledge and attitudes toward the human papillomavirus vaccine in são paulo, brazil
publisher	Elsevier
series	Papillomavirus Research
issn	2405-8521
publishDate	2020-06-01
description	Objective: To determine the extent to which human rights considerations influence the attitudes of healthcare providers in Brazil with regard to access to the human papillomavirus (HPV) vaccine for females over 13 and males of all ages. Methods: From May to August 2015, we conducted a cross-sectional study among healthcare providers in eight public health clinics in the city of Mauá, Brazil. Frequency analysis was conducted across three subject areas: access, knowledge, and attitudes. Results: A total of 154 surveys were analyzed. Providers reported their perception that Brazilians do not have equal access to health (80%) and the vaccine exclusions limit an individual's right to health (72%). Providers stated it is medically effective to vaccinate females over the age of 13 (77%), these females should be vaccinated (84%), and they would vaccinate them (82%). Similar responses were reported for males. Conclusion: Cervical cancer is the 4th leading cause of cancer among females in Brazil. Most cervical cancer cases are caused by persistent HPV infection, preventable through HPV vaccination. Limiting access to the HPV vaccine when medically efficacious is a perceived infringement of an individual's right to health. Brazil has a constitutional responsibility to reduce these access barriers.
topic	HPV vaccine Immunization program Cancer Access Human rights Brazil
url	http://www.sciencedirect.com/science/article/pii/S2405852120300124
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A human rights approach to understanding provider knowledge and attitudes toward the human papillomavirus vaccine in São Paulo, Brazil

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