Florida physicians' reported use of AFIX-based strategies for human papillomavirus vaccination

Publication date: Available online 13 September 2018Source: Preventive MedicineAuthor(s): Monica L. Kasting, Shannon M. Christy, Steven K. Sutton, Paige Lake, Teri L. Malo, Richard G. Roetzheim, Tommy Schechtman, Gregory D. Zimet, Barbara J. Walkosz, Daniel Salmon, Jessica A. Kahn, Anna R. Giuliano, Susan T. VadaparampilAbstractHPV vaccination rates in Florida are low. To increase rates, the CDC recommends clinics adhere to components of their evidence-based quality improvement program, AFIX (Assessment, Feedback, Incentives, and eXchange of information). We explored factors associated with engaging in HPV-specific AFIX-related activities. In 2016, we conducted a cross-sectional survey of a representative sample of 770 pediatric and family medicine physicians in Florida and assessed vaccination practices, clinic characteristics, and HPV-related knowledge. Data were analyzed in 2017. The primary outcome was whether physicians' clinics engaged in ≥1 AFIX activity. We stratified by physician specialty and developed multivariable models using a backward selection approach. Of the participants in analytic sample (n = 340), 52% were male, 60% were White of any ethnicity, and 55% were non-Hispanic. Pediatricians and family medicine physicians differed on: years practicing medicine (p < 0.001), HPV-related knowledge (p < 0.001), and VFC provider status (p < 0.001), among others. Only 39% of physicians reported engaging in ≥1 AFIX activity. In the strat...
Source: Preventive Medicine - Category: International Medicine & Public Health Source Type: research