Are dental providers the next line of HPV-related prevention? Providers’ perceived role and needs

The rise in HPV-related oropharyngeal cancer incidence necessitates novel prevention efforts including multiple provider types. Although dental providers screen for HPV-related oropharyngeal cancers, little is known about their needs to advance “primordial prevention,” or interventions at the earlie...

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Main Authors: Nolan Kline, Cheryl Vamos, Erika Thompson, Frank Catalanotto, John Petrila, Rita DeBate, Stacey Griner, Coralia Vázquez-Otero, Laura Merrell, Ellen Daley
Format: Article
Language:English
Published: Elsevier 2018-06-01
Series:Papillomavirus Research
Online Access:http://www.sciencedirect.com/science/article/pii/S2405852117300836
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spelling doaj-eff51190a4334a20802a6ec979f163f42020-11-24T20:44:11ZengElsevierPapillomavirus Research2405-85212018-06-015104108Are dental providers the next line of HPV-related prevention? Providers’ perceived role and needsNolan Kline0Cheryl Vamos1Erika Thompson2Frank Catalanotto3John Petrila4Rita DeBate5Stacey Griner6Coralia Vázquez-Otero7Laura Merrell8Ellen Daley9University of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA; Correspondence to: Present address: Rollins College, Department of Anthropology, 1000 Holt Ave, Winter Park, FL 32789, USA.University of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USAUniversity of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USAUniversity of Florida College of Dentistry, P.O. Box 103628, 329 SW 16th St., Gainesville, FL 3261, USAUniversity of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA; The Meadows Mental Health Policy Institute, 2800 Swiss Avenue, Dallas, TX 75204, USAUniversity of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USAUniversity of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USAUniversity of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USAUniversity of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USAUniversity of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USAThe rise in HPV-related oropharyngeal cancer incidence necessitates novel prevention efforts including multiple provider types. Although dental providers screen for HPV-related oropharyngeal cancers, little is known about their needs to advance “primordial prevention,” or interventions at the earliest possible stage, to prevent HPV-related cancers. This study assessed dentists' and dental hygienists’ perceived roles and needs regarding HPV-related primordial prevention.We conducted a mixed-method study with data from focus groups with dentists (n= 33) and dental hygienists (n= 48) and surveys from both provider types (n= 203) among providers from a diverse set of practice settings and geographic communities. Data were analyzed using qualitative thematic analysis and chi square tests.Participants affirmed dental professionals’ roles in preventing HPV-related cancers and identified needs to overcome barriers to fulfilling prevention objectives. Barriers included: (1) practice environment and patient characteristics, and (2) the sensitive topic of HPV. Further, participants identified needs to improve HPV-related cancer prevention.Findings from this study suggest that dental providers may become the next line of prevention for HPV-related cancers. Dental providers’ professional associations have provided guidance on HPV and oropharyngeal cancers, but our study reveals dental providers’ needs for following professional organizations’ guidance to advance prevention efforts and reduce HPV-related cancer incidence. Keywords: Oropharyngeal cancer, Human papillomavirus, Dental providers, Preventionhttp://www.sciencedirect.com/science/article/pii/S2405852117300836
collection DOAJ
language English
format Article
sources DOAJ
author Nolan Kline
Cheryl Vamos
Erika Thompson
Frank Catalanotto
John Petrila
Rita DeBate
Stacey Griner
Coralia Vázquez-Otero
Laura Merrell
Ellen Daley
spellingShingle Nolan Kline
Cheryl Vamos
Erika Thompson
Frank Catalanotto
John Petrila
Rita DeBate
Stacey Griner
Coralia Vázquez-Otero
Laura Merrell
Ellen Daley
Are dental providers the next line of HPV-related prevention? Providers’ perceived role and needs
Papillomavirus Research
author_facet Nolan Kline
Cheryl Vamos
Erika Thompson
Frank Catalanotto
John Petrila
Rita DeBate
Stacey Griner
Coralia Vázquez-Otero
Laura Merrell
Ellen Daley
author_sort Nolan Kline
title Are dental providers the next line of HPV-related prevention? Providers’ perceived role and needs
title_short Are dental providers the next line of HPV-related prevention? Providers’ perceived role and needs
title_full Are dental providers the next line of HPV-related prevention? Providers’ perceived role and needs
title_fullStr Are dental providers the next line of HPV-related prevention? Providers’ perceived role and needs
title_full_unstemmed Are dental providers the next line of HPV-related prevention? Providers’ perceived role and needs
title_sort are dental providers the next line of hpv-related prevention? providers’ perceived role and needs
publisher Elsevier
series Papillomavirus Research
issn 2405-8521
publishDate 2018-06-01
description The rise in HPV-related oropharyngeal cancer incidence necessitates novel prevention efforts including multiple provider types. Although dental providers screen for HPV-related oropharyngeal cancers, little is known about their needs to advance “primordial prevention,” or interventions at the earliest possible stage, to prevent HPV-related cancers. This study assessed dentists' and dental hygienists’ perceived roles and needs regarding HPV-related primordial prevention.We conducted a mixed-method study with data from focus groups with dentists (n= 33) and dental hygienists (n= 48) and surveys from both provider types (n= 203) among providers from a diverse set of practice settings and geographic communities. Data were analyzed using qualitative thematic analysis and chi square tests.Participants affirmed dental professionals’ roles in preventing HPV-related cancers and identified needs to overcome barriers to fulfilling prevention objectives. Barriers included: (1) practice environment and patient characteristics, and (2) the sensitive topic of HPV. Further, participants identified needs to improve HPV-related cancer prevention.Findings from this study suggest that dental providers may become the next line of prevention for HPV-related cancers. Dental providers’ professional associations have provided guidance on HPV and oropharyngeal cancers, but our study reveals dental providers’ needs for following professional organizations’ guidance to advance prevention efforts and reduce HPV-related cancer incidence. Keywords: Oropharyngeal cancer, Human papillomavirus, Dental providers, Prevention
url http://www.sciencedirect.com/science/article/pii/S2405852117300836
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