Predictors of Adults' Knowledge and Awareness of HPV, HPV-Associated Cancers, and the HPV Vaccine: Implications for Health Education
Predictors of Adults' Knowledge and Awareness of HPV, HPV-Associated Cancers, and the HPV Vaccine: Implications for Health Education
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DOI：
10.1177/1090198117709318
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发表时间：
2018-02-01
影响因子：
4.2
通讯作者：
Singh, Shipra
中科院分区：
文献类型：
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作者：
McBride, Kimberly R.;Singh, Shipra
人乳头瘤病毒（HPV）的高流行率和HPV疫苗的低摄取是重大的公共卫生问题。HPV相关癌症和HPV疫苗接种率的差异表明需要进一步研究与疫苗接受相关的因素。本研究评估了HPV的认识和知识，并确定了与人群水平上HPV知识相关的社会人口学特征。对参加美国国家癌症研究所2014年健康信息全国趋势调查的成年男性（n = 1197）和女性（n = 1906）的数据进行了分析。采用多变量回归方法确定四种HPV知识类别的预测因子：(1)一般知识，(2)宫颈癌知识，(3)其他癌症知识（即肛门，口腔，阴茎）和(4)疫苗知识。在HPV和HPV疫苗的认识和知识方面存在显著的性别差异。大多数参与者（约70%）知道人乳头瘤病毒可导致子宫颈癌，但知道人乳头瘤病毒与其他癌症之间关系的人较少（14.9%至31.5%）。妇女更有可能报告卫生保健提供者建议接种疫苗。一般HPV和HPV疫苗知识的重要预测因素包括性别，教育程度，收入，种族和其他社会人口统计学特征。年龄和收入预测子宫颈癌知识。对其他hpv相关癌症的了解是通过家庭中是否有18岁以下的孩子和婚姻状况来预测的。HPV知识似乎是社会模式。男性和一些少数民族对HPV的认识较低，这表明需要进一步干预。健康教育应强调非宫颈hpv相关癌症的风险。包括教育、咨询和明确的疫苗接种建议在内的医患沟通可能会提高接种率。
High human papillomavirus (HPV) prevalence and low HPV vaccine uptake are significant public health concerns. Disparities in HPV-associated cancers and HPV vaccine uptake rates suggest the need for additional research examining factors associated with vaccine acceptance. This study assessed HPV awareness and knowledge and identified sociodemographic characteristics associated with HPV knowledge at the population level. Data from adult men (n = 1,197) and women (n = 1,906) who participated in the National Cancer Institute's 2014 Health Information National Trends Survey were analyzed. Multivariable regression was used to identify predictors of four HPV knowledge categories: (1) general knowledge, (2) cervical cancer knowledge, (3) other cancer knowledge (i.e., anal, oral, penile), and (4) vaccine knowledge. Significant gender differences in awareness and knowledge of HPV and the HPV vaccine were revealed. Most participants (>70%) knew that HPV could cause cervical cancer, but fewer (14.9% to 31.5%) knew of the association between HPV and other cancers. Women were more likely to report that a health care provider recommended vaccination. Significant predictors of general HPV and HPV vaccine knowledge included gender, education, income, race, and other sociodemographic characteristics. Age and income predicted cervical cancer knowledge. Knowledge of other HPV-associated cancers was predicted by having a child under 18 years in the household and relationship status. HPV knowledge appears to be socially patterned. Low HPV knowledge among men and some racial minorities suggests a need for further intervention. Health education should emphasize risks of noncervical HPV-associated cancers. Patient-provider communication that includes education, counseling, and clear recommendations favoring vaccination may improve uptake.