Stage of adoption of the human papillomavirus vaccine among college women
Stage of adoption of the human papillomavirus vaccine among college women
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DOI：
10.1016/j.ypmed.2008.12.005
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发表时间：
2009-05-01
影响因子：
5.1
通讯作者：
Hanna, Richard
中科院分区：
文献类型：
--
作者：
Allen, Jennifer D.;Mohllajee, Anshu P.;Hanna, Richard
背景。某些类型的人乳头瘤病毒（HPV）可导致宫颈癌和其他癌症。9-26岁的女性可以接种预防导致70%宫颈癌的HPV类型的疫苗。目的：探讨18-22岁妇女接种疫苗阶段的相关因素。2007年，美国一所新英格兰大学的女学生（n = 4774）被邀请完成一项在线调查，评估HPV的知识、感知易感性、严重程度、疫苗的益处/障碍、社会和主观规范以及疫苗接种阶段。1897名女性（40%）回应；1401例数据完整。约一半（53%）的人计划接种疫苗，12%的人已接种疫苗，15%的人尚未决定，7%的人决定不接种疫苗。HPV知识水平较低（平均58%）。在多变量分析中，社会规范与阶段的相关性最强；与那些决定不接种疫苗的人相比，社会规范评分的每一个标准差增加与打算在未来30天内接种疫苗的几率的四倍以上相关（OR=4.15: 95% CI 2.17-6.36）。疫苗的接受度很高，尽管对病毒传播、治疗的可得性和巴氏试验的作用普遍存在误解。感知规范与意图密切相关。大学校园的干预措施应强调疫苗接种是一种规范行为，提供有关病毒传播的信息，并强调持续的子宫颈抹片筛查的作用。(C) 2008爱思唯尔公司版权所有。
Background. Certain types of human papillomavirus (HPV) can cause cervical and other cancers. A vaccine that protects against HPV types responsible for 70% of cervical cancers is available to females ages 9-26.Objective. To examine correlates of stage of vaccine adoption among women ages 18-22.Methods. In 2007, female students (n = 4774) at a New England University in the U.S. were invited to complete an on-line survey that assessed knowledge of HPV, perceived susceptibility, severity, vaccine benefits/barriers, social and subjective norms, and stage of vaccine adoptionResults. 1897 women (40%) responded; complete data were available for 1401. About half (53%) were planning to be vaccinated, 12% had received the vaccine, 15% were undecided, and 7% had decided against vaccination. HPV knowledge was low (mean 58%). In multivariate analyses, social norms was the strongest correlate of stage; each standard deviation increase in social norms score was associated with more than four times the odds of intending to be vaccinated within the next 30 days, compared with those who had decided against vaccination (OR=4.15: 95% CI 2.17-6.36).Conclusions. Acceptance of the vaccine was high, although misconceptions about viral transmission, availability of treatment, and the role of Pap tests were common. Perceived norms were strongly associated with intentions. Interventions on college campuses should stress vaccination as a normative behavior, provide information about viral transmission, and stress the role of continued Pap screening. (C) 2008 Elsevier Inc. All rights reserved.