Beliefs, behaviors and HPV vaccine: Correcting the myths and the misinformation
Beliefs, behaviors and HPV vaccine: Correcting the myths and the misinformation
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DOI：
10.1016/j.ypmed.2013.05.013
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发表时间：
2013-11-01
影响因子：
5.1
通讯作者：
Stupiansky, Nathan W.
中科院分区：
文献类型：
--
作者：
Zimet, Gregory D.;Rosberger, Zeev;Stupiansky, Nathan W.
目的：许多国家的人乳头瘤病毒（HPV）疫苗接种率一直处于次优状态。我们研究了几个与非疫苗接种相关的问题，这些问题受到了特别的关注，包括对性风险补偿的恐惧，对疫苗安全性的担忧，卫生保健提供者（HCP）的疫苗接种建议不足，以及由于HPV疫苗的“新”而引起的不信任。方法：选择性回顾有关HPV疫苗态度和摄取的行为和社会科学文献。没有证据表明疫苗接种后性风险补偿，HPV疫苗相当安全，不能再被认为是“新”的。尽管如此，研究结果指出这些问题，最重要的是，HCP未能充分推荐HPV疫苗作为非vaccination.Conclusion的主要驱动因素：大多数与HPV疫苗相关的恐惧更多地与神话而不是现实有关。在没有重大卫生政策举措的情况下，如加拿大，英国和澳大利亚实施的举措，需要多层次，多方面的方法来实现高HPV疫苗接种率。重点关注HCP关于HPV疫苗接种适应症的教育以及与父母和患者就疫苗接种的安全性和益处以及与非疫苗接种相关的风险进行最有效沟通的方法至关重要。(C)2013作者爱思唯尔公司出版All rights reserved.
Objective: Human papillomavirus (HPV) vaccine uptake in many countries has been sub-optimal. We examine several issues associated with non-vaccination that have received particular attention, including fears about sexual risk compensation, concerns about vaccine safety, inadequate vaccination recommendations by health care providers (HCPs), and distrust due to the perceived "newness" of HPV vaccines.Methods: Selective review of behavioral and social science literature on HPV vaccine attitudes and uptake.Results: There is no evidence of post-vaccination sexual risk compensation, HPV vaccines are quite safe, and they can no longer be considered "new". Nonetheless, research findings point to these issues and, most importantly, to the failure of HCPs to adequately recommend HPV vaccine as major drivers of non-vaccination.Conclusion: Most fears related to HPV vaccine are more related to myth than reality. In the absence of major health policy initiatives, such as those implemented in Canada, the U.K, and Australia, a multi-level, multi-faceted approach will be required to achieve high rates of HPV vaccination. It will be essential to focus on the education of HCPs regarding indications for HPV vaccination and approaches to communicating most effectively with parents and patients about the safety and benefits of vaccination and the risks associated with non-vaccination. (C) 2013 The Authors. Published by Elsevier Inc. All rights reserved.