Human Papillomavirus Vaccination Trends, Barriers, and Promotion Methods Among American Indian/Alaska Native and Non-Hispanic White Adolescents in Michigan 2006-2015
Human Papillomavirus Vaccination Trends, Barriers, and Promotion Methods Among American Indian/Alaska Native and Non-Hispanic White Adolescents in Michigan 2006-2015
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DOI：
10.1007/s10900-018-00615-4
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发表时间：
2019-06-01
影响因子：
5.9
通讯作者：
Watanabe-Galloway, Shinobu
中科院分区：
文献类型：
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作者：
Kashani, Beeta M.;Tibbits, Melissa;Watanabe-Galloway, Shinobu
人类乳头瘤病毒(HPV)感染是美国最常见的性传播疾病，是可预防的癌症原因。HPV疫苗接种有可能预防90%的HPV相关癌症病例，但没有得到充分利用，特别是在美洲印第安人/阿拉斯加原住民(AI/AN)青少年中。这项研究的目的是(1)描述密歇根州9至18岁的AI和非西班牙裔白人儿童HPV疫苗接种开始和完成的趋势，并确定预测因素；(2)确定密歇根州部落、州和地方各级HPV疫苗接种和推广方法的障碍。分析使用了密歇根州免疫信息系统2006年至2015年的数据。此外，还对全州的公共卫生专业人员进行了半结构化访谈，以确定HPV疫苗接种的障碍和推动者。疫苗启动的预测因素包括女性、AI/AN和生活在高度贫困的邮政编码。疫苗接种完成的预测因素是女性和疫苗启动时的较年轻年龄。疫苗接种的障碍包括错误信息和薄弱或不一致的提供者建议。卫生专业人员用于推广HPV疫苗接种的策略包括免疫摘要、疫苗信息声明、儿童疫苗(VFC)计划和提供者培训。研究结果表明，需要对父母进行教育，以揭开HPV疫苗的好处和风险的神秘面纱，并对提供者进行培训，以获得更一致的建议。
Human papillomavirus (HPV) infection, the most common sexually transmitted disease in the US, is a preventable cause of cancer. HPV vaccination has the potential to prevent 90% of HPV-related cancer cases but is underutilized, especially among American Indian/Alaska Native (AI/AN) adolescents. The objectives of this study were to (1) describe trends and identify predictors of HPV vaccination initiation and completion in Michigan's AI and Non-Hispanic White children age 9 through 18years and (2) to identify barriers to HPV vaccination and promotion methods at the tribal, state, and local levels in Michigan. Data from Michigan's immunization information system from 2006 to 2015 were used for analysis. Additionally, semi-structured interviews were conducted with public health professionals across the state to identify barriers to and promoters of HPV vaccination. Predictors for vaccine initiation included being female, AI/AN, and living in high poverty zip code. Predictors of vaccine completion were female gender and younger age at vaccine initiation. Barriers to vaccination included misinformation and weak or inconsistent provider recommendations. Strategies used by health professionals to promote HPV vaccination included immunization summaries, vaccine information statements, the Vaccines for Children (VFC) program, and provider training. Findings suggested the need for education of parents to demystify HPV vaccine benefits and risks and provider training for more consistent recommendations.