Approaching a decade since HPV vaccine licensure: Racial and gender disparities in knowledge and awareness of HPV and HPV vaccine
Approaching a decade since HPV vaccine licensure: Racial and gender disparities in knowledge and awareness of HPV and HPV vaccine
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DOI：
10.1080/21645515.2017.1363133
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发表时间：
2017-01-01
影响因子：
4.8
通讯作者：
Osazuwa-Peters, Nosayaba
中科院分区：
文献类型：
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作者：
Boakye, Eric Adjei;Tobo, Betelihem B.;Osazuwa-Peters, Nosayaba
目的：公众对人乳头瘤病毒（HPV）的认识仍然存在差距。我们评估了美国成年人在HPV和HPV疫苗的知识和意识方面的种族/民族和性别差异。方法：对6862名18岁及以上的受访者进行健康信息全国趋势调查第3周期（2013年9月- 12月）和第4周期（2014年8月- 11月）的数据分析。使用加权多变量logistic回归模型估计HPV知识和HPV疫苗接种意识的种族/民族和性别差异。结果：66%的应答者听说过HPV和HPV疫苗（男性57%对女性75%）。在多变量分析中，与男性相比，女性有225% （95% CI: 2.60 - 4.07）可能听说过HPV，有281% （95% CI: 3.06 - 4.74）可能听说过HPV疫苗。非西班牙裔黑人听说HPV和HPV疫苗的可能性分别比非西班牙裔白人低33% （95% CI: 0.47 - 0.96）和44% （95% CI: 0.39 - 0.81）。西班牙裔白人听说过HPV和HPV疫苗的可能性分别比非西班牙裔白人低27% （95% CI: 0.52 - 1.02）和53% （95% CI: 0.34 - 0.64）。结论：有证据表明男性与女性、非西班牙裔黑人和西班牙裔白人与非西班牙裔白人在HPV和HPV疫苗认知方面存在差异。为了促进HPV疫苗接种的改善和减少HPV相关癌症的差异，未来的干预措施必须针对男性和少数民族人群，因为他们存在知识差距。
Purpose: Gaps remain in the public's knowledge of the human papillomavirus (HPV). We assessed racial/ethnic and gender disparities in knowledge and awareness of HPV and the HPV vaccine among US adults.Methods: Data from the Health Information National Trends Survey 4 Cycle 3 (September - December 2013) and Cycle 4 (August - November 2014) were analyzed for 6,862 respondents aged 18years and older. Weighted multivariable logistic regression models were used to estimate racial/ethnic and gender disparities in HPV knowledge and HPV vaccination awareness.Results: Sixty-six percent of respondents had heard of HPV and the HPV vaccine (57% of men vs. 75% of women). In multivariable analyses, compared with men, women were 225% (95% CI: 2.60 - 4.07) more likely to have heard of HPV, and 281% (95% CI: 3.06 - 4.74) more likely to have heard of the HPV vaccine. Non-Hispanic Blacks were 33% (95% CI: 0.47 - 0.96) and 44% (95% CI: 0.39 - 0.81) less likely than non-Hispanic Whites to have heard of HPV and the HPV vaccine, respectively. Hispanics were 27% (95% CI: 0.52 - 1.02) and 53% (95% CI: 0.34 - 0.64) less likely than non-Hispanic Whites to have heard of HPV and the HPV vaccine, respectively.Conclusions: There was evidence of disparities in HPV and HPV vaccine awareness among men compared with women and non-Hispanic Blacks and Hispanics compared with non-Hispanic Whites. To foster improvements in HPV vaccine uptake and reduce disparities in HPV associated cancers, future interventions must target men and minority populations, for whom knowledge gaps exist.