Parent perceptions important for HPV vaccine initiation among low income adolescent girls.
Parent perceptions important for HPV vaccine initiation among low income adolescent girls.
复制标题
DOI：
10.1016/j.vaccine.2014.08.054
复制
发表时间：
2014-10-21
期刊：
影响因子：
5.5
通讯作者：
Shenkman, Elizabeth A.
中科院分区：
文献类型：
--
作者：
Staras, Stephanie A. S.;Vadaparampil, Susan T.;Patel, Roshni P.;Shenkman, Elizabeth A.
本研究的目的是评估供应商建议对父母疫苗认知的影响，并确定考虑供应商建议强度的HPV疫苗系列启动的最有效父母疫苗认知。我们对参加佛罗里达医疗补助计划和儿童健康保险计划的9-17岁女孩的父母进行了分层随机抽样调查，并评估了HPV疫苗的要求。使用多变量分析，我们评估了（1）父母疫苗认知和提供者推荐强度之间的相关性，以及（2）父母疫苗认知和HPV疫苗系列启动（≥ 1次疫苗声明或阳性父母报告）控制提供者推荐强度。在2,422名参与调查的父母中，大多数人认为HPV疫苗是安全的（61%），不会使女孩更有可能发生性行为（69%），并预防宫颈癌（71%）。大约一半（44%）的人报告说收到了强烈的供应商推荐。与没有推荐的父母相比，有强烈推荐的父母同意疫苗是安全的，HPV疫苗是安全的，不担心副作用，疫苗可以预防宫颈癌的几率高出2到7倍。即使考虑到提供者的推荐强度，HPV疫苗系列启动更有可能发生在父母同意而不是不同意HPV疫苗安全的女孩中[比值比（OR）=5.8，95%置信区间（CI）= 3.1，11.1），不会导致性行为（OR=2.0，95% CI = 1.2，3.4），预防宫颈癌（OR=2.0，95% CI = 1.0，3.4），预防HPV感染（OR=1.8，95% CI = 1.0，3.0）。父母对HPV疫苗的担忧与他们对其他疫苗的担忧相似。提供者应将HPV疫苗与父母的讨论集中在疫苗安全性和疾病预防上。
The study aims were to assess the influence of provider recommendations on parental vaccine perceptions and identify the most potent parent vaccine perceptions for HPV vaccine series initiation considering provider recommendation strength. We administered a questionnaire and assessed HPV vaccine claims among a stratified-random sample of parents of 9-17 year old girls enrolled in Florida's Medicaid and the Children's Health Insurance Program. Using multivariate analyses, we evaluated the associations between: (1) parent vaccine perceptions and provider recommendation strength, and (2) parent vaccine perceptions and HPV vaccine series initiation (≥ 1 vaccine claim or positive parental report) controlling for provider recommendation strength. The majority of the 2,422 participating parents agreed that the HPV vaccine was safe (61%), would not make girls more likely to have sex (69%), and prevented cervical cancer (71%). About half (44%) reported receiving a strong provider recommendation. Compared to parents without recommendations, parents with strong recommendations had 2 to 7 times higher odds of agreeing that: vaccines are safe, the HPV vaccine is safe, not concerned about side effects, and the vaccine prevents cervical cancer. Even when considering provider recommendation strength, HPV vaccine series initiation was more likely among girls of parents who agreed rather than disagreed that the HPV vaccine was safe [Odds Ratio (OR) =5.8, 95% Confidence Interval (CI) = 3.1, 11.1), does not cause sex (OR=2.0, 95% CI = 1.2, 3.4), prevents cervical cancer (OR=2.0, 95% CI = 1.0, 3.4), and prevents HPV infections (OR=1.8, 95% CI = 1.0, 3.0). Parent concerns about HPV vaccine are similar to their concerns about other vaccines. Providers should focus HPV vaccine discussions with parents on vaccine safety and illness prevention.
登录
查看更多内容
影响因子：
2.3
作者：
Kester LM;Zimet GD;Fortenberry JD;Kahn JA;Shew ML
通讯作者：
Shew ML
影响因子：
5.5
作者：
McMenamin, Sara B.;Halpin, Helen A.;Bellows, Nicole M.
通讯作者：
Bellows, Nicole M.
影响因子：
3.6
作者：
Humiston, SG;Rosenthal, SL
通讯作者：
Rosenthal, SL
影响因子：
5.2
作者：
Cassell, J. A.;Leach, M.;Fairhead, J. R.
通讯作者：
Fairhead, J. R.
影响因子：
1.6
作者：
Dorell, Christina;Yankey, David;Smith, Philip J.
通讯作者：
Smith, Philip J.