HPV vaccine acceptability in a rural Southern area
HPV vaccine acceptability in a rural Southern area
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DOI：
10.1089/jwh.2007.0489
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发表时间：
2008-05-01
影响因子：
3.5
通讯作者：
Smith, Jennifer S.
中科院分区：
文献类型：
--
作者：
Fazekas, Karah I.;Brewer, Noel T.;Smith, Jennifer S.
背景：虽然美国南部和农村地区的宫颈癌发病率最高，但关于人乳头状瘤病毒疫苗可接受性的研究主要集中在其他地理区域。方法：为了解决这一差距，我们调查了北卡罗来纳州宫颈癌发病率较高的农村地区的妇女，以确定她们和她们女儿接受HPV疫苗的预测因素。结果：146名妇女完成了关于HPV感染、宫颈癌和HPV疫苗接种的问卷调查。大多数受访者(62%)是非洲裔美国人。大多数受访者打算为青春期的女儿接种HPV疫苗。老年和非裔美国妇女报告接种意愿较低。为青春期的女儿接种HPV疫苗的意愿较高，这与对HPV了解更多有关，认为HPV感染和宫颈癌都有可能并产生负面后果，以及相信HPV疫苗对宫颈癌有效。女性报告说，与她们自己相比，她们更愿意为青春期的女儿接种HPV疫苗。结论：青春期女儿对HPV疫苗的接受度与女性对自己医疗保健需求的信念有关。这些关于北卡罗来纳州妇女HPV疫苗接种决定的调查结果提供了见解，可为未来旨在增加南部农村妇女其他高危人群接种疫苗的健康交流活动提供信息。
Background: Although cervical cancer rates in the United States are highest in Southern and rural areas, research on human papillomavirus (HPV) vaccine acceptability has focused on other geographic areas.Methods: To address this gap, we surveyed women from a rural area in North Carolina with elevated rates of cervical cancer to identify predictors of HPV vaccine acceptability for themselves and their daughters.Results: One hundred forty-six women completed questionnaires about HPV infection, cervical cancer, and HPV vaccination. The majority (62%) of respondents were African American. Most respondents intended to vaccinate an adolescent daughter against HPV. Older and African American women reported lower vaccination intentions. Higher intentions to vaccinate an adolescent daughter against HPV were associated with knowing more about HPV, believing that HPV infection and cervical cancer are both likely and have negative consequences, and believing that the HPV vaccine is effective against cervical cancer. Women reported higher intentions to get the HPV vaccine for an adolescent daughter than for themselves.Conclusions: HPV vaccine acceptability for an adolescent daughter was associated with women's beliefs about their own healthcare needs. These findings on the HPV vaccination decisions of women in North Carolina offer insights that can inform future health communication activities intended to increase vaccination uptake in other high-risk populations of rural Southern women.