HPV Vaccination in Female Children with Special Health Care Needs
HPV Vaccination in Female Children with Special Health Care Needs
复制标题
DOI：
10.1016/j.jpag.2013.03.003
复制
发表时间：
2013-08-01
影响因子：
1.8
通讯作者：
Lerand, Sarah J.
中科院分区：
文献类型：
--
作者：
Cody, Paula J.;Lerand, Sarah J.
研究目的：有特殊健康需要的儿童（CSHCN）和他们的医疗保健提供者在病人接受一个完整的过程中的人乳头瘤病毒（HPV）免疫接种的父母之间的潜在障碍进行了探讨，在本study.Study Design：9-26岁之间的女性CSHCN的父母完成了一份问卷调查，询问有关个人的疫苗和潜在的障碍接种他们的孩子对HPV的接受性。一项单独的调查由美国儿科学会威斯康星州和伊利诺伊州分会的成员完成，内容是关于为有特殊医疗需求的患者提供HPV疫苗接种的做法。设置：门诊城市健康诊所和威斯康星州儿童医院的青少年医学和神经病学诊所，从2009年1月至2010年1月。47%的父母回答说他们孩子的儿科医生提供了HPV疫苗; 17%的父母报告说他们的孩子接种了HPV疫苗。大多数父母都知道HPV是一种性传播感染，会导致生殖器疣，并可能导致异常的巴氏涂片。对于提供者调查，130名受访者中有77人提供HPV疫苗作为其实践的一部分，请参阅CSHCN。百分之九十接种CSHCN对HPV.Conclusions：这项研究表明，HPV疫苗的可接受性是高的卫生保健提供者，但在父母的CSHCN的可接受性低于一般人群。这项研究提高了人们的认识，即卫生保健提供者需要意识到CSHCN的父母可能不认为他们的孩子需要或被提供HPV疫苗。
Study Objective: Potential barriers between parents of children with special health needs (CSHCN) and their health care providers in regards to the patient receiving a full course of the human papillomavirus (HPV) immunization are explored in this study.Study Design: Parents of female CSHCN between ages of 9-26 years completed a questionnaire asking about personal receptivity of vaccines and potential barriers to vaccinating their child against HPV. A separate survey was completed by members of the Wisconsin and Illinois chapters of the American Academy of Pediatrics about HPV vaccination practices provided to patients with special health care needs.Setting: Outpatient urban health clinic and the Children's Hospital of Wisconsin's Adolescent Medicine and Neurology clinics from January 2009-2010.Results: Seventeen parents completed the survey. Forty-seven percent of parents answered that their child's pediatrician had offered the HPV vaccine; 17% reported that their child was vaccinated against HPV. Most parents knew that HPV is a sexually transmitted infection, causes genital warts, and can cause abnormal pap smears. For the provider survey, 77 out of 130 respondents offer HPV vaccine as part of their practice and see CSHCN. Ninety percent have vaccinated CSHCN against HPV.Conclusions: This study suggests that acceptability of the HPV vaccine is high for health care providers, but acceptability in parents of CSHCN is lower than in the general population. This study raises awareness that health care providers need to be aware of the possibility that parents of CSHCN may not perceive their child as needing or being offered the HPV vaccine.