Are health care providers making the most of patient encounters to promote HPV vaccination among cigarette smokers?
Are health care providers making the most of patient encounters to promote HPV vaccination among cigarette smokers?
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DOI：
10.1016/j.pec.2019.07.026
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发表时间：
2020-01
影响因子：
3.5
通讯作者：
Vadaparampil ST
中科院分区：
文献类型：
--
作者：
Wigfall LT;Sherman LD;Garney WR;Patterson MS;Montiel Ishino FA;Vadaparampil ST
研究提供者在家庭成员年龄≤26岁的成年吸烟者中对HPV疫苗的宣传。在这项横断面研究中，我们使用了2017年健康信息全国趋势调查（HINTS 5，第1周期; N= 3，191）数据，以获得家庭成员年龄≤26岁的成年人的子样本（n=725/3，191; 22.7%）。进行了前向逐步多变量logistic回归分析，以检查供应商的HPV疫苗沟通，调整患者的吸烟状况（主要自变量）; HPV意识和知识; HPV疫苗意识和信念;以及导致HPV疫苗覆盖率差异的社会人口学特征。目前/以前吸烟者（35.0%）的HPV相关意识/知识低于非吸烟者（65%）。很少有报告提供者讨论（27.4%）或推荐（24.0%）HPV疫苗。知道HPV是一种性传播疾病并听说过HPV疫苗的非西班牙裔白人报告提供者HPV疫苗沟通的可能性高出2-6倍。不同吸烟状况的HPV疫苗供应商沟通差异无统计学意义。在HPV相关意识/知识较高的成年人中，提供者的HPV疫苗沟通较高。虽然主动/被动暴露于香烟烟雾会增加宫颈癌的风险，但目前/以前吸烟者的HPV疫苗接种沟通并没有增加。目前/以前吸烟者的HPV相关意识/知识和供应商的HPV疫苗沟通需要增加。
To examine providers’ HPV vaccine communication among adult cigarette smokers with household members aged ≤26 years. In this cross-sectional study, we used 2017 Health Information National Trends Survey (HINTS 5, Cycle 1; N=3,191) data to derive a subsample (n=725/3,191; 22.7%) of adults with household members aged ≤26 years. Forward stepwise multivariable logistic regression analyses were performed to examine providers’ HPV vaccine communication, adjusting for patients’ smoking status (main independent variable); HPV awareness and knowledge; HPV vaccine awareness and beliefs; and sociodemographic characteristics that contribute to disparities in HPV vaccine coverage. Current/former smokers (35.0%) had lower HPV-related awareness/knowledge than nonsmokers (65%). Few reported providers discussed (27.4%) or recommended (24.0%) HPV vaccine. Non-Hispanic Whites who knew HPV was a sexually transmitted disease and heard of HPV vaccine were 2–6 times more likely to report provider HPV vaccine communication. Provider HPV vaccine communication differences by smoking status were not statistically significant. Providers’ HPV vaccine communication was higher among adults who had higher HPV-related awareness/knowledge. Although active/passive exposure to cigarette smoke increases cervical cancer risk, providers’ HPV vaccine communication was not increased for current/former smokers. Current/former smokers’ HPV-related awareness/knowledge and providers’ HPV vaccine communication need to be increased.
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影响因子：
5.5
作者：
Vadaparampil, Susan T.;Malo, Teri L.;Giuliano, Anna R.
通讯作者：
Giuliano, Anna R.
DOI：
10.1080/10473289.1990.10466741
发表时间：
1990-07-01
影响因子：
2.7
作者：
VAUGHAN, WM;HAMMOND, SK
通讯作者：
HAMMOND, SK
影响因子：
5.2
作者：
Matt, GE;Quintana, PJE;Larson, S
通讯作者：
Larson, S
影响因子：
6.4
作者：
Minkoff, H;Feldman, JG;Anastos, K
通讯作者：
Anastos, K
影响因子：
33.9
作者：
Meites, Elissa;Kempe, Allison;Markowitz, Lauri E.
通讯作者：
Markowitz, Lauri E.