Adolescent perceptions of risk and need for safer sexual behaviors after first human papillomavirus vaccination.
Adolescent perceptions of risk and need for safer sexual behaviors after first human papillomavirus vaccination.
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DOI：
10.1001/archpediatrics.2011.186
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发表时间：
2012-01
影响因子：
--
通讯作者：
Kahn, Jessica A.
中科院分区：
文献类型：
--
作者：
Mullins, Tanya L. Kowalczyk;Zimet, Gregory D.;Rosenthal, Susan L.;Morrow, Charlene;Ding, Lili;Shew, Marcia;Fortenberry, J. Dennis;Bernstein, David I.;Kahn, Jessica A.
(1)检查人们对人类乳头瘤病毒(HPV)和其他性传播感染(STI)风险的看法，(2)检查人们对安全性行为的感知需求，以及(3)确定与较少感知到的安全性行为需求相关的因素，所有这些都是在接受第一次HPV疫苗接种的背景下进行的。来自正在进行的纵向队列研究的横断面基线分析。以城市医院为基础的青少年初级保健诊所。13岁至21岁的女孩(在本文中，女孩的定义是13岁至21岁)(n=339)首次接种HPV疫苗的女孩及其母亲(n=235)。(1)女孩在接种HPV疫苗后感染HPV的感知风险；(2)女孩在接种HPV后感知到的其他性传播疾病的风险；(3)女孩在接种疫苗后对继续安全性行为的需求；以及(4)与女孩感知不那么需要更安全的性行为相关的因素。女孩的平均年龄为16.8岁。大多数参与者(76.4%)是黑人，57.5%的人有过性经验。接种HPV疫苗后，女孩认为自己感染HPV的风险低于其他性传播疾病(P<；.001)。尽管大多数女孩表示仍然需要更安全的性行为，但与认为不需要更安全的性行为的独立相关因素包括青春期因素(较低的HPV和HPV疫苗知识以及对HPV的较少关注)和母亲因素(较低的HPV和HPV疫苗知识、作为HPV疫苗信息来源的医生以及缺乏关于HPV疫苗的母亲沟通)。在第一次接种HPV疫苗后，几乎没有青少年感到对更安全的性行为的需求减少。关于HPV疫苗的教育和鼓励女孩与她们的母亲之间的交流可能会防止这些青少年中的误解。
To (1) examine perceptions of risk of human papillomavirus (HPV) and other sexually transmitted infections (STIs), (2) examine perceived need for safer sexual behaviors, and (3) determine factors associated with less perceived need for safer sexual behaviors, all in the context of receiving the first HPV vaccination. Cross-sectional baseline analysis from an ongoing longitudinal cohort study. An urban hospital-based adolescent primary care clinic. Girls 13 to 21 years (for this article girls are defined as being aged 13 to 21 years) (n=339) receiving their first HPV vaccination and their mothers (n=235). (1) Girls’ perceived risk of HPV after HPV vaccination, (2) girls’ perceived risk of other STIs after vaccination, (3) girls’ perceived need for continued safer sexual behaviors after vaccination, and (4) factors associated with girls’ perception of less need for safer sexual behaviors. Mean age of girls was 16.8 years. Most participants (76.4%) were black, and 57.5% were sexually experienced. Girls perceived themselves to be at less risk for HPV than for other STIs after HPV vaccination (P<.001). Although most girls reported continued need for safer sexual behaviors, factors independently associated with perception of less need for safer sexual behaviors included adolescent factors (lower HPV and HPV vaccine knowledge and less concern about HPV) and maternal factors (lower HPV and HPV vaccine knowledge, physician as a source of HPV vaccine information, and lack of maternal communication about the HPV vaccine). Few adolescents perceived less need for safer sexual behaviors after the first HPV vaccination. Education about HPV vaccines and encouraging communication between girls and their mothers may prevent misperceptions among these adolescents.
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