Factors associated with HPV vaccination initiation among United States college students
Factors associated with HPV vaccination initiation among United States college students
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DOI：
10.1080/21645515.2020.1847583
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发表时间：
2020-11-19
影响因子：
4.8
通讯作者：
Daniel, Casey L.
中科院分区：
文献类型：
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作者：
McLendon, Lane;Puckett, Jesse;Daniel, Casey L.
尽管安全、有效的疫苗广泛存在，但人乳头瘤病毒（HPV）仍然是美国最常见的性传播感染（STI）。虽然年轻人感染HPV的风险最大，但广泛的疫苗推广和干预工作一直针对11-12岁的儿童。大学生是HPV疫苗“追赶”的理想受众;然而，研究表明，在这一人口群体中，HPV疫苗接种率不一致。一项评估HPV和HPV疫苗知识和行为的在线调查分发给美国南部地区一所大型公立大学的所有本科生，主要结局是接受HPV疫苗接种（是/否的二元回答选项）。进行Logistic回归分析以确定HPV疫苗接种的预测因素。在完成调查的1，725人中，47.0%报告至少接受过一剂HPV疫苗;总体系列完成率（该人群的系列= 3剂）为17.4%。主要结果是大学生中的HPV启动，定义为至少接受了一剂HPV疫苗。结果表明，参与者对其疫苗接种状况的了解存在很大差距。提供者和家长的建议以及社会影响显着影响学生的疫苗接种状况，强调在未来的干预措施，可能作为多层次的战略，将这些元素的重要性。未来的大学干预措施应该解决HPV和疫苗接种知识以及提供者和父母建议的重要性。
Human papillomavirus (HPV) remains the most common sexually transmitted infection (STI) in the U.S. despite widespread availability of a safe, effective vaccine. Although young adults are at greatest risk of HPV infection, extensive vaccine promotion and intervention efforts has been directed toward 11-12-year-olds. College students represent an ideal audience for HPV vaccine "catch-up;" however, research indicates inconsistent HPV vaccination rates within this demographic. An online survey assessing HPV and HPV vaccine knowledge and behaviors was distributed to all undergraduate college students at a large, public university in the Deep South region of the U.S. The primary outcome was receipt of HPV vaccination (binary response options of Yes/No). Logistic regression analyses were performed to determine predictors of HPV vaccination. Of the 1,725 who completed the survey, 47.0% reported having received at least one dose of HPV vaccine; overall series completion (series = 3 doses for this population) was 17.4%. The primary outcome was HPV initiation among college students, defined as having received at least one dose of the HPV vaccine. Results indicated substantial gaps in participants' knowledge of their vaccination status. Provider and parental recommendations as well as social influences were shown to significantly impact student vaccination status, emphasizing the importance of incorporating these elements in future interventions, potentially as multi-level strategies. Future college interventions should address HPV and vaccination knowledge and the importance of provider and parental recommendations.