HPV vaccination coverage of teen girls: the influence of health care providers.
HPV vaccination coverage of teen girls: the influence of health care providers.
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DOI：
10.1016/j.vaccine.2016.01.061
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发表时间：
2016-03-18
期刊：
影响因子：
5.5
通讯作者：
Omer SB
中科院分区：
文献类型：
--
作者：
Smith PJ;Stokley S;Bednarczyk RA;Orenstein WA;Omer SB
在2010年至2014年期间，13-17岁女孩接种≥3剂人乳头瘤病毒（HPV）疫苗（“完全接种”）的百分比增加了7.7个百分点，达到39.7%，未接种任何剂量的HPV疫苗（“未接种”）的百分比下降了11.3个百分点，达到40.0%。评估父母疫苗相关信念、人口统计学因素和HPV免疫状态之间的复杂相互作用。对2010年全国青少年免疫接种调查（n = 8490）收集的青少年女孩疫苗相关父母信念和社会人口学数据进行了分析。HPV疫苗接种状态是从青少年的卫生保健提供者（HCP）记录中确定的。在未接种疫苗或完全接种HPV疫苗的青少年女孩中，父母受到积极影响而为其青少年女儿接种HPV疫苗的青少年女孩完全接种疫苗的可能性高出48.2个百分点。报告受到HPV疫苗接种积极影响的父母报告其女儿的HCP谈论HPV疫苗的可能性高出28.9个百分点，报告其女儿的HCP给予足够时间讨论HPV疫苗的可能性高出27.2个百分点，43.4个百分点的人更有可能报告他们女儿的HCP推荐HPV疫苗（p < 0.05）。在接种1-2剂HPV疫苗的青少年女孩中，87.0%错过了接种HPV疫苗的机会。结果表明，实现更高≥3剂HPV疫苗覆盖率的一个重要途径是通过HCP与父母谈论HPV疫苗来增加HPV疫苗接种系列的启动，给父母时间讨论疫苗，并对HPV提出强烈建议。此外，HPV疫苗接种系列完成率可以通过消除错过的接种HPV疫苗的机会和安排额外的随访来增加缺失的HPV疫苗剂量。
Between 2010 and 2014, the percentage of 13–17 year-old girls administered ≥3 doses of the human papilloma virus (HPV) vaccine (“fully vaccinated”) increased by 7.7 percentage points to 39.7%, and the percentage not administered any doses of the HPV vaccine (“not immunized”) decreased by 11.3 percentage points to 40.0%. To evaluate the complex interactions between parents’ vaccine-related beliefs, demographic factors, and HPV immunization status. Vaccine-related parental beliefs and sociodemographic data collected by the 2010 National Immunization Survey-Teen among teen girls (n = 8490) were analyzed. HPV vaccination status was determined from teens’ health care provider (HCP) records. Among teen girls either unvaccinated or fully vaccinated against HPV, teen girls whose parent was positively influenced to vaccinate their teen daughter against HPV were 48.2 percentage points more likely to be fully vaccinated. Parents who reported being positively influenced to vaccinate against HPV were 28.9 percentage points more likely to report that their daughter’s HCP talked about the HPV vaccine, 27.2 percentage points more likely to report that their daughter’s HCP gave enough time to discuss the HPV shot, and 43.4 percentage points more likely to report that their daughter’s HCP recommended the HPV vaccine (p < 0.05). Among teen girls administered 1–2 doses of the HPV vaccine, 87.0% had missed opportunities for HPV vaccine administration. Results suggest that an important pathway to achieving higher ≥3 dose HPV vaccine coverage is by increasing HPV vaccination series initiation though HCP talking to parents about the HPV vaccine, giving parents time to discuss the vaccine, and by making a strong recommendation for the HPV. Also, HPV vaccination series completion rates may be increased by eliminating missed opportunities to vaccinate against HPV and scheduling additional follow-up visits to administer missing HPV vaccine doses.
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