Attitudes Toward HPV Vaccination Among Rural American Indian Women and Urban White Women in the Northern Plains
Attitudes Toward HPV Vaccination Among Rural American Indian Women and Urban White Women in the Northern Plains
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DOI：
10.1177/1090198113477111
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发表时间：
2013-12-01
影响因子：
4.2
通讯作者：
Schmidt-Grimminger, Delf
中科院分区：
文献类型：
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作者：
Buchwald, Dedra;Muller, Clemma;Schmidt-Grimminger, Delf
背景北方平原的美洲印第安妇女宫颈癌发病率很高。我们评估了这一人群对人乳头瘤病毒（HPV）疫苗接种的态度。法2007年至2009年，我们与两个部落社区合作，调查了在两个保留诊所（n = 118和n = 76）和同一地区主要为白色妇女（n = 158）服务的城市诊所就诊的18至65岁妇女的HPV知识、疫苗熟悉程度和为儿童接种HPV疫苗的意愿。我们使用卡方检验和二元逻辑回归来比较各组，并确定疫苗接种意愿的相关性。结果美国印第安妇女对HPV的了解比白色妇女少（p <.001），特别是它在宫颈癌中的作用。儿童接种疫苗的意愿在三个临床样本中的分布存在差异（p <0.001），但在调整人口统计学和HPV知识后，这种关联并不持续。在所有样本中，HPV知识问题的正确答案是与接种意愿呈正相关的唯一因素（比值比= 1.2 - 1.5; p <0.00 - 0.05）。结论.这些发现强调了当地相关教育干预措施对提高美国印第安妇女HPV疫苗接种率的重要性。
Background. American Indian women in the Northern Plains have a high incidence of cervical cancer. We assessed attitudes on vaccination against human papillomavirus (HPV) in this population. Method. In partnership with two tribal communities, from 2007 to 2009, we surveyed women 18 to 65 years old attending two reservation clinics (n = 118 and n = 76) and an urban clinic in the same region serving primarily White women (n = 158) on HPV knowledge, vaccine familiarity, and willingness to vaccinate children against HPV. We used chi-square tests and binary logistic regression to compare groups and identify correlates of willingness to vaccinate. Results. American Indian women were less knowledgeable about HPV than White women (p < .001), especially its role in cervical cancer. Willingness to vaccinate children was differentially distributed across the three clinic samples (p < .001), but this association did not persist after adjusting for demographics and HPV knowledge. Among all samples, more correct answers to HPV knowledge questions was the only factor positively correlated with willingness to vaccinate (odds ratios = 1.2-1.5; p < .00-.05). Conclusions. These findings underscore the importance of locally relevant educational interventions to increase HPV vaccination rates among American Indian women.