Parental attitudes to pre-pubertal HPV vaccination

Parental attitudes to pre-pubertal HPV vaccination
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DOI:
10.1016/j.vaccine.2007.01.059
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发表时间:
2007-03-01
期刊:
影响因子:
5.5
通讯作者:
Wardle, Jane
Wardle, Jane
中科院分区:
医学3区
文献类型:
--
作者:
Marlow, Laura A. V.;Waller, Jo;Wardle, Jane

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目的:为了确定儿童HPV疫苗接种的可接受性,并研究人口,文化和心理预测的疫苗acceptance.Design:以学校为基础的survey.Participants:发送到1205个母亲的8-14岁的女孩。从684的回应被列入了analysis.Setting:10所学校(7小学,3中学)在四个领域的English.Results:75%的母亲会接受疫苗为他们的女儿。在家族中有癌症经历的母亲中,(OR = 1.61,CI:1.14-2.29),有较大的女儿(OR = 1.15,CI:1.04-1.27),感知到丈夫/伴侣的认可(OR = 14.51,CI:6.15-34.25),认为疫苗接受性更规范(OR = 1.78,CI:1.59-2.01)。对疫苗接种次数过多(OR = 0.22,CI:0.15-0.31)或疫苗副作用(OR = 0.37,CI:0.28-0.50)的担忧以及对滥交增加(OR = 0.47,CI:0.36-0.62)的担忧成为阻碍因素。最佳年龄为12岁。在较早的年龄支持疫苗接种是通过感觉能够讨论相关话题,包括性,在较年轻的年龄(OR = 1.37,CI:1.24-1.51)和担心增加滥交(OR = 0.61,CI:0.47-0.78)。结论:总体而言,有一个有利的反应,HPV疫苗接种。强调疫苗的广泛接受可能会进一步促进接受,关于早期接种疫苗的免疫和社会效益的信息也是如此。(c)2007爱思唯尔有限公司保留所有权利。
Objectives: To determine the acceptability of childhood HPV vaccination and examine demographic, cultural, and psychosocial predictors of vaccine acceptance.Design: School-based survey.Participants: Questionnaires sent to 1205 mothers of 8-14-year-old girls. Responses from 684 were included in the analyses.Setting: Ten schools (seven primary, three secondary) in four areas of England.Results: Seventy-five percent of mothers would accept the vaccine for their daughter. Vaccine acceptance was higher in mothers who had experience of cancer in the family (OR = 1.61, CI: 1.14-2.29), had older daughters (OR = 1.15, CI: 1.04-1.27), perceived approval from husband/partner (OR = 14.51, CI: 6.15-34.25) and believed vaccine acceptance would be more normative (OR = 1.78, CI: 1.59-2.01). Having concerns about too many vaccinations (OR = 0.22, CI: 0.15-0.31) or vaccine side effects (OR = 0.37, CI: 0.28-0.50) and worry about increasing promiscuity (OR = 0.47, CI: 0.36-0.62) emerged as deterrents. The modal preferred age was 12 years. Endorsing vaccination at earlier ages was predicted by feeling able to discuss related topics, including sex, at younger ages (OR = 1.37, CI: 1.24-1.51) and concern about increasing promiscuity (OR = 0.61, CI: 0.47-0.78).Conclusions: Overall, there was a favourable response to HPV vaccination. Emphasising the widespread acceptance of the vaccine might promote acceptance further, as would information on immunological and social benefits of earlier vaccination. (c) 2007 Elsevier Ltd. All rights reserved.