Human papillomavirus vaccination among adolescents in Georgia.
Human papillomavirus vaccination among adolescents in Georgia.
复制标题
乔治亚州青少年接种人乳头瘤病毒疫苗。
DOI：
10.1080/21645515.2015.1035848
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发表时间：
2015
影响因子：
4.8
通讯作者：
Sales,JessicaM
中科院分区：
文献类型：
--
作者：
Underwood,NatashaL;Weiss,Paul;Gargano,LisaM;Seib,Katherine;Rask,KimberlyJ;Morfaw,Christopher;Murray,Dennis;DiClemente,RalphJ;Hughes,JamesM;Sales,JessicaM
Human papillomavirus (HPV) vaccination coverage for adolescent females and males remains low in the United States. We conducted a 3-arm randomized controlled trial (RCT) conducted in middle and high schools in eastern Georgia from 2011–2013 to determine the effect of 2 educational interventions used to increase adolescent vaccination coverage for the 4 recommended adolescent vaccines: Tdap, MCV4, HPV and influenza. As part of this RCT, this article focuses on: 1) describing initiation and completion of HPV vaccine series among a diverse population of male and female adolescents; 2) assessing parental attitudes toward HPV vaccine; and 3) examining correlates of HPV vaccine series initiation and completion. Parental attitude score was the strongest predictor of HPV vaccine initiation among adolescents (adjusted odds ratio (aOR): 2.08; 95% confidence interval (CI): 1.80, 2.39). Other correlates that significantly predicted HPV series initiation were gender, study year, and intervention arm. Parental attitudes remained a significant predictor of receipt of 3 doses of HPV vaccine along with gender, race, school type and insurance type. This study demonstrates that positive parental attitudes are important predictors of HPV vaccination and critical to increasing coverage rates. Our findings suggest that more research is needed to understand how parental attitudes are developed and evolve over time.
