An opportunity for cancer prevention during preadolescence and adolescence: stopping human papillomavirus (HPV)-related cancer through HPV vaccination.
An opportunity for cancer prevention during preadolescence and adolescence: stopping human papillomavirus (HPV)-related cancer through HPV vaccination.
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DOI：
10.1016/j.jadohealth.2012.08.011
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发表时间：
2013-05
影响因子：
7.6
通讯作者：
Higgins, Melinda
中科院分区：
文献类型：
--
作者：
Thomas, Tami L.;Strickland, Ora;Diclemente, Ralph;Higgins, Melinda
我们对青春期前和青春期儿童的农村父母拒绝和接受人乳头状瘤病毒(HPV)疫苗接种的相关性进行了描述性研究。我们假设，允许9至13岁的孩子接种HPV疫苗的父母与不允许接种疫苗的父母的相关性将显著不同。这项横断面研究于2009-2011学年在佐治亚州三个农村县的小学和中学进行。家长们在学校的活动中被招募来完成一项匿名的验证性调查。选择给孩子接种疫苗或打算接种疫苗的父母来自非裔美国人以外的种族的可能性是非裔美国人的两倍，信仰浸信会以外的宗教的可能性是其他种族的2.7倍。使用逐步Logistic回归分析，在调整种族和宗教因素后，我们发现，已经接种或打算接种疫苗的父母在感知障碍上的得分明显较高(接种的可能性是1.02倍)，而在感知利益上的得分较低(接种的可能性是1.01倍)(模型p<；.001)。这些结果表明，农村地区的医疗保健提供者可以通过在患者的文化价值观、地理位置和经济状况的背景下使用多方面的方法来教育他们的患者，从而增加HPV疫苗的接种量，减少HPV相关癌症的发生。这种方法可以消除错误信息，增加疫苗接种率。
We conducted a descriptive study of the correlates of refusal and acceptance of human papillomavirus (HPV) vaccination by rural parents of preadolescent and adolescent children. We hypothesized that the correlates of parents who allow their children aged 9 to 13 years to get the HPV vaccine and those of parents who do not allow vaccination would differ significantly. This cross-sectional study was implemented during the school years 2009–2011 in the elementary and middle schools of three rural counties in Georgia. Parents were recruited at school functions to complete an anonymous validated survey. Parents who chose to vaccinate their children or intended to vaccinate were twice as likely to be from a race other than African American and 2.7 times more likely to have a religion other than Baptist. Using stepwise logistic regression and after adjustment for race and religion, we found that parents who had vaccinated or intended to vaccinate had significantly higher scores on perceived barriers (1.02 times more likely to vaccinate) and lower scores on perceived benefits (1.01 times more likely to vaccinate) (model p < .001). The results suggest that healthcare providers in rural areas can increase HPV vaccine uptake and reduce HPV-related cancers by using a multifaceted approach to educating their patients within the context of the patients’ cultural values, geographic location, and economic situation. Such an approach could dispel misinformation and increase vaccine uptake.
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影响因子：
6.2
作者：
Ekwueme, Donatus U.;Chesson, Harrell W.;Balamurugan, Appathurai
通讯作者：
Balamurugan, Appathurai
影响因子：
3.7
作者：
Davis, Kristin;Dickman, Eileen D;Dias, James K
通讯作者：
Dias, James K
影响因子：
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作者：
Dunlop, Anne L.;Graham, Tracie;Dunlop, Boadie
通讯作者：
Dunlop, Boadie
影响因子：
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作者：
Geronimus, Arline T.;Colen, Cynthia G.;James, Sherman A.
通讯作者：
James, Sherman A.
影响因子：
22.4
作者：
BOLLEN, K;LENNOX, R
通讯作者：
LENNOX, R