A national study of HPV vaccination of adolescent girls: rates, predictors, and reasons for non-vaccination.

A national study of HPV vaccination of adolescent girls: rates, predictors, and reasons for non-vaccination.
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DOI:
10.1007/s10995-012-1066-z
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发表时间:
2013-07
影响因子:
2.3
通讯作者:
Shew ML
Shew ML
中科院分区:
医学4区
文献类型:
--
作者:
Kester LM;Zimet GD;Fortenberry JD;Kahn JA;Shew ML

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尽管自2006年以来美国建议对青春期女孩进行常规HPV疫苗接种,但疫苗接种率仍然很低。本研究报告了2010年全国青少年女性样本的疫苗接种率、与疫苗接种相关的因素以及未接种疫苗的原因。使用计算机管理的全国样本的501名母亲的女儿14-17岁的调查,我们评估了HPV疫苗接种的母亲报告以及社会人口因素,母亲HPV暴露和选择不接种疫苗的原因。报告的HPV疫苗接种率略高于50%(51.1%),其中38.3%报告完成了所有3剂疫苗。社会经济和人口统计学因素与疫苗接种开始无关;然而,黑人和西班牙裔完成疫苗接种的可能性较小。不接种疫苗的最常见原因是担心疫苗安全性、对女儿的危险以及提供者不推荐。HPV疫苗启动相对较差,只有适度的3剂完成仍然是一个主要的公共卫生问题,需要继续努力解决已确定的预测因素和未接种疫苗的原因。
Despite recommendations in the U.S. for routine HPV vaccination of adolescent girls since 2006, rates of vaccination continue to be low. This study reports vaccination uptake, factors associated with vaccine uptake and reasons for non-vaccination within a national sample of adolescent females during 2010. Using a computer administered survey of a national sample of 501 mothers of daughters 14-17 years old we assessed maternal reports of HPV vaccination as well as socio-demographical factors, maternal HPV exposures and reasons chosen for non-vaccination. Reported HPV vaccination rates were slightly over 50% (51.1%), with 38.3% reporting completion of all 3 doses. Socioeconomic and demographic factors were not associated with vaccination initiation; however, Blacks and Hispanics were less likely to complete vaccination. The most common reasons for non-vaccination were concerns about vaccine safety, danger to daughter, and provider non-recommendation. Relatively poor HPV vaccine initiation and only modest 3-dose completion continues to be a major public health concern that requires continued efforts to address identified predictors and reasons for non-vaccination.
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期刊: BMC public health
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影响因子: 3.1
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