Human Papillomavirus Vaccine Among Adult Women Disparities in Awareness and Acceptance

Human Papillomavirus Vaccine Among Adult Women Disparities in Awareness and Acceptance
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DOI:
10.1016/j.amepre.2010.08.001
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发表时间:
2010-12-01
影响因子:
5.5
通讯作者:
Fielding, Jonathan E.
Fielding, Jonathan E.
中科院分区:
医学2区
文献类型:
--
作者:
Cui, Yan;Baldwin, Susie B.;Fielding, Jonathan E.

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背景资料:人乳头瘤病毒(HPV)疫苗已被证明是安全的,非常有效的年轻和中年women.Purpose:本研究旨在评估疫苗的认识和愿望,年龄在18-55岁的成年女性之间的接种疫苗居住在洛杉矶县CA.Methods:这项研究是嵌套在2007年洛杉矶县健康调查。分析中包括2295名年龄在18-55岁之间的妇女。采用Logistic回归分析评价疫苗知晓率和接种意愿与各种因素的相关性。所有分析均采用加权数据,并在2009年进行。结果:只有5%的18-26岁的妇女在上市的第一年接种了HPV疫苗。总体而言,67%的18-55岁妇女听说过疫苗。在那些知道疫苗但没有接种的人中,61%的人报告说他们可能会接种疫苗。拉丁裔、黑人和亚洲/太平洋岛民妇女听说过疫苗的可能性只有白色妇女的一半,但拉丁裔和亚洲/太平洋岛民妇女比白色或黑人妇女更愿意接种疫苗。教育与意识呈正相关,但与接种疫苗的意愿呈负相关。疫苗接种的意识和愿望也有很大的不同,其他因素,如在家里说的语言。结论:这项以人口为基础的研究,不同的妇女揭示了重要的差异,HPV疫苗的认识和打算接种疫苗。关于HPV免疫接种的文化和语言能力教育活动是必要的,应该针对高危人群。(Am J Prev Med 2010;39(6):559-563)(C)2010年美国预防医学杂志
Background: Human papillomavirus (HPV) vaccines have been shown to be safe and highly effective in young and middle-aged women.Purpose: This study aimed to assess vaccine awareness and desire for vaccination among adult women aged 18-55 years residing in Los Angeles County CA.Methods: This study is nested in the 2007 Los Angeles County Health Survey. Included in the analyses were 2295 women aged 18-55 years. Logistic regression was used to evaluate vaccine awareness and intention to become vaccinated in association with various factors. All analyses employed weighted data and were conducted in 2009.Results: Only 5% of women aged 18-26 years had received the HPV vaccine in its first year on the market. Overall, 67% of women aged 18-55 years had heard of the vaccine. Among those who knew of the vaccine but had not received it, 61% reported they were likely to receive the vaccine. Latina, black, and Asian/Pacific Islander women were only half as likely to have heard of the vaccine as white women, but Latinas and Asian/Pacific Islander women were more willing to be vaccinated than white or black women. Education was associated positively with awareness, but inversely associated with intention to be vaccinated. Awareness and desire for vaccination also varied substantially by other factors such as language spoken at home.Conclusions: This population-based study of diverse women reveals important disparities in HPV vaccine awareness and intention to be vaccinated. Culturally and linguistically competent educational campaigns about HPV immunization are warranted, and should target high-risk populations. (Am J Prev Med 2010;39(6):559-563) (C) 2010 American Journal of Preventive Medicine