Parental intention to have daughters receive the human papillomavirus vaccine
Parental intention to have daughters receive the human papillomavirus vaccine
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DOI：
10.1503/cmaj.071022
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发表时间：
2007-12-04
影响因子：
14.6
通讯作者：
Patrick, David M.
中科院分区：
文献类型：
--
作者：
Ogilvie, Gina S.;Remple, Valencia P.;Patrick, David M.
背景资料：人们担心，父母可能不愿意让女儿接种人乳头瘤病毒（HPV）疫苗，因为他们认为这样做可能被解释为宽恕更早和更频繁的性活动。我们确定了加拿大父母和预测父母的意图，有他们的女儿接种HPV.Methods疫苗接种的意图：8-18岁的儿童，从加拿大各地招募的父母，被要求回答问题的背景下，6级，公共资助，以学校为基础的HPV疫苗接种计划。我们进行了后向Logistic回归分析，以确定父母的意图有他们的女儿接种HPV疫苗的预测因素。结果：1350名受访者与女童，超过70%（73.8%; 95%置信区间[CI] 71.5%-76.1%）打算让他们的女儿接受HPV疫苗接种。在多变量模型中，对疫苗持积极态度的父母（比值比[ OR] 9.9，95% CI 4.7-21.1），受主观规范影响的患者（OR 9.2，95% CI 6.6-12.9），认为疫苗对性行为影响有限的受试者（OR 3.2，95% CI 2.2-4.6）和那些认为他们认识的人可能患宫颈癌（OR 1.5，95% CI 1.1-2.1）的人更有可能打算让他们的女儿接种HPV疫苗。年龄较大的父母（对年轻人）（OR 0.6，95% CI 0.4-0.8）和居住在不列颠哥伦比亚省或育空地区领土（对加拿大大西洋）（OR 0.5，95% CI 0.3-0.9）的父母不太可能打算让他们的女儿接受HPV疫苗接种。总体上对疫苗的态度，尤其是对HPV疫苗的态度，是父母接种疫苗意向的最重要预测因素。
Background: Concerns have been raised that parents may be reluctant to have their daughters receive the human papillomavirus (HPV) vaccine, because of a belief that doing so might be interpreted as condoning earlier and more frequent sexual activity. We determined intentions regarding vaccination among Canadian parents and factors that predicted parental intention to have their daughters vaccinated against HPV.Methods: Parents of children 8-18 years of age, recruited from across Canada, were asked to respond to questions in the context of a grade 6, publicly funded, school-based HPV vaccine program. We performed backward logistic regression analysis to identify factors predictive of parents' intention to have their daughters vaccinated against HPV.Results: Of the 1350 respondents with female children, more than 70% (73.8%; 95% confidence interval [CI] 71.5%-76.1%) intended to have their daughters undergo vaccination against HPV. In multivariable modelling, parents who had positive attitudes toward vaccines ( odds ratio [ OR] 9.9, 95% CI 4.7-21.1), those who were influenced by subjective norms ( OR 9.2, 95% CI 6.6-12.9), those who felt that the vaccine had limited influence on sexual behaviour ( OR 3.2, 95% CI 2.2-4.6) and those who thought someone they knew was likely to get cervical cancer ( OR 1.5, 95% CI 1.1-2.1) were more likely to intend that their daughters receive the HPV vaccine. Parents who were older ( v. younger) ( OR 0.6, 95% CI 0.4-0.8) and those who resided in British Columbia or Yukon Territory ( v. Atlantic Canada) ( OR 0.5, 95% CI 0.3-0.9) were less likely to intend that their daughters receive the HPV vaccine.Interpretation: Most of the parents surveyed intended that their daughters would receive vaccination against HPV. Overall attitudes toward vaccines in general and toward the HPV vaccine in particular constituted the most significant predictor of parental intention with regard to vaccination.