Parents Who Decline HPV Vaccination: Who Later Accepts and Why?
Parents Who Decline HPV Vaccination: Who Later Accepts and Why?
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DOI：
10.1016/j.acap.2017.06.008
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发表时间：
2018-03
影响因子：
3.1
通讯作者：
Gilkey MB
中科院分区：
文献类型：
--
作者：
Kornides ML;McRee AL;Gilkey MB
父母离婚导致美国青少年人乳头瘤病毒（HPV）疫苗接种覆盖率低，导致错过预防癌症的机会。我们试图描述父母在十月后接受HPV疫苗接种的特征（“二次接受”）。2016年9月，我们对全国11至17岁儿童的父母进行了一项在线调查。对于那些报告曾拒绝为孩子接种HPV疫苗的人（n = 494），我们的调查评估了他们是否在随后的访问中接受疫苗。我们使用多变量逻辑回归来评估二次接受的相关性。总体而言，45%的父母报告第二次接受HPV疫苗接种，另有24%打算在未来12个月内接种疫苗。在多变量分析中，二次接受与接受卫生保健提供者关于HPV疫苗接种的后续咨询相关（比值比，2.16; 95%置信区间，1.42-3.28）。然而，只有53%的父母报告接受过这种咨询。二次接受也与在初步讨论期间从提供者那里获得更高质量的HPV疫苗建议以及对提供者沟通的更高满意度以及更高的疫苗接种信心有关。在二次接受的原因中，家长最常报告的原因是孩子年龄增大（45%）、了解更多有关HPV疫苗的知识（34%）以及收到医疗服务提供者的推荐（33%）。我们的研究结果表明，二次接受HPV疫苗接种是常见的，在这个国家样本中，超过三分之二的父母接受或打算在十月后接受HPV疫苗接种。提供者应该通过提供重复的、高质量的HPV疫苗接种建议来激励二次接受。
Parental declination contributes to low human papillomavirus (HPV) vaccination coverage among US adolescents, resulting in missed opportunities for cancer prevention. We sought to characterize parents’ acceptance of HPV vaccination after declination (“secondary acceptance”). In September 2016, we conducted an online survey with a national sample of parents of children ages 11 to 17 years. For those who reported having ever declined HPV vaccination for their children (n = 494), our survey assessed whether they accepted the vaccine at a subsequent visit. We used multivariable logistic regression to assess correlates of secondary acceptance. Overall, 45% of parents reported secondary acceptance of HPV vaccination, and an additional 24% intended to vaccinate in the next 12 months. In multivariable analyses, secondary acceptance was associated with receiving follow-up counseling about HPV vaccination from a health care provider (odds ratio, 2.16; 95% confidence interval, 1.42–3.28). However, only 53% of parents overall reported receiving such counseling. Secondary acceptance was also associated with receiving a higher quality HPV vaccine recommendation from a provider during the initial discussion and greater satisfaction with provider communication, as well as higher vaccination confidence. Among the reasons for secondary acceptance, parents most commonly reported the child getting older (45%), learning more about HPV vaccine (34%), and receiving a provider recommendation (33%). Our findings suggest secondary acceptance of HPV vaccination is common, with more than two-thirds of parents in this national sample accepting or intending to accept HPV vaccination after declination. Providers should seek to motivate secondary acceptance by delivering repeated, high-quality recommendations for HPV vaccination.
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影响因子：
33.9
作者：
Reagan-Steiner, Sarah;Yankey, David;Singleton, James A.
通讯作者：
Singleton, James A.
影响因子：
8
作者：
Perkins, Rebecca B.;Clark, Jack A.;Pierre-Joseph, Natalie
通讯作者：
Pierre-Joseph, Natalie
影响因子：
2.4
作者：
Leask J;Kinnersley P;Jackson C;Cheater F;Bedford H;Rowles G
通讯作者：
Rowles G
影响因子：
1.6
作者：
Dorell, Christina;Yankey, David;Smith, Philip J.
通讯作者：
Smith, Philip J.
影响因子：
3.1
作者：
Gilkey, Melissa B.;Reiter, Paul L.;Brewer, Noel T.
通讯作者：
Brewer, Noel T.