Correlates of HPV knowledge in the era of HPV vaccination: a study of unvaccinated young adult women.

Correlates of HPV knowledge in the era of HPV vaccination: a study of unvaccinated young adult women.
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DOI:
10.1080/03630242.2011.540744
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发表时间:
2011-01
期刊:
影响因子:
1.6
通讯作者:
Shepherd JE
Shepherd JE
中科院分区:
医学4区
文献类型:
--
作者:
Gerend MA;Shepherd JE

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直到最近,人们对性传播感染人类乳头瘤病毒(HPV)——导致宫颈癌的病毒——的认识相对较低。本研究的目的是确定与HPV知识相关的因素,现在HPV疫苗已经广泛使用。在2009年3月至8月期间,佛罗里达州立大学尚未开始接种HPV疫苗的年轻成年女性(n = 739,年龄18-26岁)完成了一项调查。该调查评估了HPV意识、HPV知识、人口统计学、社会政治变量、性史和健康史变量。超过97%的参与者在研究入组前知道HPV;然而,人们对HPV的了解并不多。一项多变量回归分析研究了与HPV知识相关的因素,揭示了五个独立的相关因素:拉丁裔、婚前性价值观、终生性伴侣数量、宫颈发育不良史和HIV检测。这些变量占HPV知识差异的14%。拉丁裔和女性反对婚前性行为的知识较少。研究发现,接受过艾滋病毒检测的女性、性伴侣较多或宫颈发育不良史的女性对艾滋病的了解程度更高。这些发现可以为未来的HPV疫苗接种运动提供信息,并可能在为HPV知识最缺乏的个人制定干预措施方面特别有用。
Until recently, awareness of the sexually transmitted infection human papillomavirus (HPV)—the virus that causes cervical cancer—was relatively low. The purpose of this study was to identify factors associated with HPV knowledge now that HPV vaccines have become widely available. Young adult women (n = 739; aged 18-26 years) attending Florida State University who had not yet initiated HPV vaccination completed a survey between March-August 2009. The survey assessed HPV awareness, HPV knowledge, demographics, socio-political variables, sexual history, and health history variables. Over 97% of participants were aware of HPV prior to study enrollment; however, knowledge of HPV was only moderate. A multivariate regression analysis examining factors related to HPV knowledge revealed five independent correlates: Latina ethnicity, premarital sex values, number of lifetime sexual partners, history of cervical dysplasia, and HIV testing. These variables accounted for 14% of the variance in HPV knowledge. Less knowledge was observed for Latinas and women opposed to premarital sex. Greater knowledge was observed for women who had been tested for HIV and women with more sexual partners or a history of cervical dysplasia. These findings can inform future HPV vaccination campaigns and may be particularly useful in developing interventions for individuals with the largest deficits in HPV knowledge.