Regular Healthcare Provider Status Does Not Moderate Racial/Ethnic Differences in Human Papillomavirus (HPV) and HPV Vaccine Knowledge.
Regular Healthcare Provider Status Does Not Moderate Racial/Ethnic Differences in Human Papillomavirus (HPV) and HPV Vaccine Knowledge.
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DOI：
10.3390/vaccines9070802
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发表时间：
2021-07-20
期刊：
影响因子：
7.8
通讯作者：
Montealegre JR
中科院分区：
文献类型：
--
作者：
Amboree TL;Sonawane K;Deshmukh AA;Montealegre JR
背景：种族/少数民族对人乳头瘤病毒（HPV）和HPV疫苗的了解通常低于非西班牙裔白人。他们也不太可能有一个定期的医疗保健提供者（HCP）。鉴于HCP在传播健康信息中的作用，我们评估了HPV知识的种族/民族差异是否受到常规HCP状态的调节。方法：分析了健康信息全国趋势调查五（HINTS 5）第一和第二周期（2017-2018）的数据。HPV和HPV疫苗知识通过不同人种/种族的常规HCP状态进行比较。在控制社会人口学特征后，使用独立的部分调整的多变量logistic回归模型评估种族/民族与知识之间的关联。将得到的校正比值比与包括HCP状态的完全校正模型的比值比进行比较。结果：调整常规HCP状态后，种族/民族组之间的知识差异持续存在。与白人相比，西班牙裔和其他种族/民族听说过HPV的几率明显较低。黑人，西班牙裔和其他种族/民族听说过HPV疫苗的几率明显较低。结论：尽管HCP状态，但种族/少数民族的知识水平显著较低。这些数据表明，需要解决健康信息的差异，并加强提供者与患者之间关于HPV和HPV疫苗的沟通。
Background: Racial/ethnic minorities generally have a lower knowledge of human papillomavirus (HPV) and the HPV vaccine than non-Hispanic Whites. They are also less likely to have a regular healthcare provider (HCP). Given the role of HCPs in disseminating health information, we evaluated whether racial/ethnic disparities in HPV knowledge are moderated by regular HCP status. Methods: Data from the Health Information National Trends Survey Five (HINTS 5) Cycles One and Two (2017–2018) were analyzed. HPV and HPV vaccine knowledge were compared by regular HCP status across race/ethnicities. Independent partially-adjusted multivariable logistic regression models were used to assess the association between race/ethnicity and knowledge after controlling for sociodemographic characteristics. The resulting adjusted odds ratios were compared to those from fully-adjusted models that included HCP status. Results: After adjusting for regular HCP status, differences in knowledge persisted between racial/ethnic groups. Compared to Whites, Hispanics and Other race/ethnicities had significantly lower odds of having heard of HPV. Blacks, Hispanics, and Other race/ethnicities had significantly lower odds of having heard of the HPV vaccine. Conclusion: Racial/ethnic minorities had significantly lower levels of knowledge despite HCP status. These data suggest the need to address disparities in health information and strengthen provider–patient communication regarding HPV and the HPV vaccine.
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