Factors associated with HPV vaccination decision-making among Korean American women.
Factors associated with HPV vaccination decision-making among Korean American women.
复制标题
韩裔美国女性 HPV 疫苗接种决策的相关因素。
DOI：
10.1007/s10865-022-00372-9
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发表时间：
2023
影响因子：
3.1
通讯作者：
Han,Hae-Ra
中科院分区：
文献类型：
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作者：
Tsao-Wu,Lauren;Chepkorir,Joyline;Han,Hae-Ra
尽管过去十年美国人乳头瘤病毒(HPV)感染显著减少，但由于HPV疫苗接种率较低，韩裔美国(KA)妇女经历了不成比例的高宫颈癌负担。鉴于父母的决策与青少年接种HPV疫苗之间的关联，确定和解决影响父母为其子女接种HPV疫苗决策的因素至关重要。本研究旨在探讨克族妇女是否愿意让其女儿接种HPV疫苗的社会人口学特征及健康素养因素。我们使用了从560名KA妇女中收集的基线数据，这些妇女参与了一项旨在促进乳房X光检查和巴氏试验筛查的整群随机试验。参与者回答了研究问卷，这些问卷衡量了他们女儿的个人特征、癌症素养、HPV知识和HPV接种决策。多因素Logistic回归分析确定参与者HPV疫苗接种决策的相关因素。超过一半的参与者(54%)支持为女儿接种HPV疫苗。低知识与高和中等HPV知识(分别为AOR 3.48，CI 2.01-6.04和AOR 2.14，CI 1.46-3.12)相比，参与者打算接种女儿疫苗的几率更高。此外，与低癌症素养相比，中等癌症素养(AOR 1.70，CI 1.08-2.68)与参与者打算为其女儿接种疫苗的几率较高显著相关。在提供疫苗咨询和制定干预措施以促进这一人群的宫颈健康时，应考虑KA妇女对癌症的误解和HPV知识水平较低。
Despite a significant reduction of human papillomavirus (HPV) infection in the United States in the past decade, Korean American (KA) women experience a disproportionately high cervical cancer burden due to low HPV vaccination rates. Given associations between parental decision-making and adolescent vaccination, it is crucial to identify and address factors influencing parental HPV vaccination decision-making for their children. The purpose of this study was to examine the sociodemographic characteristics and health literacy factors in relation to KA women’s willingness to allow their daughters to receive HPV vaccination. We used baseline data collected from 560 KA women who participated in a cluster-randomized trial designed to promote mammography and Pap test screening. Participants answered study questionnaires measuring individual characteristics, cancer literacy, HPV knowledge, and HPV vaccination decision-making for their daughters. Multivariate logistic regression analysis was conducted to identify the correlates of HPV vaccination decision-making among participants. Over half of the participants (54%) endorsed HPV vaccination for their daughters. Low knowledge, compared to high and medium HPV knowledge (aOR 3.48, CI 2.01–6.04 and aOR 2.14, CI 1.46–3.12, respectively), were significantly associated with higher odds of participants’ intention to vaccinate their daughters. Additionally, in comparison to low cancer literacy, middle-range cancer literacy (aOR 1.70, CI 1.08–2.68) was significantly associated with higher odds of participants’ intention to vaccinate their daughters. Misperceptions about cancer and low HPV knowledge among KA women should be considered when providing vaccine counseling and developing interventions to promote cervical health in this population.