HPV vaccination among adolescent males: Results from the National Immunization Survey-Teen
HPV vaccination among adolescent males: Results from the National Immunization Survey-Teen
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DOI：
10.1016/j.vaccine.2013.04.010
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发表时间：
2013-06-10
期刊：
影响因子：
5.5
通讯作者：
Brewer, Noel T.
中科院分区：
文献类型：
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作者：
Reiter, Paul L.;Gilkey, Melissa B.;Brewer, Noel T.
2009年，美国指南提供了男性HPV疫苗的许可建议，并在2011年更新了常规疫苗接种的建议。然而，关于男性接种疫苗的数据仍然很少。我们分析了国家免疫调查-青少年的2010-2011年数据（大部分是在建议常规疫苗接种之前收集的），该调查针对13-17岁青少年男性的全国代表性样本（n = 22，365）。我们检查了HPV疫苗启动（根据医疗保健提供者的记录接受至少一剂疫苗）作为主要结局。分析采用加权logistic回归。HPV疫苗接种率从2010年的1.4%上升到2011年的8.3%。报告接受医疗保健提供者建议让儿子接种HPV疫苗的父母更有可能接种疫苗（OR = 19.02，95%CI：14.36-25.19）。在西班牙裔（OR = 1.83，95%CI：1.24-2.71）或符合儿童疫苗计划（OR = 1.53，95%CI：1.01-231）的儿子中，启动率也较高。只有31.0%的未接种疫苗的儿子的父母表示他们的儿子“有点可能”或“非常可能”在未来一年接受HPV疫苗。不打算接种疫苗的父母最常见的主要原因是认为不需要或不需要接种疫苗（24.5%），没有收到提供者的建议（22.1%）和缺乏知识（15.9%）。美国青少年男性的HPV疫苗接种率较低，提供者的疫苗接种建议可能是提高疫苗接种率的关键。鉴于常规疫苗接种的最新建议以及可能随之而来的健康保险覆盖范围的变化，需要继续努力监测男性的HPV疫苗接种。(C)2013爱思唯尔有限公司保留所有权利。
US guidelines provided a permissive recommendation for HPV vaccine for males in 2009, with an updated recommendation for routine vaccination in 2011. Data on vaccine uptake among males, however, remain sparse. We analyzed 2010-2011 data (collected mostly prior to the recommendation for routine vaccination) from the National Immunization Survey-Teen for a nationally representative sample of adolescent males ages 13-17 (n = 22,365). We examined HPV vaccine initiation (receipt of at least one dose based on healthcare provider records) as the primary outcome. Analyses used weighted logistic regression. HPV vaccine initiation increased from 1.4% in 2010 to 8.3% in 2011. Parents who reported receiving a healthcare provider recommendation to get their sons HPV vaccine were much more likely to have vaccinated sons (OR = 19.02, 95% CI: 14.36-25.19). Initiation was also higher among sons who were Hispanic (OR = 1.83, 95% Cl: 1.24-2.71) or who were eligible for the Vaccines for Children program (OR = 1.53,95% CI: 1.01-231). Only 31.0% of parents with unvaccinated sons indicated their sons were "somewhat likely" or "very likely" to receive HPV vaccine in the next year. The most common main reasons for parents not intending to vaccinate were believing vaccination is not needed or not necessary (24.5%), not having received a provider recommendation (22.1%), and lack of knowledge (15.9%). HPV vaccination is low among adolescent males in the US, and provider recommendation for vaccination is likely key to improving vaccine uptake. Given the updated recommendation for routine vaccination and the changes in health insurance coverage that are likely to follow, continued efforts are needed to monitor HPV vaccination among males. (C) 2013 Elsevier Ltd. All rights reserved.