Barriers to Human Papillomavirus Vaccine Uptake Among Racial/Ethnic Minorities: a Systematic Review.
Barriers to Human Papillomavirus Vaccine Uptake Among Racial/Ethnic Minorities: a Systematic Review.
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DOI：
10.1007/s40615-020-00877-6
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发表时间：
2021-10
影响因子：
3.9
通讯作者：
Darkoh C
中科院分区：
文献类型：
--
作者：
Amboree TL;Darkoh C
人乳头瘤病毒 (HPV) 与不良健康结果相关，包括宫颈癌。少数种族/族裔人群遭受与 HPV 相关的不良健康结果的比例较高。有疫苗可预防 HPV 感染并预防 HPV 相关后遗症；然而，美国人口的疫苗接种率仍然很低。因此，提高HPV疫苗接种率刻不容缓。此外，人们对少数种族/族裔群体接种 HPV 疫苗的障碍知之甚少。本文重点介绍了有关这些群体所经历的障碍的最新发现。于 2020 年 7 月 30 日对 PubMed 数据库进行了检索，查找 2010 年 7 月至 2020 年 7 月以英文发表的同行评审文章和摘要，涵盖 HPV 疫苗接种方面的种族/民族差异。在所审查的文章中也观察到了类似的发现。研究发现，少数种族/族裔人群的 HPV 疫苗接种起始率和完成率较低与缺乏提供者建议、对 HPV 和 HPV 疫苗接种的知识和认识不足、医疗不信任和安全问题有关。必须增加提供者的建议和准确的信息分发，并针对少数种族/族裔人口，以提高疫苗的接种率。为了有效地针对这些社区，需要建立多层次的干预措施。此外，了解可能影响追赶年龄范围内未接种疫苗的成年人（包括男性）的障碍的研究可能是有益的，因为之前的大多数研究都集中在青少年的父母或女性身上。
Human papillomavirus (HPV) is associated with poor health outcomes, including cervical cancer. Racial/ethnic minority populations experience poor health outcomes associated with HPV at higher rates. A vaccine is available to protect against HPV infections and prevent HPV-related sequelae; however, vaccination rates have remained low in the United States (U.S.) population. Thus, there is an urgent need to increase HPV vaccination rate. Moreover, little is known about barriers to HPV vaccination in racial/ethnic minority groups. This paper highlights the most recent findings on barriers experienced by these groups. The PubMed database was searched on July 30, 2020 for peer-reviewed articles and abstracts that had been published in English from July 2010 to July 2020 and covered racial/ethnic disparities in HPV vaccination. Similar findings were observed among the articles reviewed. The low HPV vaccination initiation and completion rates among racial/ethnic minority populations were found to be associated with lack of provider recommendations, inadequate knowledge and awareness of HPV and HPV vaccination, medical mistrust, and safety concerns. Provider recommendations and accurate distribution of information must be increased and targeted to racial/ethnic minority populations in order to bolster the rate of vaccine uptake. To effectively target these communities, multi-level interventions need to be established. Further, research to understand the barriers that may affect unvaccinated adults in the catch-up age range, including males, may be beneficial, as majority of the previous studies focused on either parents of adolescents or women.
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DOI：
10.1158/1055-9965.epi-11-0267
发表时间：
2011-07
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
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作者：
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2.7
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影响因子：
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作者：
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