The Uptake of Human Papillomavirus Vaccination and Its Associated Factors Among Adolescents: A Systematic Review.

The Uptake of Human Papillomavirus Vaccination and Its Associated Factors Among Adolescents: A Systematic Review.
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DOI:
10.1177/2150131917742299
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发表时间:
2017-10
影响因子:
3.6
通讯作者:
Wong AKY
Wong AKY
中科院分区:
其他
文献类型:
--
作者:
Loke AY;Kwan ML;Wong YT;Wong AKY

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背景资料:本综述旨在探讨青少年人乳头瘤病毒(HPV)疫苗接种率、相关因素、促进因素和障碍因素。研究方法:2006年1月至2015年3月,通过5个电子数据库(包括PubMed、CINAHL、科克伦图书馆、Medline和PsycInfo)进行了全面的文献检索,以研究青少年对HPV疫苗接种的吸收、认识、知识、可接受性和意图。结果:确定并纳入了28项研究。HPV疫苗接种率(至少1剂)在各国之间差异很大,从2.4%到94.4%不等。苏格兰在本次审查中的所有研究中取得了最高的吸收率,而香港则最低,为2.4%至9.1%。这项审查还表明,青少年对HPV感染和疫苗的认识和知识有限,即使在疫苗上市10年后也是如此。结论:建议应解决接种疫苗的障碍,并应加强以学校为基础的HPV感染性健康教育和疫苗宣传。
Background: The purpose of this review was to explore the uptake of the human papillomavirus (HPV) vaccination, its associated factors, and the facilitators of and barriers to HPV vaccination among adolescents. Methods: A comprehensive literature search was conducted through 5 electronic databases, including PubMed, CINAHL, Cochrane Library, Medline, and PsycInfo from January 2006 to March 2015 for studies examining the uptake, awareness, knowledge, acceptability, and intention of adolescents with regard to HPV vaccination. Results: Twenty-eight studies were identified and included. The HPV vaccination uptake rate (at least 1 dose) varied significantly among countries, ranging from 2.4% to 94.4%. Scotland achieved the highest uptake of all the studies included in this review, while Hong Kong had the lowest, at 2.4% to 9.1%. This review also showed that adolescents had limited awareness and knowledge of HPV infections and vaccines, even 10 years after the vaccine had become available. Conclusions: It is recommended that barriers to the uptake of the vaccine should be addressed, and that school-based sexual health education of HPV infection and vaccine promotion should be reinforced.