Racial Disparities in Awareness of the Human Papillomavirus
Racial Disparities in Awareness of the Human Papillomavirus
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DOI：
10.1089/jwh.2010.2617
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发表时间：
2011-08-01
影响因子：
3.5
通讯作者：
Borrero, Sonya
中科院分区：
文献类型：
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作者：
Gelman, Amanda;Nikolajski, Cara;Borrero, Sonya
背景资料：人乳头瘤病毒（HPV）是美国最常见的性传播感染，但在公众中是最不被认可的。少数民族妇女对HPV的认识可能相对较低。由于HPV的认识与摄取的HPV疫苗，这是至关重要的，以评估HPV的认识在人口中，并确定任何种族/民族gaps.Methods：本研究采用了全国代表性的数据收集的全国家庭增长调查2007年7月至2008年12月。多变量logistic回归模型用于确定种族/民族对HPV知晓率的独立影响，同时控制4088名女性样本中的社会人口统计学和临床混杂因素。分层多变量分析也进行了评估种族/民族和HPV的认识之间的关系，在不同年龄组的妇女。在调整混杂因素后，西班牙裔和黑人女性总体上比白色女性更不可能听说过HPV（比值比[OR] 0.39，95%置信区间[CI] 0.29-0.54和OR 0.39，95% CI 0.29-0.54）。15-18岁的黑人女性和19-26岁的西班牙裔女性的HPV知晓率特别低（OR 0.17，95%CI 0.07-0.43和OR 0.18，95%CI 0.11-0.30，分别）相比，白色women.Conclusions：西班牙裔和黑人女性的HPV知晓率明显低于白色女性。有针对性的教育工作将是重要的，以提高对HPV的认识和相关的预防保健措施，以避免HPV相关的发病率和死亡率。
Background: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States yet is one of the least recognized among the general public. HPV awareness may be relatively low among minority women. Because HPV awareness is associated with uptake of the HPV vaccine, it is critical to assess HPV awareness in the population and identify any racial/ethnic gaps.Methods: This study used nationally representative data collected by the National Survey of Family Growth between July 2007 and December 2008. A multivariable logistic regression model was used to determine the independent effect of race/ethnicity on HPV awareness while controlling for sociodemographic and clinical confounders in a sample of 4088 women. Stratified multivariable analysis was also conducted to assess the relationship between race/ethnicity and HPV awareness among women in different age groups.Results: After adjusting for confounders, Hispanic and black women overall were significantly less likely to have heard of HPV compared to white women (odds ratio [OR] 0.39, 95% confidence interval [CI] 0.29-0.54 and OR 0.39, 95% CI 0.29-0.54, respectively). Black women aged 15-18 and Hispanic women aged 19-26 had particularly low rates of HPV awareness (OR 0.17, 95% CI 0.07-0.43 and OR 0.18, 95% CI 0.11-0.30, respectively) compared to white women of the same ages.Conclusions: Hispanic and black women have significantly lower levels of HPV awareness than white women. Targeted educational efforts will be important to improve HPV awareness and associated preventive health measures to avoid HPV-related morbidity and mortality.