J Cunningham-Erves, M Sanderson, S W Jin, J Davis, H M Brandt
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摘要

人类乳头瘤病毒 (HPV) 疫苗接种率存在地域差异,南方各州的接种率最低。在不同的南部地区,家长的态度仍未得到充分研究。我们评估了田纳西州 9-17 岁儿童接受 HPV 疫苗接种的相关因素,以及这些因素是否因儿童的年龄和性别而有所不同。2022 年 5 月至 8 月,我们通过随机数字拨号对 506 名家长进行了横断面调查。采用多变量逻辑回归模型估算调整后的几率比和 95 % 置信区间,以预测与孩子接种或未接种(参考)HPV 疫苗相关的社会人口学因素和疫苗相关的总体因素,并进行探索性分析,以确定这些因素是否因孩子的年龄和性别而有所不同。在调整后的逻辑回归模型中,接种 HPV 疫苗与儿童的年龄(13-17 岁)以及父母和儿童在本季接种过流感疫苗和 COVID-19 疫苗呈显著正相关,而与男性儿童和父母一方为兼职/失业/退休/学生/残疾人呈显著负相关。接种人乳头瘤病毒(HPV)疫苗与家长是否同意接种疫苗、是否相信接种疫苗有益、是否信任接种疫苗以及是否认为接种疫苗有效有关。犹豫不决程度的增加以及疫苗可能导致孩子不孕、不安全和自然免疫优于疫苗免疫的认同程度的增加与接种 HPV 疫苗呈负相关。所有这些关联在年龄较大的儿童中都比年龄较小的儿童更明显,而且除了一种关联(疫苗总体信任度)外,其他关联在男性中都比在女性中更明显。提高HPV疫苗接种率的策略应针对和/或包括男性和9-12岁儿童的家长,并包括通过接种HPV疫苗和一般疫苗来保护身体的重要性和过程的教育。
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Predictors of HPV vaccination coverage among adolescents in Tennessee during the COVID-19 pandemic: A cross-sectional study.

Geographical disparities exist in human papillomavirus (HPV) vaccination rates with Southern states having the lowest rates. Parental attitudes remain understudied in different Southern locations. We assessed factors related to HPV vaccination receipt among children aged 9-17 years in Tennessee, and if those factors differed by child's age and gender. A cross-sectional survey of 506 parents was performed via random digit dial from May to August 2022. A multivariable logistic regression model was used to estimate adjusted odds ratios and 95 % confidence intervals to predict sociodemographic and overall vaccine-related factors associated with HPV vaccine receipt or non-receipt (referent) for their child, and exploratory analyses to determine if those factors differed by child's age and gender. In adjusted logistic regression models, HPV vaccine receipt was significantly positively associated with the child's age (13-17 years) and the parent and child having had the influenza vaccine this season and the COVID-19 vaccine, and negatively associated with children who were male and had a parent employed part-time/unemployed/retired/student/disabled. Significant associations for HPV vaccine receipt were with increased levels of agreement of the parent having enough information for decision-making, belief the vaccine was beneficial, and increased levels of trust and perceived effectiveness of the vaccine. Increased levels of hesitancy and increased levels of agreement that the vaccine might cause infertility issues in the child, was unsafe, and natural immunity is better than vaccine immunity had negative associations with HPV vaccine receipt. All associations were more pronounced among older than younger children, and all but one association (overall vaccine trust) was more pronounced among males compared with females. Strategies to improve HPV vaccine uptake should be targeted to and/or include males and parents with children aged 9-12 years, and include education on the importance and process of protecting the body through HPV vaccination and vaccines in general.

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