威斯康星州青少年对人乳头瘤病毒疫苗的态度和接受情况的社会人口学和临床相关性

Kayla E. Hanson , Huong Q. McLean , Edward A. Belongia , Shannon Stokley , Michael M. McNeil , Julianne Gee , Jeffrey J. VanWormer
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引用次数: 6

摘要

很少有研究评估青少年对人乳头瘤病毒(HPV)疫苗的态度以及它们是否与疫苗接种有关。本研究描述了男性和女性青少年对HPV疫苗的态度,确定了与态度改变相关的因素,并检查了态度与疫苗接种之间的关系。对未完成HPV疫苗系列接种的15-16岁青少年进行了调查。采用改良版的卡罗莱纳人乳头瘤病毒免疫态度和信念量表(CHIAS)评估障碍、危害、无效和不确定性评分。对108名参与者进行了调查;63%为男性,33%在基线时开始接种HPV疫苗系列。在基线和随访期间,障碍(p = 0.01)和不确定性(p < 0.01)的CHIAS评分显著降低(即变得更有利)。至少有一个社会人口学/临床因素与每个分数的变化有关。态度改变与接受HPV疫苗无关,尽管基线危害评分较高的青少年接受HPV疫苗剂量的可能性显着降低(OR = 0.67)。在实施干预的一年期间,青少年对HPV疫苗的态度略有改善。需要更多的研究来了解父母和青少年对HPV疫苗的态度是如何形成的,以及如何最好地解决对疫苗危害的担忧。
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Sociodemographic and clinical correlates of human papillomavirus vaccine attitudes and receipt among Wisconsin adolescents

Few studies have assessed adolescent human papillomavirus (HPV) vaccine attitudes and whether they are associated with vaccination uptake. This study characterized HPV vaccine attitudes among male and female adolescents, identified factors associated with attitude changes, and examined associations between attitudes and vaccination receipt. Surveys were administered to adolescents aged 15–16 years who had not completed the HPV vaccine series. A modified version of the Carolina HPV Immunization Attitudes and Beliefs Scale (CHIAS) was employed to assess barriers, harms, ineffectiveness, and uncertainties scores. Surveys were available from 108 participants; 63% were male and 33% had initiated the HPV vaccine series at baseline. CHIAS scores significantly decreased (i.e., became more favorable) between baseline and follow-up for barriers (p = 0.01) and uncertainties (p < 0.01). At least one sociodemographic/clinical factor was associated with changes in each score. Attitude changes were not associated with receipt of HPV vaccine, although adolescents with higher baseline harms scores were significantly less likely to receive an HPV vaccine dose (OR = 0.67). Adolescents’ HPV vaccine attitudes slightly improved over a one-year period during which an intervention was implemented. More research is needed to learn how parent and adolescent HPV vaccine attitudes form, and how best to address concerns about vaccine harms.

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来源期刊
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期刊介绍: The official Journal of the International Papillomavirus Society Papillomavirus Research (PVR), the Journal of HPV and other Small DNA Tumor Viruses publishes innovative papers related to all aspects of papillomaviruses and other small DNA tumor viruses. The official journal of the International Papillomavirus Society, PVR is an open access publication that aims to bring together virologists, immunologists, epidemiologists and clinicians working in the booming field of HPV and animal papillomaviruses, polyomaviruses and other small DNA tumor viruses and their associated diseases, in order to foster and facilitate interdisciplinary communication. The journal welcomes original research articles, reviews, short communications, opinion articles and regional update reports on papillomaviruses and other tumor viruses in the following sections: a. Biology of papillomaviruses and related viruses from life cycle to cancer b. Epidemiology etiology and natural history studies c. Natural and induced immunity including vaccine research d. Intervention studies and strategies including i. Clinical studies and trials ii. HPV treatments iii. HPV vaccination programs iv. Diagnostics and screening e. Infection and disease prevention, modeling studies f. Guidelines and public health recommendations g. HPV Studies in special populations Regional and local studies on these viruses.
期刊最新文献
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