Nicoleta-Monica Jiboc, Andrei Paşca, Diana Tăut, Adriana-Smaranda Băban
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Quality assessment, publication attrition assessment, and sensitivity analyses were performed.</p><p><strong>Results: </strong>Eighteen studies were included, totaling a population of 18,611 participants. Results indicated that knowledge about HPV infection could positively influence vaccination rates with an Odds Ratio (OR) of 1.82 and a confidence interval (CI) between 1.27 and 2.61, showing statistical significance at a Z value of 3.24 with a p-value of 0.001. Neither knowledge about HPV vaccination (OR = 1.39, CI: 0.73-2.65, Z = 1.01, p = 0.31) nor knowledge about CC screening (OR = 1.05, CI: 0.55-1.98, Z = 0,14, p = 0.89) seem to affect vaccination rates. Regardless, intention to undertake CC screening (CCS) showed an OR = 1.68 in favor of the group intending to perform it, with a CI between 1.37 and 2.07, showing statistical significance at a Z = 4.94 and p = 0.00001. Other aspects affecting vaccination uptake were fear of side effects, insufficient information, and belief that chances of being infected are low.</p><p><strong>Conclusions: </strong>Results demonstrated that diverse aspects could affect the vaccination intent, while personalized interventions focusing on population and country characteristics need to be assembled to mitigate vaccination coverage.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":null,"pages":null},"PeriodicalIF":3.3000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Factors influencing human papillomavirus vaccination uptake in European women and adolescents: A systematic review and meta-analysis.\",\"authors\":\"Nicoleta-Monica Jiboc, Andrei Paşca, Diana Tăut, Adriana-Smaranda Băban\",\"doi\":\"10.1002/pon.6242\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Cervical Cancer (CC) lingers as a severe public health issue due to low vaccination coverage and poor screening addressability. 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引用次数: 0
摘要
目的:癌症因疫苗接种率低、筛查可及性差,一直是一个严重的公共卫生问题。因此,本系统综述探讨了影响欧洲女性接种人类乳头瘤病毒(HPV)疫苗的心理因素。方法:截至2022年9月,系统搜索PubMed、EMBASE、Scopus和Web of Science,包括评估影响欧洲女性疫苗接种率的各种因素的英文研究。只包括比较接种疫苗和未接种疫苗的妇女的研究。进行了质量评估、出版物流失评估和敏感性分析。结果:纳入了18项研究,共有18611名参与者。结果表明,对HPV感染的了解可以积极影响疫苗接种率,比值比(OR)为1.82,置信区间(CI)在1.27和2.61之间,Z值为3.24,p值为0.001,具有统计学意义。对HPV疫苗接种的了解(OR=1.39,CI:0.73-2.65,Z=1.01,p=0.31)和对CC筛查的了解(OR=1.05,CI:0.55-1.98,Z=0.14,p=0.89)似乎都不会影响疫苗接种率。无论如何,进行CC筛查(CCS)的意向显示OR=1.68,有利于打算进行CC筛查的组,CI在1.37和2.07之间,在Z=4.94和p=0.00001时显示出统计学意义。影响疫苗接种率的其他方面是担心副作用、信息不足以及认为被感染的几率很低。结论:研究结果表明,不同方面可能会影响疫苗接种意向,而需要针对人口和国家特征进行个性化干预,以降低疫苗接种覆盖率。
Factors influencing human papillomavirus vaccination uptake in European women and adolescents: A systematic review and meta-analysis.
Objective: Cervical Cancer (CC) lingers as a severe public health issue due to low vaccination coverage and poor screening addressability. Hence, this systematic review explored psychological factors influencing the Human Papilloma Virus (HPV) vaccination uptake in European women.
Methods: As of September 2022, PubMed, EMBASE, Scopus, and Web of Science were systematically searched to include English studies assessing diverse factors influencing vaccination uptake in European women. Only studies comparing vaccinated with unvaccinated women were included. Quality assessment, publication attrition assessment, and sensitivity analyses were performed.
Results: Eighteen studies were included, totaling a population of 18,611 participants. Results indicated that knowledge about HPV infection could positively influence vaccination rates with an Odds Ratio (OR) of 1.82 and a confidence interval (CI) between 1.27 and 2.61, showing statistical significance at a Z value of 3.24 with a p-value of 0.001. Neither knowledge about HPV vaccination (OR = 1.39, CI: 0.73-2.65, Z = 1.01, p = 0.31) nor knowledge about CC screening (OR = 1.05, CI: 0.55-1.98, Z = 0,14, p = 0.89) seem to affect vaccination rates. Regardless, intention to undertake CC screening (CCS) showed an OR = 1.68 in favor of the group intending to perform it, with a CI between 1.37 and 2.07, showing statistical significance at a Z = 4.94 and p = 0.00001. Other aspects affecting vaccination uptake were fear of side effects, insufficient information, and belief that chances of being infected are low.
Conclusions: Results demonstrated that diverse aspects could affect the vaccination intent, while personalized interventions focusing on population and country characteristics need to be assembled to mitigate vaccination coverage.
期刊介绍:
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.