Department of Health Behavior and Health Education, Gillings School of Global Public Health, Chapel Hill, NC 27599–7440, USA.
Sex Transm Dis. 2010 Apr;37(4):234-9. doi: 10.1097/OLQ.0b013e3181c37e15.
No standardized instruments, to our knowledge, exist to assess attitudes and beliefs about human papillomavirus (HPV) vaccination.
We developed the Carolina HPV Immunization Attitudes and Beliefs Scale (CHIAS), using data collected on 783 parents who had not yet vaccinated their daughters against HPV. We conducted a principal components analysis of 16 HPV vaccine attitude and belief items, assessed the scale's psychometric properties, and used linear regression to examine the relationship of CHIAS factors and parents' vaccination intentions.
Analyses identified 4 CHIAS factors, all of which had acceptable scale alphas and 1-year test-retest reliability. In multivariate models, higher vaccination intentions were associated with: believing HPV vaccine is effective (β = 0.06) or has less harmful effects (β = -0.47), perceiving more barriers to access (β = 0.18), and having less uncertainty about the vaccine (β = -0.23) (all P < 0.05).
Findings suggest that parent attitudes about HPV vaccine are important to their intentions to vaccinate their adolescent daughters against HPV. The CHIAS offers researchers a compact, standardized measure of important HPV vaccine attitudes and beliefs.
据我们所知，目前尚无评估 HPV 疫苗接种态度和信念的标准化工具。
我们使用尚未为女儿接种 HPV 疫苗的 783 名家长所收集的数据开发了卡罗莱纳 HPV 免疫接种态度和信念量表（CHIAS）。我们对 16 项 HPV 疫苗态度和信念项目进行了主成分分析，评估了该量表的心理测量特性，并使用线性回归分析了 CHIAS 因素与家长接种意愿之间的关系。
分析确定了 4 个 CHIAS 因素，这些因素的量表信度均在可接受范围内，且 1 年的重测信度可靠。在多变量模型中，更高的接种意愿与以下因素相关：认为 HPV 疫苗有效（β=0.06）或副作用较小（β=-0.47）、认为接种存在更多障碍（β=0.18）以及对疫苗的不确定性较小（β=-0.23）（均 P<0.05）。
研究结果表明，家长对 HPV 疫苗的态度对其为青春期女儿接种 HPV 疫苗的意愿具有重要影响。CHIAS 为研究人员提供了一种评估 HPV 疫苗接种重要态度和信念的简洁、标准化工具。
