Castilleja School, Palo Alto, CA, USA.
J Pediatr Health Care. 2010 Jan-Feb;24(1):14-24. doi: 10.1016/j.pedhc.2008.11.004. Epub 2009 Jun 4.
State and national policymakers are actively debating the merits of legally mandating the human papillomavirus (HPV) vaccine.
This was a cross-sectional pilot study designed to identify factors associated with HPV vaccination in 170 high school girls and the decision making by girls about vaccination.
Overall, 48.4% participated in the vaccination decision making and 37.8% were vaccinated, but there were significant vaccine-related knowledge gaps. Girls often lacked basic knowledge necessary to make vaccine decisions. Vaccination was significantly associated with older age, vaccine information sources, and higher vaccine-related knowledge, but not with estimates of risk of HPV-related diseases, religion, or frequency of health care visits.
This paper describes the first study to have identified factors associated with HPV vaccination among California high school girls and to have documented that a high percentage are participating in the vaccination decision making. These findings have implications for adolescent health education and nursing practice and provide new information relevant to the current public policy debates about mandatory vaccination.
州和国家政策制定者正在积极讨论将人乳头瘤病毒（HPV）疫苗合法化的利弊。
这是一项横断面试点研究，旨在确定 170 名高中女生 HPV 疫苗接种相关因素以及女孩对疫苗接种的决策。
总体而言，48.4%的女孩参与了疫苗接种决策，37.8%的女孩接种了疫苗，但存在显著的疫苗相关知识差距。女孩们往往缺乏做出疫苗接种决策所需的基本知识。疫苗接种与年龄较大、疫苗信息来源和更高的疫苗相关知识显著相关，但与 HPV 相关疾病、宗教或医疗保健访问频率的风险估计无关。
本文描述了第一项研究，确定了加利福尼亚州高中女生 HPV 疫苗接种相关因素，并记录了很大比例的女孩参与了疫苗接种决策。这些发现对青少年健康教育和护理实践具有重要意义，并为当前关于强制性疫苗接种的公共政策辩论提供了新的信息。
