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家长对接种 HPV 疫苗的强制性计划的接受度。

Parental acceptance of a mandatory human papillomavirus (HPV) vaccination program.

机构信息

Gynecologic Cancer Prevention Center, Augusta, Georgia, USA.

出版信息

J Am Board Fam Med. 2010 Mar-Apr;23(2):220-9. doi: 10.3122/jabfm.2010.02.090091.

Abstract

OBJECTIVES

The objective of this study was to determine factors that influence parent's acceptance of a mandatory school-based human papillomavirus (HPV) vaccination program.

METHODS

A convenience sample of 325 parents, with children aged 9 to 17 years old, completed a 53-item survey. Survey questions targeted their opinions about HPV, the HPV vaccine, and a mandatory HPV vaccination program. chi(2) tests were used to examine relationships between survey items.

RESULTS

Characteristics of parents who believed the HPV vaccine should be mandated included limited financial resources (P = .03), history of HPV-related disease (P = .04), understanding their child's susceptibility (P = .03), interest in HPV vaccination for their child (P = .0001), and knowledge that the vaccine reduces the risk of cervical cancer (P = .001). Parents of children aged 12 to 14 years old (P = .02) or who knew the vaccine reduced their child's risk of developing genital warts (P = .02) and cervical cancer (P = .001) would be more likely to comply with a mandatory HPV vaccine program.

CONCLUSIONS

Certain characteristics define parents who support a mandatory HPV vaccination program. Greater education of parents and health care providers should improve vaccination uptake, which ultimately reduces morbidity and mortality from HPV related diseases.

摘要

目的

本研究旨在确定影响家长对强制性学校人乳头瘤病毒(HPV)疫苗接种计划接受程度的因素。

方法

采用便利抽样法,对 325 名年龄在 9 至 17 岁的儿童的家长进行了一项包含 53 个项目的调查。调查问题主要针对他们对 HPV、HPV 疫苗以及强制性 HPV 疫苗接种计划的看法。采用卡方检验来检验调查项目之间的关系。

结果

认为 HPV 疫苗应强制接种的家长的特征包括经济资源有限(P =.03)、有 HPV 相关疾病史(P =.04)、了解子女易感性(P =.03)、对子女接种 HPV 疫苗感兴趣(P =.0001),以及了解疫苗可降低宫颈癌风险(P =.001)。12 至 14 岁儿童的家长(P =.02)或了解疫苗可降低子女患生殖器疣(P =.02)和宫颈癌风险(P =.001)的家长更有可能遵守强制性 HPV 疫苗接种计划。

结论

某些特征定义了支持强制性 HPV 疫苗接种计划的家长。对家长和医疗保健提供者进行更多的教育应能提高疫苗接种率,从而最终降低 HPV 相关疾病的发病率和死亡率。

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