Gynecologic Cancer Prevention Center, Augusta, Georgia, USA.
J Am Board Fam Med. 2010 Mar-Apr;23(2):220-9. doi: 10.3122/jabfm.2010.02.090091.
The objective of this study was to determine factors that influence parent's acceptance of a mandatory school-based human papillomavirus (HPV) vaccination program.
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.
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.
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.
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。
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。
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。
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。
