Read Dalan S, Joseph Michael A, Polishchuk Veronika, Suss Amy L
Department of Pediatrics/Adolescent Medicine, SUNY Downstate Medical Center, Brooklyn, New York 11203, USA.
J Pediatr Adolesc Gynecol. 2010 Aug;23(4):242-5. doi: 10.1016/j.jpag.2010.02.002. Epub 2010 May 10.
To describe attitudes and perceptions toward acceptability of human papilloma virus (HPV) vaccination among inner city Caribbean (CA) and African American (AA) adolescents and their parents, and discuss correlates that may be associated with these factors.
Questionnaire survey.
An adolescent medicine clinic.
A convenience sample was recruited of 175 adolescent girls aged 13 to 19 years and 74 parents attending adolescent clinic.
Participants completed an anonymous confidential 10-minute questionnaire.
Data on knowledge about HPV, cervical cancer (CC), attitudes and acceptance of the HPV vaccine.
Responses of 175 adolescent girls and 74 parents were analyzed. Overall, 48.9% of the teens were sexually active (SA) and had a 2.2-fold greater odds (OR = 2.21; 95% CI = 1.13-4.36) of being interested in HPV vaccination versus girls who were not SA. While only 55.8% of girls knew what HPV is, this knowledge was significantly associated with knowing that most CC is caused by HPV (P < 0.001) and with interest in receiving HPV vaccination (P < 0.001). Less than half (44.5%) of adolescent girls were interested in receiving the HPV vaccine and only 37.5% of parents. There were no significant influences in parental acceptance of the vaccine with regard to age, ethnicity and educational level, insurance, and living situation.The majority of parents wanted the vaccine for its role in preventing CC.
Although controversy surrounds HPV vaccine in regard to its supposed role in promoting SA, only a minority of our parents showed concern for that association. The level of acceptance of the HPV vaccine was overall lower than what has been reported among other racial/ethnic populations. Knowledge about HPV and its association with CC were significantly associated with interest in getting the HPV vaccine and both parents and teens seem to accept the HPV vaccine more for its role in CC prevention.
描述加勒比地区（CA）内城区和非裔美国（AA）青少年及其父母对人乳头瘤病毒（HPV）疫苗可接受性的态度和看法，并讨论可能与这些因素相关的关联因素。
问卷调查。
一家青少年医学诊所。
招募了一个便利样本，包括175名年龄在13至19岁的青少年女孩和74名到青少年诊所就诊的家长。
参与者完成一份10分钟的匿名保密问卷。
关于HPV、宫颈癌（CC）的知识数据，对HPV疫苗的态度和接受情况。
分析了175名青少年女孩和74名家长的回答。总体而言，48.9%的青少年有性行为（SA），与没有性行为的女孩相比，她们对HPV疫苗感兴趣的几率高2.2倍（OR = 2.21；95% CI = 1.13 - 4.36）。虽然只有55.8%的女孩知道HPV是什么，但这一知识与知道大多数宫颈癌是由HPV引起显著相关（P < 0.001），也与接受HPV疫苗的兴趣显著相关（P < 0.001）。不到一半（44.5%）的青少年女孩有兴趣接种HPV疫苗，家长中只有37.5%有兴趣。在家长对疫苗的接受方面，年龄、种族和教育水平、保险及生活状况均无显著影响。大多数家长希望接种疫苗是因其在预防宫颈癌方面的作用。
尽管围绕HPV疫苗在促进性行为方面的假定作用存在争议，但我们的家长中只有少数人对此关联表示担忧。HPV疫苗的接受程度总体低于其他种族/族裔人群的报告水平。关于HPV及其与宫颈癌的关联的知识与接种HPV疫苗的兴趣显著相关，而且家长和青少年似乎更多地因HPV疫苗在预防宫颈癌方面的作用而接受它。
