Bynum Shalanda A, Brandt Heather M, Sharpe Patricia A, Williams Michelle S, Kerr Jelani C
Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL 33612-9416, USA.
J Health Care Poor Underserved. 2011 May;22(2):549-61. doi: 10.1353/hpu.2011.0060.
Factors associated with greater likelihood of human papillomavirus (HPV) vaccination among women who experience excess cervical cancer incidence and mortality requires further study. The purpose of this study was to assess factors associated with HPV vaccine uptake among young African American women. Three hundred sixty-three African American women aged 18-26 were recruited from Historically Black Colleges/Universities to complete a questionnaire to assess health beliefs associated with HPV vaccination. One quarter of participants reported uptake of the HPV vaccine. Women who reported uptake had significantly higher HPV knowledge, lower perceived barriers to vaccination, and were younger (all p<.05). Factors significantly associated with HPV vaccine uptake included HPV knowledge (OR=1.22), perceived severity of health outcomes (OR=0.48), perceived barriers to vaccination (OR=0.49), cues to action (OR=1.94), and age (OR=0.68). Findings can be used to inform the development of targeted HPV vaccine promotion programs for African American women to prevent continued cervical cancer disparities.
在宫颈癌发病率和死亡率过高的女性中,与人乳头瘤病毒(HPV)疫苗接种可能性较高相关的因素需要进一步研究。本研究的目的是评估年轻非裔美国女性中与HPV疫苗接种相关的因素。从历史悠久的黑人学院/大学招募了363名年龄在18 - 26岁的非裔美国女性,以完成一份问卷,评估与HPV疫苗接种相关的健康信念。四分之一的参与者报告接种了HPV疫苗。报告接种的女性HPV知识显著更高,接种疫苗的感知障碍更低,且年龄更小(所有p<0.05)。与HPV疫苗接种显著相关的因素包括HPV知识(OR = 1.22)、对健康结果的感知严重性(OR = 0.48)、接种疫苗的感知障碍(OR = 0.49)、行动提示(OR = 1.94)和年龄(OR = 0.68)。研究结果可用于为非裔美国女性制定有针对性的HPV疫苗推广计划提供信息,以预防持续存在的宫颈癌差异。