青少年女孩及其母亲自我报告人乳头瘤病毒疫苗接种准确性。

Accuracy of self-reported human papillomavirus vaccine receipt among adolescent girls and their mothers.

机构信息

Section of Adolescent Medicine, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA.

出版信息

J Adolesc Health. 2012 Jan;50(1):103-5. doi: 10.1016/j.jadohealth.2011.04.010. Epub 2011 May 28.

Abstract

PURPOSE

The use of self-report of human papillomavirus (HPV) vaccination status has several implications for clinical care and research. Reports of HPV vaccination history of adolescent girls (ages: 14-17 years) and their mothers were compared with medical chart data to assess the accuracy of HPV vaccine recall.

METHODS

Adolescent girls (N = 74) and their mothers independently completed questionnaires regarding HPV vaccination history, which were compared with medical chart data to assess the accuracy of HPV vaccine recall.

RESULTS

There were high levels of inaccuracy between actual HPV vaccination and self-report of vaccine receipt. Both mothers and daughters had poor recall of HPV vaccination, and were more likely to underestimate than overestimate the coverage. Girls who accurately reported their vaccination status were not more likely to have been sexually active in the past 2 months (p = .75).

CONCLUSIONS

These findings have clinical and research implications, as self-report is relied on to assess young women's vaccination status in research settings or in the absence of medical records. These data address the still prevalent concern that HPV vaccination encourages adolescent sexual behavior. It is unlikely that sexual behaviors will change as a result of vaccination in the large percentage of girls who cannot recall being vaccinated.

摘要

目的

人乳头瘤病毒(HPV)疫苗接种状况的自我报告在临床护理和研究中有多种应用。比较了青少年女孩(年龄:14-17 岁)及其母亲的 HPV 疫苗接种史报告与医疗记录数据,以评估 HPV 疫苗回忆的准确性。

方法

74 名青少年女孩及其母亲分别独立完成了有关 HPV 疫苗接种史的问卷,将其与医疗记录数据进行比较,以评估 HPV 疫苗回忆的准确性。

结果

实际 HPV 疫苗接种和自我报告的疫苗接种之间存在高度不准确。母亲和女儿对 HPV 疫苗接种的记忆都很差,并且更有可能低估而不是高估覆盖率。准确报告自己接种状况的女孩过去 2 个月内发生性行为的可能性并不更高(p =.75)。

结论

这些发现具有临床和研究意义,因为在研究环境中或在没有医疗记录的情况下,依靠自我报告来评估年轻女性的疫苗接种状况。这些数据解决了 HPV 疫苗接种鼓励青少年性行为这一仍然普遍存在的担忧。对于无法回忆起接种疫苗的大部分女孩来说,由于接种疫苗而改变性行为的可能性不大。

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