Reiter Paul L, Brewer Noel T, Gilkey Melissa B, Katz Mira L, Paskett Electra D, Smith Jennifer S
Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, Columbus, Ohio; Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio; College of Public Health, The Ohio State University, Columbus, Ohio.
Cancer. 2014 Oct 15;120(20):3200-7. doi: 10.1002/cncr.28871. Epub 2014 Jun 19.
Human papillomavirus (HPV) infection is common among Hispanic males, but to the authors' knowledge little is known regarding HPV vaccination in this population. The authors examined the early adoption of the HPV vaccine among a national sample of Hispanic adolescent males.
The authors analyzed provider-verified HPV vaccination data from the 2010 through 2012 National Immunization Survey-Teen (NIS-Teen) for Hispanic males aged 13 years to 17 years (n = 4238). Weighted logistic regression identified correlates of HPV vaccine initiation (receipt of ≥ 1 doses).
HPV vaccine initiation was 17.1% overall, increasing from 2.8% in 2010 to 31.7% in 2012 (P < .0001). Initiation was higher among sons whose parents had received a provider recommendation to vaccinate compared with those whose parents had not (53.3% vs 9.0%; odds ratio, 8.77 [95% confidence interval, 6.05-12.70]). Initiation was also higher among sons who had visited a health care provider within the previous year (odds ratio, 2.42; 95% confidence interval, 1.39-4.23). Among parents with unvaccinated sons, Spanish-speaking parents reported much higher intent to vaccinate compared with English-speaking parents (means: 3.52 vs 2.54; P < .0001). Spanish-speaking parents were more likely to indicate lack of knowledge (32.9% vs 19.9%) and not having received a provider recommendation (32.2% vs 17.7%) as the main reasons for not intending to vaccinate (both P < .05).
HPV vaccination among Hispanic adolescent males has increased substantially in recent years. Ensuring health care visits and provider recommendation will be key for continuing this trend. Preferred language may also be important for increasing HPV vaccination and addressing potential barriers to vaccination.
人乳头瘤病毒（HPV）感染在西班牙裔男性中很常见，但据作者所知，关于该人群的HPV疫苗接种情况知之甚少。作者在一个全国性的西班牙裔青少年男性样本中研究了HPV疫苗的早期接种情况。
作者分析了2010年至2012年全国青少年免疫调查（NIS-Teen）中经提供者核实的13至17岁西班牙裔男性（n = 4238）的HPV疫苗接种数据。加权逻辑回归确定了HPV疫苗起始接种（接种≥1剂）的相关因素。
总体HPV疫苗起始接种率为17.1%，从2010年的2.8%增至2012年的31.7%（P <.0001）。与父母未收到提供者接种建议的儿子相比，父母收到提供者接种建议的儿子起始接种率更高（53.3%对9.0%；比值比，8.77 [95%置信区间，6.05 - 12.70]）。在前一年看过医疗保健提供者的儿子起始接种率也更高（比值比，2.42；95%置信区间，1.39 - 4.23）。在儿子未接种疫苗的父母中，说西班牙语的父母报告的接种意愿远高于说英语的父母（均值：3.52对2.54；P <.0001）。说西班牙语的父母更有可能指出缺乏知识（32.9%对19.9%）和未收到提供者建议（32.2%对17.7%）是不打算接种的主要原因（P均<.05）。
近年来西班牙裔青少年男性中的HPV疫苗接种率大幅上升。确保医疗保健就诊和提供者建议对于延续这一趋势至关重要。首选语言对于提高HPV疫苗接种率和解决潜在的接种障碍可能也很重要。
