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女大学生中人乳头瘤病毒疫苗接种的相关因素

Correlates of human papillomavirus vaccination among female university students.

作者信息

Lefkowitz Eva S, Kelly Kate M, Vasilenko Sara A, Maggs Jennifer L

机构信息

a Department of Human Development and Family Studies , Pennsylvania State University , University Park , Pennsylvania , USA.

出版信息

Women Health. 2014;54(6):487-501. doi: 10.1080/03630242.2014.903552.

Abstract

Human papillomavirus (HPV) is the most frequently occurring sexually transmitted infection in the United States, but only one third of adolescent girls have received the HPV vaccine (Centers for Disease Control and Prevention [CDC], 2012; Committee on Infectious Diseases, 2012). Understanding correlates of vaccination behavior among young women has important implications for health care delivery and public service messages targeting HPV vaccination. Female college students (N = 313) completed web-based surveys during their sophomore (second) year of college, fall 2008. Surveys included questions about HPV vaccination, demographic factors (ethnicity/race, socioeconomic status [SES]), individual characteristics (romantic relationship status, grade point average, religiosity), and sexual behavior. Lifetime HPV vaccination was reported by 46.5% of participants. Being African American/Black was associated with a lower likelihood of vaccination. Having a mother with more education, adhering to religious teachings about sex-related principles, and having engaged in recent penetrative sex were associated with a higher likelihood of vaccination. Health care providers should consider young women to be an important group for HPV vaccine education and catch-up, particularly for African American/Black young women and young women from lower SES backgrounds. Providing vaccine education and access to young women before they become sexually active is critical.

摘要

人乳头瘤病毒(HPV)是美国最常见的性传播感染,但只有三分之一的青春期女孩接种了HPV疫苗(疾病控制和预防中心[CDC],2012年;传染病委员会,2012年)。了解年轻女性疫苗接种行为的相关因素对于针对HPV疫苗接种的医疗服务提供和公共服务信息具有重要意义。2008年秋季,313名女大学生在大学二年级时完成了基于网络的调查。调查问题包括HPV疫苗接种、人口统计学因素(种族/族裔、社会经济地位[SES])、个人特征(恋爱关系状况、平均绩点、宗教信仰)和性行为。46.5%的参与者报告接种过HPV疫苗。非裔美国人/黑人接种疫苗的可能性较低。母亲受教育程度较高、遵守与性相关原则的宗教教义以及近期有过插入式性行为与接种疫苗的可能性较高有关。医疗服务提供者应将年轻女性视为HPV疫苗教育和补种的重要群体,特别是对于非裔美国人/黑人年轻女性和社会经济地位较低背景的年轻女性。在年轻女性开始性行为之前提供疫苗教育并使其能够接种疫苗至关重要。

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