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拉丁裔女性对人乳头瘤病毒疫苗的认知、接种障碍、接种意愿及接种情况

HPV Vaccine Awareness, Barriers, Intentions, and Uptake in Latina Women.

作者信息

Lechuga Julia, Vera-Cala Lina, Martinez-Donate Ana

机构信息

Psychology Department, The University of Texas at El Paso, 500 W. University Avenue, El Paso, TX, 79912, USA.

Department of Public Health, Universidad Industrial de Santander, Bucaramanga, Colombia.

出版信息

J Immigr Minor Health. 2016 Feb;18(1):173-8. doi: 10.1007/s10903-014-0139-z.

Abstract

Latina women are at heightened risk of cervical cancer incidence and mortality. The human papillomavirus (HPV) is the principal cause of the majority of cervical cancer cases. A vaccine that protects against HPV was licensed in 2006. Eight years post-licensure, mixed research findings exist regarding the factors that predict vaccine uptake in Latinas. We conducted a population-based phone survey with a random sample of 296 Latinas living in a Midwestern U.S. City. Intention to vaccinate was significantly associated with health care provider recommendations, worry about side effects, knowing other parents have vaccinated, perceived severity of HPV, and worry that daughter may become sexually active following vaccination. Worry that daughter may become sexually active was the only factor related to vaccine uptake. Findings suggest that training providers to discuss the low risk of severe side effects, consequences of persistent HPV, and sexuality related concerns with Latino women may encourage vaccination.

摘要

拉丁裔女性患宫颈癌的发病率和死亡率风险更高。人乳头瘤病毒(HPV)是大多数宫颈癌病例的主要病因。一种预防HPV的疫苗于2006年获得许可。在获得许可八年后,关于预测拉丁裔女性疫苗接种情况的因素,研究结果不一。我们对居住在美国中西部一个城市的296名拉丁裔女性进行了随机抽样的基于人群的电话调查。接种疫苗的意愿与医疗保健提供者的建议、对副作用的担忧、知道其他父母已为孩子接种疫苗、对HPV严重性的认知以及担心女儿接种疫苗后可能开始性行为显著相关。担心女儿可能开始性行为是与疫苗接种相关的唯一因素。研究结果表明,培训医疗保健提供者与拉丁裔女性讨论严重副作用的低风险、持续性HPV的后果以及与性相关的问题,可能会鼓励她们接种疫苗。

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