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西班牙裔大学生中与HPV疫苗使用相关的因素。

Factors associated with HPV vaccine use among Hispanic college students.

作者信息

Cohen Timmerie F, Legg Jeffrey S

机构信息

701 W Grace St, Suite 2100, Box 843057, Richmond, VA 23284-3057, USA. Tel 804-828-9104, fax 804- 828-5778.

出版信息

J Allied Health. 2014 Winter;43(4):241-6.

Abstract

UNLABELLED

Human papillomavirus (HPV) infection is the most common sexually transmitted disease in the United States and is linked strongly to cervical cancer. Hispanic women are at increased risk of cervical cancer from HPV due to lower screening rates with women in their early 20s at increased risk.

PURPOSE

The purpose of this project was to describe HPV vaccination rates and possible barriers to vaccination among a sample of U.S. collegeaged Hispanic women.

METHODS

A secondary analysis of the American College Health Association's National College Health Assessment was completed to determine HPV vaccine rates and factors influencing vaccine use among college-aged Hispanic women (n=4,718). Descriptive statistics were calculated and binary logistic regression employed to determine the association of various socioeconomic and health-seeking behaviors on HPV vaccine utilization.

RESULTS

Only 46.2% of Hispanic women in the NCHA reported receiving an HPV vaccine. Binary logistic regression analysis indicates that having health insurance, use of preventive care, and good health status are significantly associated with HPV vaccine use.

DISCUSSION

Hispanic college women ages 18-26 demonstrated lower HPV vaccination rates as compared to Caucasian women. Tailoring health promotion activities to specific racial populations such as Hispanic women is necessary to decrease disparities in HPV vaccination rates. The fact that racial/ethnic minority women in the U.S. have lower HPV vaccination rates and gynecological exam rates indicates that specialized health promotion activities may be an avenue for designing educational strategies to lessen disparities.

摘要

未标注

人乳头瘤病毒(HPV)感染是美国最常见的性传播疾病,且与宫颈癌密切相关。西班牙裔女性因筛查率较低,20岁出头的女性风险增加,所以她们患由HPV引起的宫颈癌的风险更高。

目的

本项目的目的是描述美国大学年龄的西班牙裔女性样本中的HPV疫苗接种率以及疫苗接种可能存在的障碍。

方法

对美国大学健康协会的全国大学健康评估进行二次分析,以确定大学年龄的西班牙裔女性(n = 4718)中的HPV疫苗接种率以及影响疫苗使用的因素。计算描述性统计数据,并采用二元逻辑回归来确定各种社会经济和寻求健康行为与HPV疫苗使用之间的关联。

结果

在全国大学健康评估中,只有46.2%的西班牙裔女性报告接种了HPV疫苗。二元逻辑回归分析表明,拥有医疗保险、使用预防性保健和良好的健康状况与HPV疫苗使用显著相关。

讨论

18 - 26岁的西班牙裔大学女性的HPV疫苗接种率低于白人女性。为特定种族人群(如西班牙裔女性)量身定制健康促进活动对于减少HPV疫苗接种率的差异是必要的。美国少数族裔女性的HPV疫苗接种率和妇科检查率较低这一事实表明,专门的健康促进活动可能是设计教育策略以减少差异的一条途径。

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