Nuño Velia Leybas, Gonzalez Marisa, Loredo Salena Meyer, Nigon Brittany M, Garcia Francisco
1Department of Health Promotion Sciences, University of Arizona, Tucson, AZ; 2South Bay Obstetrics and Gynecology, Chula Vista, CA; and 3Pima County Health Department, Tucson, AZ.
J Low Genit Tract Dis. 2016 Apr;20(2):131-4. doi: 10.1097/LGT.0000000000000174.
We estimated the prevalence of human papillomavirus (HPV) vaccination by ethnicity and race and compared vaccination use by known risk factors.
We applied a cross-sectional design using an anonymous, online survey distributed in 2011 to female undergraduates (n = 284) between the ages of 18 and 26 years. The study was approved by the University of Arizona Institutional Review Board.
Overall, 55% of women reported receiving the HPV vaccine. Within racial and ethnic groups, HPV vaccination was highest among American Indian/Alaska Native women with 71%, followed by Hispanic women with 68%, black/African American women with 58%, white women with 51%, and Asian/Pacific Island women with 31%. Moreover, Hispanic women were twice as likely to be vaccinated compared with white women (OR = 2.08; 95% CI = 1.14-3.78). Among unvaccinated women, 55% had discussed HPV with a provider and 56% had reported no concerns about the vaccine and/or had high levels of HPV knowledge.
Human papillomavirus vaccine is highly acceptable among college women, particularly among Hispanic women. Efforts to vaccinate should include time of college enrollment. Such efforts are critical for the large scale prevention of cervical cancer and its precursor lesions and ultimately for preventable cervical cancer mortality.
我们按种族和民族估算了人乳头瘤病毒（HPV）疫苗接种率，并根据已知风险因素比较了疫苗接种情况。
我们采用横断面设计，于2011年对年龄在18至26岁之间的本科女生（n = 284）进行了一项匿名在线调查。该研究得到了亚利桑那大学机构审查委员会的批准。
总体而言，55%的女性报告接种了HPV疫苗。在不同种族和民族群体中，美洲印第安人/阿拉斯加原住民女性的HPV疫苗接种率最高，为71%，其次是西班牙裔女性，为68%，黑人/非裔美国女性为58%，白人女性为51%，亚太岛民女性为31%。此外，西班牙裔女性接种疫苗的可能性是白人女性的两倍（比值比=2.08；95%置信区间=1.14 - 3.78）。在未接种疫苗的女性中，55%曾与医疗服务提供者讨论过HPV，56%表示对疫苗没有顾虑和/或对HPV有较高的认知水平。
人乳头瘤病毒疫苗在大学女生中接受度很高，尤其是在西班牙裔女生中。疫苗接种工作应包括在大学入学时进行。此类工作对于大规模预防宫颈癌及其癌前病变并最终预防可避免的宫颈癌死亡至关重要。
