Calo William A, Gilkey Melissa B, Shah Parth, Marciniak Macary W, Brewer Noel T
Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Department of Population Medicine, Harvard Medical School & Harvard Pilgrim Health Care Institute, Boston, MA, USA; Dana-Farber/Harvard Cancer Center, Boston, MA, USA.
Prev Med. 2017 Jun;99:251-256. doi: 10.1016/j.ypmed.2017.02.003. Epub 2017 Feb 7.
Pharmacies are promising alternative settings for human papillomavirus (HPV) vaccination because of their accessibility and existing infrastructure for vaccine delivery. We sought to examine parents' willingness to get HPV vaccination for their children at pharmacies. In 2014, we conducted a national, online survey of 1255 parents of 11- to 17-year-old adolescents in the United States. We used multivariable logistic regression to model parents' willingness for getting HPV vaccinations in pharmacies. Overall, 29% of parents would be willing to get HPV vaccine for their children at a pharmacy. Parental willingness was associated with believing that pharmacists are skilled at administering vaccines (OR=2.05, 95% CI:1.68-2.51), HPV vaccine was at least as important as other adolescent vaccines (OR=1.48, 95% CI:1.10-1.98), and getting vaccines in pharmacies would give children more opportunities to get health care (OR=2.17, 95% CI:1.63-2.89). Parental willingness was also more common among parents of adolescents ages 13-17 or who had already initiated the HPV vaccine series. Parents most often indicated that they would like to learn about HPV vaccination in pharmacies from their children's doctor (37%). Offering HPV vaccine in pharmacies may increase uptake as a meaningful number of parents would get the vaccine for their children in these settings. Physician referrals for completing the HPV vaccine series may serve as an important source for increasing awareness of and demand for adolescent vaccination services in pharmacies.
由于其可及性以及现有的疫苗配送基础设施，药店是进行人乳头瘤病毒（HPV）疫苗接种的理想替代场所。我们试图调查家长让孩子在药店接种HPV疫苗的意愿。2014年，我们在美国对1255名11至17岁青少年的家长进行了一项全国性在线调查。我们使用多变量逻辑回归对家长在药店接种HPV疫苗的意愿进行建模。总体而言，29%的家长会愿意在药店为孩子接种HPV疫苗。家长的意愿与以下因素相关：认为药剂师有熟练的疫苗接种技术（比值比[OR]=2.05，95%置信区间[CI]：1.68 - 2.51）、HPV疫苗至少与其他青少年疫苗一样重要（OR=1.48，95% CI：1.10 - 1.98），以及在药店接种疫苗会让孩子有更多获得医疗保健的机会（OR=2.17，95% CI：1.63 - 2.89）。家长的意愿在13至17岁青少年的家长或已经开始接种HPV疫苗系列的家长中也更为常见。家长最常表示他们希望从孩子的医生那里了解药店的HPV疫苗接种情况（37%）。在药店提供HPV疫苗可能会提高接种率，因为有相当数量的家长会在这些场所为孩子接种疫苗。医生对完成HPV疫苗系列接种的转诊可能是提高药店青少年疫苗接种服务的知晓度和需求的重要来源。
