a Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch , Galveston , TX , USA.
b Department of Obstetrics & Gynecology , University of Texas Medical Branch , Galveston , TX , USA.
Hum Vaccin Immunother. 2017 Sep 2;13(9):2150-2154. doi: 10.1080/21645515.2017.1332551. Epub 2017 Jun 12.
The human papillomavirus (HPV) vaccine has been available for over a decade but its uptake rate is still low. To explore the relationship between the HPV vaccination status of a child and their mother's beliefs, behaviors and knowledge, we surveyed 1497 women with at least one child aged 9-17 y between September 2011 and November 2015. Physician recommendation was the most important factor associated with reported child vaccination status. Mothers who reported receiving a provider recommendation for the HPV vaccine were 32 times more likely to have a child who had been vaccinated compared with mothers who did not report provider recommendation (aOR) = 32.17; 95% CI: 21.77, 47.54). Knowing someone who had received the vaccine was also strongly associated with vaccination uptake (59% vs 12%, p < .001). Additionally, prior HPV diagnosis (aOR = 1.91; 95% CI: 1.18, 3.10) and knowing someone with cervical cancer (aOR = 1.38; 95% CI: 1.01, 1.89) were associated with child vaccination status. Mothers who perceived moderate to high risk for their child contracting HPV or developing genital warts or cervical cancer were more likely to report that their daughters (but not their sons) had been vaccinated.
人类乳头瘤病毒（HPV）疫苗已经问世十余年，但接种率仍然很低。为了探讨儿童 HPV 疫苗接种状况与其母亲的信念、行为和知识之间的关系，我们在 2011 年 9 月至 2015 年 11 月期间调查了 1497 名至少有一名 9-17 岁子女的女性。医生的推荐是与报告的儿童疫苗接种状况最相关的因素。与未报告提供者推荐的母亲相比，报告接受 HPV 疫苗提供者推荐的母亲，其子女接种疫苗的可能性高 32 倍（调整后的优势比[aOR] = 32.17；95%置信区间[CI]：21.77，47.54）。了解有人接种过疫苗也与接种率高度相关（59%比 12%，p <.001）。此外，先前 HPV 诊断（aOR = 1.91；95% CI：1.18，3.10）和认识宫颈癌患者（aOR = 1.38；95% CI：1.01，1.89）与儿童疫苗接种状况相关。认为其子女（而非儿子）感染 HPV、患生殖器疣或宫颈癌风险中等或高的母亲，更有可能报告其女儿已接种疫苗。
