a Saint Louis University Center for Health Outcomes Research (SLUCOR), Saint Louis University , Saint Louis , MO , USA.
b Department of Epidemiology , College for Public Health and Social Justice, Saint Louis University , Saint Louis , MO , USA.
Hum Vaccin Immunother. 2017 Nov 2;13(11):2713-2722. doi: 10.1080/21645515.2017.1363133. Epub 2017 Aug 30.
Purpose: Gaps remain in the public's knowledge of the human papillomavirus (HPV). We assessed racial/ethnic and gender disparities in knowledge and awareness of HPV and the HPV vaccine among US adults.
Data from the Health Information National Trends Survey 4 Cycle 3 (September - December 2013) and Cycle 4 (August - November 2014) were analyzed for 6,862 respondents aged 18 years and older. Weighted multivariable logistic regression models were used to estimate racial/ethnic and gender disparities in HPV knowledge and HPV vaccination awareness.
Sixty-six percent of respondents had heard of HPV and the HPV vaccine (57% of men vs. 75% of women). In multivariable analyses, compared with men, women were 225% (95% CI: 2.60 - 4.07) more likely to have heard of HPV, and 281% (95% CI: 3.06 - 4.74) more likely to have heard of the HPV vaccine. Non-Hispanic Blacks were 33% (95% CI: 0.47 - 0.96) and 44% (95% CI: 0.39 - 0.81) less likely than non-Hispanic Whites to have heard of HPV and the HPV vaccine, respectively. Hispanics were 27% (95% CI: 0.52 - 1.02) and 53% (95% CI: 0.34 - 0.64) less likely than non-Hispanic Whites to have heard of HPV and the HPV vaccine, respectively.
There was evidence of disparities in HPV and HPV vaccine awareness among men compared with women and non-Hispanic Blacks and Hispanics compared with non-Hispanic Whites. To foster improvements in HPV vaccine uptake and reduce disparities in HPV associated cancers, future interventions must target men and minority populations, for whom knowledge gaps exist.
公众对人乳头瘤病毒（HPV）的认识仍存在差距。我们评估了美国成年人对 HPV 和 HPV 疫苗的知识和认识方面的种族/民族和性别差异。
对来自健康信息国家趋势调查 4 期 3 轮（2013 年 9 月至 12 月）和 4 期 4 轮（2014 年 8 月至 11 月）的数据进行了分析，共纳入 6862 名年龄在 18 岁及以上的受访者。使用加权多变量逻辑回归模型来估计 HPV 知识和 HPV 疫苗接种意识方面的种族/民族和性别差异。
66%的受访者听说过人乳头瘤病毒和 HPV 疫苗（男性为 57%，女性为 75%）。在多变量分析中，与男性相比，女性听说过人乳头瘤病毒的可能性高 225%（95%CI：2.60-4.07），听说过 HPV 疫苗的可能性高 281%（95%CI：3.06-4.74）。与非西班牙裔白人相比，非西班牙裔黑人听说 HPV 和 HPV 疫苗的可能性分别低 33%（95%CI：0.47-0.96）和 44%（95%CI：0.39-0.81）。与非西班牙裔白人相比，西班牙裔听说 HPV 和 HPV 疫苗的可能性分别低 27%（95%CI：0.52-1.02）和 53%（95%CI：0.34-0.64）。
在男性与女性、非西班牙裔黑人和西班牙裔与非西班牙裔白人之间，HPV 和 HPV 疫苗意识方面存在差异。为了促进 HPV 疫苗接种率的提高，并减少 HPV 相关癌症方面的差异，未来的干预措施必须针对男性和少数族裔群体，因为这些人群存在知识差距。
