Center for Cancer Prevention and Control Research, Department of Health Policy and Management, Fielding School of Public Health and Jonsson Comprehensive Cancer Center, University of California, Los Angeles, 650 Charles Young Drive South, A2-125 CHS, Los Angeles, CA 90095, USA.
Division of HIV and STD Programs, Los Angeles County Department of Public Health, 600 South Commonwealth Avenue, 10th Floor, Los Angeles, CA 90005, USA.
Vaccine. 2018 Feb 28;36(10):1243-1247. doi: 10.1016/j.vaccine.2017.08.046. Epub 2017 Sep 28.
Trends in HPV vaccine awareness among parents of adolescent girls and boys (ages 13-17) and HPV vaccine uptake (≥1 dose) among girls (ages 13-17) were evaluated in Los Angeles County, California. Between 2007 and 2011, parental HPV vaccine awareness increased from 72% to 77% overall, with significant increases among mothers, Latinos, and respondents with daughters and Medi-Cal insured children. In 2011, parents who were male, older, less educated, Asian/Pacific Islander, and had sons remained significantly less likely to be aware. HPV vaccine initiation among daughters nearly doubled from 25% in 2007 to 48% in 2011, and girls who were older, uninsured, and had access-related barriers showed the largest improvements. In 2011, daughters who were younger and who had older and African American parents were at risk for low uptake. Thus, initiatives targeting male and younger adolescents, culturally-relevant information, and access to vaccination may help to reduce identified disparities.
在加利福尼亚州洛杉矶县，评估了青少年女孩（13-17 岁）和女孩（13-17 岁）父母对 HPV 疫苗的认识（≥1 剂）的趋势以及 HPV 疫苗的接种率（≥1 剂）。在 2007 年至 2011 年间，父母对 HPV 疫苗的认识率总体上从 72％提高到 77％，母亲、拉丁裔和有女儿和 Medi-Cal 保险的孩子的父母的认识率显著提高。在 2011 年，男性、年龄较大、受教育程度较低、亚裔/太平洋岛民和有儿子的父母仍然不太可能了解 HPV 疫苗。2007 年，女儿中 HPV 疫苗接种的起始率从 25％增加到 2011 年的 48％，年龄较大、没有保险和存在接种相关障碍的女孩的改善幅度最大。在 2011 年，年龄较小、父母年龄较大和非裔美国人的女儿的接种率较低。因此，针对男性和青少年的计划、文化相关的信息以及获得疫苗接种的机会可能有助于减少已确定的差异。
