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泰国清迈地区家长对 HPV 疫苗的接受程度。

Parental acceptance of HPV vaccines in Chiang Mai, Thailand.

机构信息

Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.

出版信息

Int J Gynaecol Obstet. 2018 Sep;142(3):343-348. doi: 10.1002/ijgo.12539. Epub 2018 Jun 21.

Abstract

OBJECTIVE

To identify variables associated with the acceptance of HPV vaccination among Thai parents/primary caregivers.

METHODS

The present prospective cross-sectional study recruited the parents/caregivers of female adolescents aged 12-18 years from schools in Chiang Mai, Thailand, between January 1 and February 29, 2016. A four-part questionnaire was distributed to assess demographics, HPV vaccine acceptance, knowledge, and beliefs toward HPV and cervical cancer. Predictors of HPV vaccine acceptance were determined by logistic regression analysis.

RESULTS

The study enrolled 331 parents; more than half (195 [61.1%]) had heard of HPV vaccines. Their knowledge related to HPV and cervical cancer was moderate. A majority of parents (266/313 [85.0%]) indicated they would accept HPV vaccination if the costs were subsidized by the government. Acceptance of HPV vaccines was associated with perceived benefits of HPV vaccination (odds ratio [OR] 1.49; 95% confidence interval [CI] 1.18-1.88), perceived susceptibility to disease (OR 1.42; 95% CI 1.11-1.81), and household income (OR 1.35; 95% CI 1.02-1.78).

CONCLUSION

Parental beliefs have an important role in their acceptance to vaccinate their daughters. These potentially modifiable beliefs offer strategies for future interventions designed to increase uptake for future HPV vaccination campaigns.

摘要

目的

确定与泰国父母/主要照顾者接受 HPV 疫苗接种相关的变量。

方法

本前瞻性横断面研究于 2016 年 1 月 1 日至 2 月 29 日期间在泰国清迈的学校招募了 12-18 岁女性青少年的父母/照顾者。分发了四部分问卷,以评估人口统计学、HPV 疫苗接种接受度、HPV 和宫颈癌相关知识和信念。使用逻辑回归分析确定 HPV 疫苗接种接受度的预测因素。

结果

研究共纳入 331 名家长;超过一半(195 [61.1%])听说过 HPV 疫苗。他们与 HPV 和宫颈癌相关的知识处于中等水平。大多数家长(266/313 [85.0%])表示,如果政府补贴费用,他们将接受 HPV 疫苗接种。HPV 疫苗接种的接受度与 HPV 疫苗接种的预期益处(比值比 [OR] 1.49;95%置信区间 [CI] 1.18-1.88)、对疾病的易感性(OR 1.42;95% CI 1.11-1.81)和家庭收入(OR 1.35;95% CI 1.02-1.78)相关。

结论

父母的信念在他们接种女儿疫苗的意愿中起着重要作用。这些潜在可改变的信念为未来旨在提高 HPV 疫苗接种活动接种率的干预措施提供了策略。

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