Hennebery Ruth B, Dang Dung N, Sisson Caitlin, Naresh Amber
Tulane University School of Medicine, 1430 Tulane Ave., New Orleans, LA, 70112, USA.
Department of Obstetrics & Gynecology, Tulane University School of Medicine, 1430 Tulane Ave., SL #8611, New Orleans, LA, 70112, USA.
J Community Health. 2020 Aug;45(4):775-784. doi: 10.1007/s10900-020-00793-0.
Vaccination coverage against human papilloma virus (HPV) in the United States remains low. This study aimed to identify factors associated with initiation of HPV vaccination among young women and girls in New Orleans, Louisiana. The study was conducted in Pediatrics and Obstetrics & Gynecology clinics in New Orleans between 2014 and 2017. Surveys were administered to women ages 18 through 26, and guardians of girls ages 12 through 17. Demographics, health history, sources of medical information, knowledge of HPV and HPV vaccination, opinions on vaccination, expected support for vaccination, and systems-level barriers were assessed. Participants self-reported discussion of the vaccine with a healthcare provider, and whether they or their child had been vaccinated. Participants were predominantly black and low-income. Among young adults, 61/121 (50%) had received any doses of the HPV vaccine; 71/94 (75%) of girls had received it (p < 0.01). In both groups, knowledge of the HPV vaccine, believing the vaccine was available from their usual healthcare provider, and having discussed the vaccine with their provider were associated with increased odds of vaccination. Among young adults, additional factors associated with vaccination were younger age, distance from a healthcare center, knowledge of HPV, and expectation of support from parents. Among guardians, holding negative views on vaccination was associated with decreased odds of vaccination. Discussion of the vaccine with a healthcare provider was the factor most strongly associated with initiation of HPV vaccination in both groups. The results provided actionable items to increase HPV vaccination uptake in these populations.
美国针对人乳头瘤病毒（HPV）的疫苗接种覆盖率仍然很低。本研究旨在确定路易斯安那州新奥尔良市年轻女性和女孩中与开始接种HPV疫苗相关的因素。该研究于2014年至2017年在新奥尔良的儿科和妇产科诊所进行。对18至26岁的女性以及12至17岁女孩的监护人进行了调查。评估了人口统计学、健康史、医学信息来源、对HPV和HPV疫苗的了解、对疫苗接种的看法、对疫苗接种的预期支持以及系统层面的障碍。参与者自行报告了与医疗保健提供者关于疫苗的讨论情况，以及他们自己或其孩子是否接种过疫苗。参与者主要是黑人和低收入人群。在年轻人中，121人中有61人（50%）接种过任何剂量的HPV疫苗；94名女孩中有71人（75%）接种过（p < 0.01）。在两组中，对HPV疫苗的了解、相信可以从其常规医疗保健提供者处获得疫苗以及与提供者讨论过疫苗，都与接种疫苗的几率增加相关。在年轻人中，与接种疫苗相关的其他因素包括年龄较小、距离医疗中心的远近、对HPV的了解以及对父母支持的期望。在监护人中，对疫苗接种持负面看法与接种疫苗的几率降低相关。与医疗保健提供者讨论疫苗是两组中与开始接种HPV疫苗最密切相关的因素。研究结果提供了可采取行动的项目，以提高这些人群中HPV疫苗的接种率。
