Della Polla Giorgia, Pelullo Concetta Paola, Napolitano Francesco, Angelillo Italo Francesco
Department of Experimental Medicine, University of Campania "Luigi Vanvitelli" , Naples, Italy.
Hum Vaccin Immunother. 2020 Nov 1;16(11):2744-2751. doi: 10.1080/21645515.2020.1744367. Epub 2020 Apr 16.
This cross-sectional survey determined the vaccine hesitancy related to Human papillomavirus (HPV) and the determinants among parents of adolescents aged 12 and 13 years in Italy. Data was collected through a self-administered questionnaire. Two-thirds of the parents (66.7%) had heard of HPV infection and knew that the vaccination was a preventive measure. Parents who had vaccinated their child against the HPV were more likely to have this knowledge. The vast majority (88%) considered the immunization useful for the prevention of HPV-related cancers with an average value of 8.4. This positive attitude was higher among parents who had heard of HPV infection and knew that vaccination was a preventive measure, who had received information from physicians, who had vaccinated their child against the HPV, who were concerned that their child could contract the HPV infection, and who needed information on HPV vaccination. More than half (57.9%) self-reported that they had vaccinated their child against HPV and only 6.2% had delayed the administration of a dose. One-third (33.3%) were hesitant toward anti-HPV vaccination with a total Parent Attitudes about Childhood Vaccines Survey (PACV) score ≥50. Unmarried respondents, those who had not heard of HPV infection and did not know that the vaccination was a preventive measure, who did not believe that the vaccination was useful for the prevention of HPV-related cancers, and who needed information on HPV vaccination were more likely to be hesitant. Communication and education strategies must be undertaken to ensure that parents are fully informed and health-care professionals should provide materials with details regarding the risk of acquiring a HPV infection and vaccine usefulness.
这项横断面调查确定了意大利12至13岁青少年父母中与人类乳头瘤病毒(HPV)相关的疫苗犹豫情况及其决定因素。数据通过自填问卷收集。三分之二的父母(66.7%)听说过HPV感染,并且知道接种疫苗是一种预防措施。为孩子接种过HPV疫苗的父母更有可能了解这一知识。绝大多数(88%)认为该疫苗对预防HPV相关癌症有用,平均得分为8.4。在听说过HPV感染且知道接种疫苗是预防措施、从医生处获得过信息、为孩子接种过HPV疫苗、担心孩子会感染HPV以及需要HPV疫苗接种信息的父母中,这种积极态度更为明显。超过一半(57.9%)的父母自我报告称已为孩子接种HPV疫苗,只有6.2%的父母推迟过一剂疫苗接种。三分之一(33.3%)的父母对HPV疫苗接种持犹豫态度,儿童疫苗家长态度调查(PACV)总分≥50。未婚受访者、未听说过HPV感染且不知道接种疫苗是预防措施的人、不认为接种疫苗对预防HPV相关癌症有用的人以及需要HPV疫苗接种信息的人更有可能持犹豫态度。必须采取沟通和教育策略,以确保父母充分了解情况,医疗保健专业人员应提供有关感染HPV风险和疫苗作用的详细资料。