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中国母亲为女儿接种人乳头瘤病毒(HPV)疫苗的意愿及其疫苗偏好:福建省的一项研究

Chinese mothers' intention to vaccinate daughters against human papillomavirus (HPV), and their vaccine preferences: a study in Fujian Province.

作者信息

Lin Yulan, Su Zhitai, Chen Fulian, Zhao Qinjian, Zimet Gregory D, Alias Haridah, He Shuqiong, Hu Zhijian, Wong Li Ping

机构信息

Department of Epidemiology and Health Statistics, Fujian Provincial Key Laboratory of Environment Factors and Cancer, School of Public Health, Fujian Medical University , Fuzhou, Fujian Province, China.

Department of Nutrition, Harvard T.H. Chan School of Public Health , Boston, MA, USA.

出版信息

Hum Vaccin Immunother. 2021 Jan 2;17(1):304-315. doi: 10.1080/21645515.2020.1756152. Epub 2020 May 13.

Abstract

Little is known regarding Chinese mothers' intention to vaccinate their daughters against human papillomavirus (HPV) since the HPV vaccine was approved for use in China in 2016. The aim was to explore maternal HPV vaccination acceptance, preference for 2-, 4- or 9-valent HPV vaccine and acceptance of domestically manufactured HPV vaccines. Study participants were mothers of primary school children in Southeastern region of Fujian. An online cross-sectional survey was undertaken between June and August 2019. Among the total of 3,586 completed responses (response rate 28.5%), the intention to vaccinate daughter against HPV was high (83.3%). Higher maternal education and perceived benefit and barriers were associated with greater intention to vaccinate. Among mothers who did not intend to vaccinate their daughters, the three most common reasons were daughter being too young to receive HPV vaccination (40.6%), fear of side effects (31.9%) and vaccine price is too high (16.0%). The largest proportion (41.4%) preferred their daughter to be vaccinated with the 9-valent HPV vaccine (9vHPV). Greater preference for 9vHPVwas strongly associated with higher maternal education level and annual household income. The majority of mothers expressed a preference for imported HPV vaccine (56.3%). Our result indicates that lower intentions to vaccinate daughters against HPV among less educated and lower-income mothers may lead to significant social inequalities in HPV vaccine uptake in the country.

摘要

自2016年人乳头瘤病毒(HPV)疫苗在中国获批使用以来,对于中国母亲为女儿接种HPV疫苗的意愿了解甚少。本研究旨在探讨母亲对HPV疫苗的接受程度、对二价、四价或九价HPV疫苗的偏好以及对国产HPV疫苗的接受情况。研究参与者为福建东南部地区小学生的母亲。于2019年6月至8月开展了一项在线横断面调查。在总共3586份完成的回复中(回复率28.5%),为女儿接种HPV疫苗的意愿较高(83.3%)。母亲受教育程度较高以及感知到的益处和障碍与更高的接种意愿相关。在不打算为女儿接种疫苗的母亲中,最常见的三个原因是女儿年龄太小不能接种HPV疫苗(40.6%)、担心副作用(31.9%)以及疫苗价格过高(16.0%)。最大比例(41.4%)的母亲希望女儿接种九价HPV疫苗(9vHPV)。对9vHPV的更大偏好与母亲更高的教育水平和家庭年收入密切相关。大多数母亲表示更倾向于进口HPV疫苗(56.3%)。我们的结果表明,受教育程度较低和收入较低的母亲为女儿接种HPV疫苗的意愿较低,这可能会导致该国HPV疫苗接种方面出现显著的社会不平等。

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