Department of Pediatrics, (Ms Rani) and Department of Pediatrics, Division of Infectious Diseases (Dr Shaw), State University of New York Upstate Medical University, Golisano Children's Hospital, Syracuse, New York; Hunter-Rice Health Sciences Library, Samaritan Medical Center, Watertown, New York (Ms Darabener); American Cancer Society, Latham, New York (Mr Seserman); and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia (Dr Bednarczyk).
J Public Health Manag Pract. 2022;28(1):E307-E315. doi: 10.1097/PHH.0000000000001253.
Human papillomavirus (HPV) vaccine uptake remains suboptimal in the United States. Public education is considered an important aspect of increasing vaccination rates.
We systematically reviewed the literature on the impact of public education on HPV vaccine uptake.
PubMed was searched to identify studies published between January 1, 2007, and April 30, 2018, meeting the following inclusion criteria: the study was conducted in the US, education was directed toward the public, and the research included HPV vaccine uptake and/or completion as outcomes.
A total of 3764 studies were screened, and 30 published studies were included in the review. Among those, 13 focused on parent/guardian education, 8 on young adults, 6 on parent/daughter dyads, 1 focused only on adolescents, and 2 studies recruited a mixed-age population. Studies that included parents and young adults and were delivered by experts led to increased uptake of HPV vaccination (n = 14). A majority of the studies included female and Non-Hispanic White population (n = 20). Less than a third of studies included minority groups: Hispanic (n = 4), African American (n = 1), Cambodian American (n = 1), Indian American (n = 1), Korean American (n = 1), and combined Haitian and African American (n = 1) population. Minority group interventions that provided individually tailored messages, addressed misconceptions, removed barriers to vaccination, and engaged parents and community members improved HPV vaccine acceptance (n = 5).
Interventions that delivered HPV-related education by authoritative sources and included parents improved HPV vaccination rates among adolescents and young adults. Community engagement played an important role in vaccine uptake among minority populations. Future studies should focus on male participants and minority populations to reduce disparities in HPV-related cancer incidence and HPV vaccine coverage.
人乳头瘤病毒（HPV）疫苗在美国的接种率仍然不理想。公众教育被认为是提高疫苗接种率的一个重要方面。
我们系统地回顾了关于公众教育对 HPV 疫苗接种率影响的文献。
在 PubMed 上搜索了 2007 年 1 月 1 日至 2018 年 4 月 30 日期间发表的研究，符合以下纳入标准：研究在美国进行，教育面向公众，研究包括 HPV 疫苗接种率和/或完成作为结果。
共筛选了 3764 篇研究，有 30 篇发表的研究纳入了综述。其中，13 项研究侧重于父母/监护人教育，8 项研究侧重于年轻人，6 项研究侧重于父母/女儿对子，1 项研究仅关注青少年，2 项研究招募了混合年龄人群。包括父母和年轻人并由专家提供的研究导致 HPV 疫苗接种率增加（n = 14）。大多数研究包括女性和非西班牙裔白人（n = 20）。不到三分之一的研究包括少数族裔：西班牙裔（n = 4）、非裔美国人（n = 1）、柬埔寨裔美国人（n = 1）、印度裔美国人（n = 1）、韩裔美国人（n = 1）和海地裔和非裔美国人混合人群（n = 1）。提供个性化信息、纠正误解、消除接种障碍以及让父母和社区成员参与的少数族裔群体干预措施提高了 HPV 疫苗的接受率（n = 5）。
由权威来源提供 HPV 相关教育的干预措施，并包括父母，可提高青少年和年轻人的 HPV 疫苗接种率。社区参与在少数族裔人群的疫苗接种中起着重要作用。未来的研究应侧重于男性参与者和少数族裔群体，以减少 HPV 相关癌症发病率和 HPV 疫苗覆盖率的差异。
