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针对母亲群体量身定制的信息在提高接受人乳头瘤病毒(HPV)疫苗接种的行为意愿方面的效果可能会受到社会人口统计学因素的调节。

Efficacy of tailored messages to improve behavioral intent to accept HPV vaccination among mothers may be moderated by sociodemographics.

作者信息

Feemster Kristen A, Head Katharine J, Panozzo Catherine A, O'Dell Sean M, Zimet Gregory D, Kornides Melanie L

机构信息

Vaccine Education Center, Children's Hospital of Philadelphia, Philadelphia, PA.

Division of Infectious Diseases, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA.

出版信息

Prev Med Rep. 2021 May 29;23:101413. doi: 10.1016/j.pmedr.2021.101413. eCollection 2021 Sep.

Abstract

We assessed differences in response to a tailored recommendation intervention for HPV vaccine by participants' sociodemographic characteristics in this exploratory sub-analysis of a larger web-based, randomized-controlled trial on tailored messaging among mothers with low intent to vaccinate their 11-14-year-old child against HPV. The intervention consisted of pre-recorded video messages tailored to 1-5 common concerns about HPV vaccine. In these exploratory analyses, we used generalized linear models to assess differences in post-intervention intent across intervention arms, stratified by sociodemographic characteristics among 496 trial participants. We found significantly higher post-intervention intent in the intervention participants versus the control group among mothers: 1) with younger children; 2) with white vs. black children; 3) with Non-Hispanic children; 4) who were younger; 5) with some college or vocational training; with household incomes of ≥$100,000; and 7) with 1-2 children. Our findings of effect modification by certain sociodemographic factors such as age, race/ethnicity, and household income should be considered when designing similar tailored messaging interventions.

摘要

在一项针对为11至14岁儿童接种HPV疫苗意愿较低的母亲开展的基于网络的大型随机对照试验的探索性子分析中,我们根据参与者的社会人口学特征评估了对HPV疫苗定制推荐干预措施的反应差异。该干预措施包括针对1至5个关于HPV疫苗的常见担忧定制的预录制视频信息。在这些探索性分析中,我们使用广义线性模型评估了496名试验参与者中,按社会人口学特征分层的各干预组干预后意愿的差异。我们发现,在以下母亲群体中,干预组参与者干预后的意愿显著高于对照组:1)孩子年龄较小的母亲;2)孩子为白人而非黑人的母亲;3)孩子为非西班牙裔的母亲;4)年龄较小的母亲;5)接受过一些大学或职业培训的母亲;6)家庭收入≥10万美元的母亲;7)育有1至2个孩子的母亲。在设计类似的定制信息干预措施时,应考虑我们关于年龄、种族/族裔和家庭收入等某些社会人口学因素的效应修正研究结果。

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