Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Division of Cancer Control and Population Sciences, Division of Cancer Control and Population Sciences, University of Puerto Rico Comprehensive Cancer Center, San Juan, Puerto Rico.
Hum Vaccin Immunother. 2022 Nov 30;18(5):2077065. doi: 10.1080/21645515.2022.2077065. Epub 2022 Jun 13.
Human papillomavirus (HPV) knowledge and HPV vaccination uptake remain suboptimal. We assessed sex and educational attainment differences in HPV knowledge and vaccine awareness. Data from a cross-sectional study (2018-2021) in Puerto Rico among adults aged 21-49 was analyzed ( = 278). Adequate knowledge was defined as a score of ≥70% of correct responses on a 13-item knowledge scale. Multivariable logistic regression was used to assess the association of sex (men vs. women) and education (high school or less vs. more than high school) categories with adequate HPV knowledge and vaccine awareness. Adequate HPV knowledge was higher among women (53%) and men (46%) with more than high school and was lower among women (46%) and men (27%) with high school or less. For HPV vaccine awareness, similar results were observed. Women (OR = 3.0 ; 95%CI = 1.4-6.2) and men (OR = 2.3 , 95%CI = 1.1-4.8) with more than high school and women with high school or less (OR = 2.3 , 95%CI = 1.0-5.2) were more likely to have adequate HPV vaccine knowledge than men with high-school or less education. Heightened HPV vaccine awareness was also seen among more educated women and men and women with similar lower education when compared to men with ≤ high school. Men and individuals with lower educational attainment were more likely to have inadequate HPV knowledge and vaccine awareness. HPV vaccine-oriented educational interventions should target these high-risk groups.
人乳头瘤病毒（HPV）知识和 HPV 疫苗接种率仍然不理想。我们评估了性别和教育程度差异对 HPV 知识和疫苗认知的影响。这项横断面研究（2018-2021 年）在波多黎各进行，纳入了 21-49 岁的成年人（n=278）。充足的知识定义为在 13 项知识量表中答对 70%以上的分数。多变量逻辑回归用于评估性别（男性与女性）和教育程度（高中及以上与高中以下）类别与充足的 HPV 知识和疫苗认知的相关性。在高中及以上的女性（53%）和男性（46%）中，HPV 知识充足率较高，而在高中以下的女性（46%）和男性（27%）中，HPV 知识充足率较低。HPV 疫苗认知也观察到类似的结果。高中及以上的女性（OR=3.0；95%CI=1.4-6.2）和男性（OR=2.3；95%CI=1.1-4.8）以及高中以下的女性（OR=2.3；95%CI=1.0-5.2）比高中以下的男性更有可能具有充足的 HPV 疫苗知识。与高中以下的男性相比，教育程度较高的女性和男性以及教育程度相似的女性更有可能具有较高的 HPV 疫苗认知。在与高中以下的男性相比时，HPV 疫苗接种意识在教育程度较低的男性和女性中也有所增强。HPV 知识和疫苗认知不足的风险较高的群体包括男性和受教育程度较低的个体。应该针对这些高风险群体开展 HPV 疫苗为导向的教育干预措施。
