The Johns Hopkins School of Nursing, 525 N. Wolfe Street, Baltimore, MD, 21205, USA.
The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
J Behav Med. 2023 Jun;46(3):509-516. doi: 10.1007/s10865-022-00372-9. Epub 2022 Nov 10.
Despite a significant reduction of human papillomavirus (HPV) infection in the United States in the past decade, Korean American (KA) women experience a disproportionately high cervical cancer burden due to low HPV vaccination rates. Given associations between parental decision-making and adolescent vaccination, it is crucial to identify and address factors influencing parental HPV vaccination decision-making for their children. The purpose of this study was to examine the sociodemographic characteristics and health literacy factors in relation to KA women's willingness to allow their daughters to receive HPV vaccination. We used baseline data collected from 560 KA women who participated in a cluster-randomized trial designed to promote mammography and Pap test screening. Participants answered study questionnaires measuring individual characteristics, cancer literacy, HPV knowledge, and HPV vaccination decision-making for their daughters. Multivariate logistic regression analysis was conducted to identify the correlates of HPV vaccination decision-making among participants. Over half of the participants (54%) endorsed HPV vaccination for their daughters. Low knowledge, compared to high and medium HPV knowledge (aOR 3.48, CI 2.01-6.04 and aOR 2.14, CI 1.46-3.12, respectively), were significantly associated with higher odds of participants' intention to vaccinate their daughters. Additionally, in comparison to low cancer literacy, middle-range cancer literacy (aOR 1.70, CI 1.08-2.68) was significantly associated with higher odds of participants' intention to vaccinate their daughters. Misperceptions about cancer and low HPV knowledge among KA women should be considered when providing vaccine counseling and developing interventions to promote cervical health in this population.
尽管美国在过去十年中大幅降低了人乳头瘤病毒 (HPV) 的感染率，但由于 HPV 疫苗接种率较低，韩裔美国 (KA) 女性的宫颈癌负担仍然过高。鉴于父母决策与青少年疫苗接种之间存在关联，因此确定并解决影响父母为子女接种 HPV 疫苗决策的因素至关重要。本研究旨在探讨与 KA 女性愿意让女儿接种 HPV 疫苗相关的社会人口统计学特征和健康素养因素。我们使用了从 560 名参加旨在促进乳房 X 光检查和巴氏涂片检查的聚类随机试验的 KA 女性收集的基线数据。参与者回答了研究问卷，其中包括衡量个人特征、癌症素养、HPV 知识和 HPV 疫苗接种决策的问题。采用多变量逻辑回归分析确定参与者 HPV 疫苗接种决策的相关因素。超过一半的参与者（54%）表示愿意为女儿接种 HPV 疫苗。与高和中 HPV 知识相比，低 HPV 知识（aOR 3.48，CI 2.01-6.04 和 aOR 2.14，CI 1.46-3.12）与参与者为女儿接种疫苗的意愿呈正相关。此外，与低癌症素养相比，中等癌症素养（aOR 1.70，CI 1.08-2.68）与参与者为女儿接种疫苗的意愿呈正相关。在为 KA 女性提供疫苗咨询和制定促进该人群宫颈癌健康的干预措施时，应考虑她们对癌症的误解和 HPV 知识不足的问题。
