人乳头瘤病毒疫苗犹豫在美国。

Human Papillomavirus Vaccine Hesitancy in the United States.

机构信息

Department of Mexican American and Latino/a Studies, Latino Research Institute, The University of Texas at Austin, 210 West 24th Street, GWB 1.102, F9200, Austin, TX 78712, USA.

Department of Pediatrics, Indiana University School of Medicine, 410 West 10th Street, HS 1001, Indianapolis, IN 46202, USA.

出版信息

Pediatr Clin North Am. 2023 Apr;70(2):211-226. doi: 10.1016/j.pcl.2022.11.002.

DOI:10.1016/j.pcl.2022.11.002

PMID:36841591

Abstract

Although the US Advisory Committee on Immunization Practices recommends vaccinating adolescents against the human papillomavirus (HPV) to prevent HPV-associated cancers, vaccine initiation and completion rates are suboptimal. Parental and provider hesitancy contributes significantly to low HPV vaccine uptake. This review describes sources of HPV vaccine hesitancy using a World Health Organization framework that categorizes determinants of vaccine hesitancy as follows: contextual factors (historical, sociocultural, environmental, or political factors), individual and group factors (personal perception or influences of the social/peer environment), and vaccine/vaccination-specific issues (directly related to vaccine or vaccination).

摘要

尽管美国免疫实践咨询委员会建议为青少年接种人乳头瘤病毒（HPV）疫苗，以预防 HPV 相关癌症，但 HPV 疫苗的接种率和完成率仍不理想。父母和提供者的犹豫是 HPV 疫苗接种率低的重要原因。本综述使用世界卫生组织的框架描述了 HPV 疫苗犹豫的来源，该框架将疫苗犹豫的决定因素分为以下几类：背景因素（历史、社会文化、环境或政治因素）、个人和群体因素（个人感知或社会/同伴环境的影响）以及疫苗/接种特定问题（与疫苗或接种直接相关）。