Sobierajski Tomasz, Rzymski Piotr, Małecka Ilona, Augustynowicz Ewa
Center of Sociomedical Research, Faculty of Applied Social Sciences and Resocialization, University of Warsaw, 26/28 Krakowskie Przedmieście Str., 00-927 Warsaw, Poland.
Department of Environmental Medicine, Poznan University of Medical Sciences, 60-806 Poznań, Poland.
Vaccines (Basel). 2023 Oct 20;11(10):1618. doi: 10.3390/vaccines11101618.
The vaccination of children against human papillomavirus (HPV) effectively prevents HPV infection and HPV-related cancers in women and men. However, HPV vaccination programs are met with vaccine hesitancy, which varies between countries. The coverage in Poland is low, although introducing nationally funded HPV vaccination for girls aged 12-13 in mid-2023 may increase it. The uptake of the HPV vaccine in adolescents is highly affected by parental decisions, which in turn can be influenced by interactions with the physician. The present representative study aimed to analyze the acceptance of the HPV vaccine among Polish parents ( = 360) and the level of trust in HPV vaccination in the pediatrician/general practitioner who takes care of their children aged 9-15 years. The data were gathered in September 2022 using computer-assisted telephone interviews. Most surveyed parents reported trusting their child's physician regarding vaccine recommendations (89.2%) and vaccinated their child with all or most of the vaccines recommended by a national vaccination guideline (94.7%). However, 13.3% declared themselves as moderate or strong vaccine opponents, a group characterized by high (83.4%) distrust in physicians. There was no difference in the awareness of HPV in groups varying in trusting the physicians, but parents who trusted them were more frequently aware of the HPV vaccine. Parental willingness to vaccinate their child against HPV was highly differentiated by the level of trust in the child's physician. The results highlight that trust in physicians is a critical factor shaping decisions for children's vaccination, stressing a continuous need to improve strategies to communicate with patients.
儿童接种人乳头瘤病毒（HPV）疫苗可有效预防女性和男性的HPV感染及HPV相关癌症。然而，HPV疫苗接种计划面临疫苗犹豫问题，不同国家的情况有所不同。波兰的疫苗接种覆盖率较低，不过在2023年年中为12 - 13岁女孩引入国家资助的HPV疫苗接种可能会提高覆盖率。青少年对HPV疫苗的接种率受父母决定的高度影响，而父母的决定又可能受到与医生互动的影响。本项具有代表性的研究旨在分析波兰父母（n = 360）对HPV疫苗的接受程度以及他们对照顾其9至15岁孩子的儿科医生/全科医生在HPV疫苗接种方面的信任程度。数据于2022年9月通过计算机辅助电话访谈收集。大多数接受调查的父母表示信任孩子的医生关于疫苗接种的建议（89.2%），并且按照国家疫苗接种指南为孩子接种了所有或大部分推荐疫苗（94.7%）。然而，13.3%的父母宣称自己是中度或强烈的疫苗反对者，这一群体对医生的不信任程度较高（83.4%）。在信任医生程度不同的群体中，对HPV的认知没有差异，但信任医生的父母更常了解HPV疫苗。父母让孩子接种HPV疫苗的意愿因对孩子医生的信任程度而有很大差异。研究结果表明，对医生的信任是影响儿童疫苗接种决策的关键因素，强调持续需要改进与患者沟通的策略。
