University of Guam Cancer Research Center, Mangilao, Guam.
Hawaii J Health Soc Welf. 2024 Feb;83(2):54-60.
Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States and is linked to several cancers. In Guam, the HPV vaccination rate falls short of the National Healthy People 2030 goal. Only half of eligible Guam teens have received the HPV vaccination series. Additionally, research on Guam HPV vaccination is limited. A cross-sectional survey was conducted, and a representative sample of Guam residents (n=775) was surveyed to examine their knowledge, attitudes, beliefs, practices regarding HPV, and barriers to HPV vaccination. Aggregated scores were calculated for these scale items: attitude, knowledge, subjective norms, and perceived behavioral control regarding HPV. One-way Analysis of Variance (ANOVA) was used to compare the means of the scores and check for significant differences. Binary logistic regression helped to identify significant predictors of HPV vaccination among respondents with children. Significant differences were found for sex, education, income, and ethnicity. Women and those with higher education and income demonstrated higher positive attitudes and knowledge about HPV vaccination. Also, those with health insurance and those who were advised by their physician were more likely to get their children vaccinated. These results will guide the implementation of effective strategies for developing targeted behavioral and other appropriate interventions to increase HPV vaccination in Guam.
人乳头瘤病毒（HPV）是美国最常见的性传播感染，与几种癌症有关。在关岛，HPV 疫苗接种率低于国家 2030 年健康人目标。只有一半符合条件的关岛青少年接种了 HPV 疫苗系列。此外，关于关岛 HPV 疫苗接种的研究有限。进行了横断面调查，对关岛居民（n=775）进行了代表性样本调查，以检查他们对 HPV 的知识、态度、信念、实践以及 HPV 疫苗接种的障碍。针对这些量表项目计算了综合得分：HPV 相关态度、知识、主观规范和感知行为控制。使用单因素方差分析（ANOVA）比较得分的平均值并检查是否存在显著差异。二元逻辑回归有助于确定有子女的受访者中 HPV 疫苗接种的显著预测因素。在性别、教育程度、收入和种族方面存在显著差异。女性和受教育程度和收入较高的人对 HPV 疫苗接种的态度和知识更高。此外，有医疗保险和医生建议的人更有可能为孩子接种疫苗。这些结果将指导实施有效的策略，制定有针对性的行为和其他适当的干预措施，以增加关岛的 HPV 疫苗接种。
