Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, 323A Rosenau Hall, 135 Dauer Dr, Chapel Hill, NC, 27599, USA.
College of Health Sciences, University of Missouri, USA.
Asian Pac J Cancer Prev. 2024 Aug 1;25(8):2761-2772. doi: 10.31557/APJCP.2024.25.8.2761.
Patient-centered communication has emerged as a potent strategy for increasing vaccine uptake. Drawing on evidence-based paths established from previous studies, our study examines the relationship between patient-centered communication, HPV knowledge and perceived HPV vaccine effectiveness. We also explored the sociodemographic factors impacting patient-centered communication, HPV knowledge and perceived HPV vaccine effectiveness.
We analyzed data from the Health Information National Trends Survey (HINTS) 5, Cycle 1, ran Structural equation modeling (SEM) to test the pathways in our conceptual framework.
Our sample comprised 2522 adults aged 18-79 (mean age 47.98 years) who were predominantly Non-Hispanic White (67.65%), female (53.31%), and heterosexual (95.12%). The model fit statistics for the final structural model indicated a good fit [RMSEA= 0.039, CFI=0.99 TLI= 0.99, and SRMR =0.070]. The path linking patient-centered communication to HPV knowledge (β=0.011, p<0.05), and the knowledge-mediated path linking patient-centered communication to HPV vaccine effectiveness (β=0.007, p<0.05) were found to be statistically significant.
HPV researchers must delve deeper into patient-centered communication practices to improve vaccine uptake. Tailoring conversations to individual needs and preferences is key to enhancing HPV knowledge, and ultimately improve perceptions of HPV vaccine effectiveness and increase its acceptability.
以患者为中心的沟通已成为提高疫苗接种率的有效策略。本研究借鉴先前研究中建立的循证路径，考察了以患者为中心的沟通、HPV 知识和 HPV 疫苗效果感知之间的关系。我们还探讨了影响以患者为中心的沟通、HPV 知识和 HPV 疫苗效果感知的社会人口因素。
我们分析了健康信息全国趋势调查（HINTS）第 5 轮第 1 周期的数据，采用结构方程模型（SEM）检验我们概念框架中的路径。
我们的样本包括 2522 名 18-79 岁的成年人（平均年龄为 47.98 岁），其中主要是非西班牙裔白人（67.65%）、女性（53.31%）和异性恋者（95.12%）。最终结构模型的模型拟合统计数据表明拟合良好[RMSEA=0.039，CFI=0.99，TLI=0.99，SRMR=0.070]。以患者为中心的沟通与 HPV 知识之间的路径（β=0.011，p<0.05）以及以知识为中介的以患者为中心的沟通与 HPV 疫苗效果之间的路径（β=0.007，p<0.05）具有统计学意义。
HPV 研究人员必须深入研究以患者为中心的沟通实践，以提高疫苗接种率。针对个体需求和偏好调整对话是增强 HPV 知识的关键，最终可改善 HPV 疫苗效果感知，提高其可接受性。
