Faculty of Medicine and Pharmacy, Doctoral School, University of Oradea, 410081 Oradea, Romania.
Department of Psycho-Neurosciences and Recovery, Faculty of Medicine and Pharmacy, University of Oradea, 410081 Oradea, Romania.
Medicina (Kaunas). 2024 Sep 22;60(9):1550. doi: 10.3390/medicina60091550.
Adolescents are the target group for HPV vaccination. Studies that examine factors influencing acceptability among adolescents and interventions aimed at improving knowledge, attitudes, perceptions, intentions, and, most importantly, vaccination rates are less common than those addressing parents or healthcare professionals. The specialized literature was searched for studies evaluating the impact of various interventions on adolescents. In the final analysis, 41 studies were included (35 original studies and 6 reviews). Educational interventions increased adolescents' knowledge scores in the selected studies. Peer education proved highly effective in rapidly and significantly improving knowledge about HPV. Additionally, multicomponent interventions generated awareness and knowledge that persisted for months after the interventions. HPV vaccine uptake increased following educational interventions in 11 out of the 14 studies that evaluated this outcome; studies presenting multicomponent interventions also proved effective in improving vaccination rates. Higher HPV vaccine series completion was reported following a reminder system strategy. Interventions directed at adolescents, combined with strategies involving parents and healthcare professionals, can play an important role in improving HPV vaccination rates. Educated adolescents must be involved in decisions about their own health and can be a valuable source of information for their peers and parents.
青少年是 HPV 疫苗接种的目标人群。研究影响青少年可接受性的因素以及旨在提高知识、态度、看法、意愿的干预措施(最重要的是提高疫苗接种率)比研究父母或医疗保健专业人员的措施要少。针对评估各种干预措施对青少年影响的研究,对专业文献进行了检索。最后,共纳入 41 项研究(35 项原始研究和 6 项综述)。在选定的研究中,教育干预措施提高了青少年的知识得分。同伴教育在迅速显著提高 HPV 知识方面非常有效。此外,多组分干预措施在干预措施实施数月后仍能提高认识和知识。在评估这一结果的 14 项研究中有 11 项研究表明,教育干预措施可提高 HPV 疫苗接种率;提出多组分干预措施的研究也被证明可有效提高疫苗接种率。在采用提醒系统策略后,HPV 疫苗系列完成率更高。针对青少年的干预措施,结合涉及父母和医疗保健专业人员的策略,可以在提高 HPV 疫苗接种率方面发挥重要作用。受过教育的青少年必须参与关于自身健康的决策,并且可以成为同龄人和父母的宝贵信息来源。