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大学生中的人乳头瘤病毒疫苗:了解疫苗接种的障碍和促进因素

HPV Vaccines Among University Students: Understanding Barriers and Facilitators of Vaccine Uptake.

作者信息

Malik Sana, Mock K Olivia, Martillotti Rose, Caravella Giuseppina, Zhou Xicheng, Mbamelu Matthew, Scarbrough Kathleen H

机构信息

School of Social Welfare, Stony Brook University, Stony Brook, NY 11794, USA.

Department of Psychology, Stony Brook University, Stony Brook, NY 11794, USA.

出版信息

Vaccines (Basel). 2024 Dec 10;12(12):1385. doi: 10.3390/vaccines12121385.

Abstract

Human papillomavirus (HPV) is the most common sexually transmitted infection and plays a significant role in cervical, penile, anal, vaginal, vulvar, and oropharyngeal cancers as well as non-cancerous genital warts and genital dysplasia. In the United States, there are approximately 46,000 new HPV-related cancers a year. There is an effective vaccine to prevent over 90% of these cancers and other HPV-related diseases; however, those that are aged 18-26 have the lowest vaccine rates among eligible age groups. The objective of this study was to examine student knowledge and perceptions about HPV vaccine hesitancy in university students and their notions of barriers and facilitators for HPV vaccine uptake. We aimed to identify components for an evidence-based community-oriented educational intervention to increase HPV vaccination uptake. The researchers recorded 10 focus groups featuring students from a Northeastern United States university, aged 18-26, which were analyzed using grounded theory and inductive thematic analysis to identify recurring themes. The participants mentioned many barriers and facilitators for attaining the HPV vaccine, with health literacy being prominent for both. They demonstrated some knowledge of what HPV is and ways to avoid it. They also expressed a desire for further information and felt that the way in which this information is presented to the public is vital for increasing vaccine uptake and designing future interventions. In order to increase HPV vaccination rates in the general population and overcome barriers such as family, religious, and cultural values, it is important to emphasize the link between HPV and cancer and its preventative benefits.

摘要

人乳头瘤病毒(HPV)是最常见的性传播感染,在宫颈癌、阴茎癌、肛门癌、阴道癌、外阴癌和口咽癌以及非癌性生殖器疣和生殖器发育异常中起重要作用。在美国,每年约有46000例与HPV相关的新发癌症。有一种有效的疫苗可预防90%以上的此类癌症和其他与HPV相关的疾病;然而,18至26岁的人群在符合条件的年龄组中疫苗接种率最低。本研究的目的是调查大学生对HPV疫苗犹豫的知识和认知,以及他们对HPV疫苗接种的障碍和促进因素的看法。我们旨在确定基于证据的社区导向教育干预措施的组成部分,以提高HPV疫苗接种率。研究人员记录了10个焦点小组,参与者为美国东北部一所大学18至26岁的学生,并使用扎根理论和归纳主题分析对其进行分析,以确定反复出现的主题。参与者提到了获得HPV疫苗的许多障碍和促进因素,健康素养在两者中都很突出。他们展示了一些关于HPV是什么以及如何避免感染的知识。他们还表示希望获得更多信息,并认为向公众呈现这些信息的方式对于提高疫苗接种率和设计未来干预措施至关重要。为了提高普通人群的HPV疫苗接种率并克服家庭、宗教和文化价值观等障碍,强调HPV与癌症之间的联系及其预防益处很重要。

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