Differences in knowledge, attitudes and intentions towards HPV vaccination among young adults from diverse socio-cultural groups in Israel: A cross-sectional study

IF 4.5 3区医学 Q2 IMMUNOLOGY

Vaccine Pub Date : 2024-11-28 DOI:10.1016/j.vaccine.2024.126548

Michael Edelstein , Haneen Shibli , Jacob Bornstein

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引用次数: 0

Abstract

In Israel, The Human Papilloma Virus (HPV) vaccine is recommended to both genders up to age 26. Many 18–26 olds missed their opportunity for vaccination during school. Our study described HPV knowledge, attitudes and vaccination intentions among unvaccinated 18–26 Israeli adults across various demographics, aiming to inform future catch-up vaccination strategies.

We recruited participants through an anonymous survey and collected information about demographics and HPV knowledge, attitudes and intentions using questions from validated questionnaires adapted to the Israeli context, distributed between December 2023–February 2024. We calculated weighted mean knowledge and attitude scores according to age, gender, ethnicity and sexual orientation. We determined factors associated with vaccination knowledge, attitudes and intentions using multivariate linear regressions.

Of 4324 respondents, 36 % were vaccinated. Of 1994 unvaccinated individuals included in the final analysis, <50 % reported being familiar with HPV. The overall mean weighted HPV knowledge score was 9.5/14 (95 % CI 9.3–9.7). Older participants, Jewish non-Ultra-Orthodox, and those with higher education levels reported higher knowledge scores. Attitudes towards HPV vaccination were generally neutral but tended towards the positive, with an overall mean weighted score of 2.9/5 (95 %CI 2.88–2.95). Variation in attitudes across different demographic groups was minimal.

Intention to vaccinate within 12 months was low, with <15 % of respondents overall expressing an intention to do so. Factors significantly associated with higher vaccination intention included being Arab, older, female, having multiple sexual partners, and being a student. There was no association between sexual orientation and vaccination intention. Arab participants showed the highest intention to vaccinate despite having the lowest knowledge levels.

Young adults in Israel demonstrate low HPV awareness and vaccination intention, with minor variations in attitudes across different demographics. Providing more information may be insufficient to increase vaccine uptake in all groups. Future catch-up campaigns should be tailored to barriers specific to different groups.

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以色列不同社会文化群体的年轻人对接种 HPV 疫苗的认识、态度和意向存在差异：横断面研究

在以色列，人类乳头瘤病毒 (HPV) 疫苗被推荐给 26 岁以下的男女接种。许多 18-26 岁的青少年在校期间错过了接种疫苗的机会。我们通过匿名调查招募参与者，并使用根据以色列情况改编的有效问卷中的问题收集有关人口统计学、HPV 知识、态度和意向的信息，问卷于 2023 年 12 月至 2024 年 2 月间发放。我们根据年龄、性别、种族和性取向计算了知识和态度的加权平均分。我们使用多元线性回归法确定了与疫苗接种知识、态度和意向相关的因素。在最终分析中包括的 1994 名未接种者中，50% 表示熟悉 HPV。HPV知识的总平均加权分数为9.5/14（95 % CI 9.3-9.7）。年龄较大的参与者、非东正教犹太教徒和受教育程度较高者的知识得分较高。对接种人乳头瘤病毒疫苗的态度总体上是中性的，但也趋于积极，总体平均加权分数为 2.9/5（95 %CI 2.88-2.95）。受访者在 12 个月内接种疫苗的意向不高，只有 15% 的受访者表示有此意向。与较高接种意愿明显相关的因素包括阿拉伯人、年龄较大、女性、有多个性伴侣以及学生。性取向与接种意愿之间没有关联。以色列的年轻人对人类乳头瘤病毒（HPV）的认识和疫苗接种意向都很低，不同人群的态度略有不同。提供更多信息可能不足以提高所有人群的疫苗接种率。未来的补种活动应针对不同群体的具体障碍而量身定制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vaccine 医学-免疫学

CiteScore

8.70

自引率

5.50%

发文量

992

审稿时长

131 days

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