癌症宿命论与美国拉美裔新兴成年女性接种人乳头瘤病毒疫苗有关

IF 4.5 3区医学 Q2 IMMUNOLOGY

Vaccine Pub Date : 2024-10-16 DOI:10.1016/j.vaccine.2024.126417

Tanjila Taskin , Angelica M. Roncancio , Miguel Ángel Cano , Matthew Valente , Abir Rahman , Erika L. Thompson

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引用次数: 0

摘要

目标尽管人类乳头瘤病毒 (HPV) 疫苗已经上市，但在美国，只有一小部分拉美裔新兴成年人真正接种过该疫苗。由于癌症宿命论，一些拉美裔新成人可能认为接种 HPV 疫苗的益处较少，尽管它对健康有积极影响。本研究旨在确定癌症宿命论、HPV 相关癌症知识和西语裔新兴成年女性接种 HPV 疫苗之间的关系。研究设计在 2020 年 8 月至 12 月期间，对 18 至 26 岁的西语裔女大学生进行了一项横断面研究。共对 689 名参与者进行了完整的个案研究。通过调整逻辑回归模型，确定了与 HPV 疫苗接种相关的潜在因素。研究结果只有 55.6% 的研究对象至少接种过一剂 HPV 疫苗。研究发现，HPV 疫苗接种率与 HPV 相关癌症知识呈正相关（aOR = 1.32；95 % CI = 1.18，1.47），与癌症致死率呈反相关（aOR = 0.97；95 % CI = 0.94，1.00）。要提高这一人群的疫苗接种率，需要采取多种干预策略。本研究建议在这一人群中实施符合其文化背景的健康促进措施，以减少宿命论信念。此外，还应制定一项针对不同文化背景、不同年龄段的 HPV 疫苗教育和推广计划，以增加西班牙裔新兴成年人对 HPV 相关癌症的了解。

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Cancer fatalism is associated with HPV vaccine uptake among Hispanic emerging adult women in the US

Objective

Despite the availability of the Human Papillomavirus (HPV) vaccine, only a small percentage of Hispanic emergent adults in the United States have actually had the vaccination. Due to cancer fatalism, some Hispanic emerging adults may perceive fewer benefits from the HPV vaccine, regardless of its positive health effects. The aim of this study was to determine the relationship between cancer fatalism, knowledge of HPV-associated cancers, and HPV vaccination among Hispanic emerging adult women.

Study design

Between August and December of 2020, a cross-sectional study was conducted among Hispanic college women aged 18 to 26. A complete case study was conducted with 689 participants. Using an adjusted logistic regression model, the potential factors associated with HPV vaccine uptake were identified. The current research was approved by the Institutional Review Boards of the participating universities.

Results

Only 55.6 % of the study population had received at least one dose of the HPV vaccine. The study found that HPV vaccine uptake was positively associated with HPV associated cancer knowledge (aOR = 1.32; 95 % CI = 1.18, 1.47) and was inversely associated with cancer fatalism (aOR = 0.97; 95 % CI = 0.94, 1.00).

Conclusion

According to the results of our study, the HPV vaccination rate among Hispanic emerging adult women is low, and it is necessary to identify the factors that influence vaccination rates. There is a critical, unmet need for innovative approaches to improve HPV vaccination in this population and mitigate the incidence of HPV-related cancers.

Implications

Multiple intervention strategies are required to increase vaccination rates among this population. This study suggests implementing culturally tailored health promotion initiatives that reduce fatalistic beliefs among this population. Furthermore, developing a culturally tailored, age-specific HPV vaccine education and promotion program to increase HPV-associated cancer knowledge among Hispanic emerging adults.

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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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