性传播感染诊所使用者对 HPV 疫苗的认识和接种情况:意大利博洛尼亚的一项横断面研究。

3区 综合性期刊
Marta Cleva, Valeria Gaspari, Andrea Ceccarelli, Gabriele Pianese, Davide Griffa, Gionathan Orioni, Christian Cintori, Giuseppe Diegoli, Davide Gori, Marco Montalti
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引用次数: 0

摘要

人类乳头瘤病毒(HPV)感染对健康构成重大威胁,尤其是对男男性行为者(MSM)、艾滋病病毒感染者(PLHIV)和变性人等高危人群。尽管有有效的疫苗可用,但由于各种社会和行为障碍,这些群体的疫苗接种率仍然不理想 (BSD)。2024 年 4 月 8 日至 4 月 12 日,我们在意大利博洛尼亚的性传播感染 (STI) 诊所使用纸质问卷进行了一项横断面调查,调查了 HPV 疫苗的接种情况以及影响接种决定的 BeSD 因素。统计分析包括描述性统计和多变量逻辑回归。在 236 名受访者中,与 30 岁以下女性(72.7%)相比,艾滋病毒携带者和变性者的接种率较低(60.0% 和 15.6%)。不同群体对人类乳头瘤病毒感染的担忧程度差异很大,其中男男性行为者的担忧程度最高(48.7%)。对疫苗安全性和可及性的看法不一,影响了接种决定。多变量分析表明,年龄与感染担忧成反比(OR:0.94,95% CI:0.91-0.98),而 30 岁以下女性(OR:164.0,95% CI:17.2-1560.18)或 MSM(OR:3.53,95% CI:1.37-9.11)与疫苗接种率呈正相关。该研究发现了意大利博洛尼亚性传播感染诊所使用者在HPV疫苗接种率上的差异,强调了开展有针对性的公共卫生运动的必要性。这些活动可以让性传播感染诊所参与进来,并解决意识、安全观念和接种障碍等问题,以提高疫苗接种在性少数群体和性别少数群体中的覆盖率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
HPV Vaccine Awareness and Uptake Among Sexually Transmitted Infections Clinic Users: A Cross-Sectional Study in Bologna, Italy.

Human Papillomavirus (HPV) infection poses a significant health risk, particularly for high-risk groups such as men who have sex with men (MSM), people living with HIV (PLHIV), and transgender individuals. Despite the availability of effective vaccines, uptake among these groups remains suboptimal due to various social and behavioral barriers (BeSD). A cross-sectional survey was conducted at the Sexually Transmitted Infections (STIs) clinic in Bologna, Italy, from 8 April to 12 April 2024 using a paper questionnaire, investigating HPV vaccine uptake and BeSD factors influencing vaccination decisions. Statistical analyses included descriptive statistics and multivariate logistic regression. Among the 236 respondents, PLHIV and transgender individuals demonstrated lower uptake rates (60.0% and 15.6%) if compared to women under 30 years old (72.7%). Concern about HPV infection varied significantly across groups, with MSM showing the highest worry (48.7%). Perceptions of vaccine safety and access were mixed, influencing vaccination decisions. Multivariate analysis indicated that age inversely correlated with infection worry (OR: 0.94, 95% CI: 0.91-0.98), while being a woman under 30 (OR: 164.0, 95% CI: 17.2-1560.18) or MSM (OR: 3.53, 95% CI: 1.37-9.11) was positively associated with vaccine uptake. The study identifies disparities in HPV vaccine uptake among STI clinic users in Bologna, Italy, emphasizing the need for targeted public health campaigns. These campaigns could engage STI clinics and address awareness, safety perceptions, and access barriers to enhance vaccination coverage among sexual and gender minorities.

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来源期刊
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期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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