美国年轻人关于HPV疫苗接种和自我抽样的知识、态度和行为。

IF 1.3 4区医学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Cancer Education Pub Date : 2025-10-03 DOI:10.1007/s13187-025-02701-3

Alyssa Hargis, Carla J Berg, Daisy Le

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引用次数: 0

摘要

鉴于HPV和宫颈癌的高发病率和相关差异，本研究评估了美国成年人HPV预防行为的相关性。使用来自880名美国成年人的2022年在线调查数据（性别= 27.62，女性占66.0%，性少数群体占43.8%，西班牙裔占8.7%，白人占73.9%，黑人占4.5%，亚洲人占11.9%，其他种族占9.7%），多变量回归分析评估了与HPV疫苗接种相关的社会人口学和HPV知识，是否愿意为孩子接种疫苗，以及是否愿意参与HPV自我抽样（在有子宫颈的个体中）。接种HPV疫苗最常见的原因是医生推荐（84.2%）（58.0%），未接种HPV疫苗的主要原因是缺乏医生推荐（51.6%）（42.0%）。HPV疫苗接种与以下因素相关：年轻（aOR = 0.88, CI = 0.84-0.93）、女性（aOR = 2.70, CI = 1.92-3.85）、本科学历(相对于本科学历（aOR = 1.85, CI = 1.01-3.12）、没有孩子（aOR = 0.44, CI = 0.27-0.72）、HPV知识丰富（aOR = 1.20, CI = 1.10-1.30）。愿意给孩子接种疫苗与以下因素相关：性少数（相对于异性恋者；B = 0.16, CI = 0.05-0.27）、亚洲种族（相对于白人；B = 0.20, CI = 0.04-0.36）、没有孩子（B = - 0.23, CI =[- 0.38, -0.08]）、更了解HPV （B = 0.06, CI = 0.03-0.08）和HPV疫苗接种（B = 0.39, CI = 0.28-0.50）。在有子宫颈的参与者（n = 501）中，愿意尝试HPV自我抽样与其他种族（相对于白人；B = 0.44, CI = 0.09-0.79），没有孩子（B = - 0.30, CI =[- 0.61, - 0.01]），更多的HPV知识（B = 0.11, CI = 0.05-0.17）以及更少的自我抽样（B = - 0.33, CI =[- 0.42, - 0.24]）相关。涉及卫生保健提供者和父母教育的干预措施对于促进HPV预防行为和减少差异至关重要。

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Knowledge, Attitudes, and Behaviors Regarding HPV Vaccination and Self-Sampling Among US Young Adults.

Given the high HPV and cervical cancer rates and related disparities, this study assessed correlates of HPV-prevention behaviors among US adults. Using the 2022 online survey data from 880 US adults (M_age = 27.62; 66.0% female, 43.8% sexual minority, 8.7% Hispanic, 73.9% White, 4.5% Black, 11.9% Asian, 9.7% other race), multivariable regression analyses assessed sociodemographic and HPV knowledge in relation to HPV vaccination, willingness to vaccinate one's child, and willingness to engage in HPV self-sampling (among individuals with a cervix). The most common reason for HPV vaccination (58.0%) was doctor recommendation (84.2%), while the main reason for not being vaccinated (42.0%) was the lack of doctor recommendation (51.6%). HPV vaccination was associated with being younger (aOR = 0.88, CI = 0.84-0.93), female (aOR = 2.70, CI = 1.92-3.85), bachelor's (vs. < bachelor's; aOR = 1.82, CI = 1.16-2.86) or > bachelor's degree educated (aOR = 1.85, CI = 1.01-3.12), not having children (aOR = 0.44, CI = 0.27-0.72), and greater HPV knowledge (aOR = 1.20, CI = 1.10-1.30). Willingness to vaccinate one's child was associated with identifying as a sexual minority (vs. heterosexual; B = 0.16, CI = 0.05-0.27), Asian race (vs. White; B = 0.20, CI = 0.04-0.36), not having children (B = - 0.23, CI = [- 0.38, - 0.08]), greater HPV knowledge (B = 0.06, CI = 0.03-0.08), and HPV vaccination (B = 0.39, CI = 0.28-0.50). Among participants with a cervix (n = 501), willingness to try HPV self-sampling was associated with identifying as another race (vs. White; B = 0.44, CI = 0.09-0.79), not having children (B = - 0.30, CI = [- 0.61, - 0.01]), greater HPV knowledge (B = 0.11, CI = 0.05-0.17), and fewer concerns about self-sampling (B = - 0.33, CI = [- 0.42, - 0.24]). Interventions involving healthcare providers and parental education are essential for promoting HPV prevention behaviors and reducing disparities.

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来源期刊

Journal of Cancer Education 医学-医学：信息

CiteScore

3.40

自引率

6.20%

发文量

122

审稿时长

4-8 weeks

期刊介绍： The Journal of Cancer Education, the official journal of the American Association for Cancer Education (AACE) and the European Association for Cancer Education (EACE), is an international, quarterly journal dedicated to the publication of original contributions dealing with the varied aspects of cancer education for physicians, dentists, nurses, students, social workers and other allied health professionals, patients, the general public, and anyone interested in effective education about cancer related issues. Articles featured include reports of original results of educational research, as well as discussions of current problems and techniques in cancer education. Manuscripts are welcome on such subjects as educational methods, instruments, and program evaluation. Suitable topics include teaching of basic science aspects of cancer; the assessment of attitudes toward cancer patient management; the teaching of diagnostic skills relevant to cancer; the evaluation of undergraduate, postgraduate, or continuing education programs; and articles about all aspects of cancer education from prevention to palliative care. We encourage contributions to a special column called Reflections; these articles should relate to the human aspects of dealing with cancer, cancer patients, and their families and finding meaning and support in these efforts. Letters to the Editor (600 words or less) dealing with published articles or matters of current interest are also invited. Also featured are commentary; book and media reviews; and announcements of educational programs, fellowships, and grants. Articles should be limited to no more than ten double-spaced typed pages, and there should be no more than three tables or figures and 25 references. We also encourage brief reports of five typewritten pages or less, with no more than one figure or table and 15 references.