Factors related to HPV vaccine uptake and 3-dose completion among women in a low vaccination region of the USA: an observational study

BMC Women's Health

Research Article

Brian R. Jackson¹  Julia Bodson²  Mia Hashibe³  Rosemary She⁴  Andrew R. Wilson⁵  Deanna Kepka⁶  Marlene J. Egger⁷  Brooke A. Taylor⁷  Lisa H. Gren⁷  Jessica Greenwood⁷ 

[1] ARUP Laboratories, 500 Chipeta Way, 84108, Salt Lake City, Utah, USA;Department of Pathology, University of Utah, 15 North Medical Drive East, 84112, Salt Lake City, Utah, USA;Huntsman Cancer Institute, Cancer Control and Population Sciences, 2000 Circle of Hope, 84112, Salt Lake City, Utah, USA;Huntsman Cancer Institute, Cancer Control and Population Sciences, 2000 Circle of Hope, 84112, Salt Lake City, Utah, USA;University of Utah, Department of Family and Preventive Medicine, University of Utah School of Medicine, 375 Chipeta Way Ste, 84108, A Salt Lake City, Utah, USA;University of Southern California, Keck School of Medicine, 1975 Zonal Ave, 90033, Los Angeles, California, USA;University of Utah, College of Nursing, 10 South 2000 East, Room 2200, 84112, Salt Lake City, Utah, USA;University of Utah, College of Nursing, 10 South 2000 East, Room 2200, 84112, Salt Lake City, Utah, USA;Huntsman Cancer Institute, Cancer Control and Population Sciences, 2000 Circle of Hope, 84112, Salt Lake City, Utah, USA;University of Utah, Department of Family and Preventive Medicine, University of Utah School of Medicine, 375 Chipeta Way Ste, 84108, A Salt Lake City, Utah, USA;

关键词: HPV;    Human Papillomavirus;    Vaccination;    Immunization;   

DOI  :  10.1186/s12905-016-0323-5

 received in 2016-07-12, accepted in 2016-07-15,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundTo assess the demographic and attitudinal factors associated with HPV vaccine initiation and completion among 18–26 year old women in Utah.MethodBetween January 2013 and December 2013, we surveyed 325 women from the University of Utah Community Clinics about their HPV vaccine related beliefs and behaviors. Odds ratios (ORs) were estimated from logistic regression models to identify variables related to HPV vaccine initiation and series completion.ResultsOf the 325 participants, 204 (62.8 %) had initiated the vaccine and 159 (48.9 %) had completed the 3-dose series. The variables associated with HPV vaccine initiation were lower age (OR = 1.18 per year); being unmarried (OR = 3.62); not practicing organized religion (OR = 2.40); knowing how HPV spreads (OR = 6.29); knowing the connection between HPV and cervical cancer (OR = 3.90); a belief in the importance of preventive vaccination (OR = 2.45 per scale unit); strength of doctor recommendation (OR = 1.86 per scale unit); and whether a doctor’s recommendation was influential (OR = 1.70 per scale unit). These variables were also significantly associated with HPV vaccine completion.ConclusionThe implications of these findings may help inform policies and interventions focused on increasing HPV vaccination rates among young women. For example, without this information, programs might focus on HPV awareness; however, the results of this study illustrate that awareness is already high (near saturation) in target populations and other factors, such as strong and consistent physician recommendations, are more pivotal in increasing likelihood of vaccination. Additionally, our findings indicate the need for discussions of risk assessment be tailored to the young adult population.

【 授权许可】

CC BY   
© The Author(s). 2016