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首页> 外文期刊>Open access Emergency Medicine >Knowledge and Acceptability of Human Papillomavirus Vaccination and Text Message Reminders for Adolescents in Urban Emergency Departments: A Pilot Study
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Knowledge and Acceptability of Human Papillomavirus Vaccination and Text Message Reminders for Adolescents in Urban Emergency Departments: A Pilot Study

机译：人乳头瘤病毒疫苗接种的知识和可接受性和城市应急部门青少年的文本消息提醒：试点研究

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Purpose: Cervical, oropharyngeal and anogenital cancers are vaccine-preventable diseases, but human papillomavirus (HPV) vaccination coverage in the US remains poor overall with regional variations in vaccination rates. We explore the acceptability by adolescents and their parents of HPV vaccination and text message reminders in the non-traditional setting of the emergency department (ED). Patients and Methods: The modified validated Carolina HPV Attitudes and Beliefs Scale (CHIAS) survey was administered at two urban EDs to adolescents aged 13– 18 years and their parents. Demographic information was collected for each participating adolescent. Recruitment occurred with consecutive eligible participants on the ED census list approached within 4-hour blocks from 8am to 8pm. Results: Ninety-six adolescents completed the survey. The mean adolescent and parental knowledge scores were 63% (SD=29.7) and 60% (SD=22.1), respectively. The higher the HPV knowledge score among both adolescents and parents, the more likely they were to accept HPV vaccine in ED. Among the 10 cases where the parents disagreed to the HPV vaccine and the adolescents agreed to the HPV vaccine, the mean knowledge score among parents disagreeing was 47 compared to 62 among the remaining parents (p=0.04). Sixty-seven?percent of adolescents and 68% of parents were agreeable to the adolescent receiving vaccination in the ED (kappa = 0.24). Seventy-five?percent of adolescents and 71% of parents reported being agreeable to receiving text reminders for HPV vaccines (kappa = 0.20). Adolescent agreement with receiving a text message reminder corresponded with an increased willingness to be vaccinated (OR=3.21, 95% CI=1.07– 9.57, p-value=0.0368). Sexually active adolescents were older (mean age, 17 years) than those who reported no sexual activity (mean age, 15 years) (p 0.0001). Conclusion: Increased knowledge about HPV influences vaccine acceptance. Parents and adolescents may disagree in accepting HPV vaccination. A majority of adolescents and their parents were agreeable to receiving HPV vaccination in the ED and subsequent text message reminders. The ED should be explored further as a non-traditional healthcare setting for HPV vaccination of adolescents.
机译：目的：宫颈癌，口咽和源性癌症是可染色疫苗可预防的疾病，但美国的人乳头瘤病毒（HPV）疫苗接种覆盖范围总体缺陷率较差，具有疫苗接种率的区域变化。我们探讨了青少年及其父母的HPV疫苗接种和文本消息的可接受性，并在急诊部（ED）的非传统环境中提醒。患者和方法：修改后的验证的Carolina HPV态度和信仰规模（Chias）调查是在13岁 - 18岁及其父母年龄的两个城市EDS到青少年。为每个参与的青少年收集人口统计信息。招聘发生在ED人口普查名单上的连续符合条件的参与者，从上午8点到晚上8点到8点到期。结果：96名青少年完成了调查。平均青少年和父母知识评分分别为63％（SD = 29.7）和60％（SD = 22.1）。两只青少年和父母之间的HPV知识分数越高，他们越有可能接受ED的HPV疫苗。在父母对HPV疫苗和青少年同意的父母同意HPV疫苗的10起患者中，父母不同意的平均知识评分为47，剩下的父母中的62分（P = 0.04）。六十七名的青少年和68％的父母对ED的青少年接受疫苗接种（Kappa = 0.24）。七十五？百分之一年的青少年和71％的父母报告令人满意地接受HPV疫苗的文本提醒（Kappa = 0.20）。接受文本消息提醒的青少年协议与接种疫苗的意愿增加（或= 3.21,95％CI = 1.07- 9.57，P值= 0.0368）。性活跃的青少年比报告的性活动（平均年龄为15年）（P <0.0001），性活跃的青少年（平均年龄为17岁）。结论：增加了关于HPV的知识影响疫苗接受。父母和青少年可能不同意接受HPV疫苗接种。大多数青少年和他们的父母都令人愉快地在ED和随后的短信提醒中接受HPV疫苗接种。 ED应进一步探索作为青少年HPV疫苗接种的非传统医疗保健设定。

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