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首页> 外文期刊>Journal of community health >HPV-related risk perceptions and HPV vaccine uptake among a sample of young rural women.
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HPV-related risk perceptions and HPV vaccine uptake among a sample of young rural women.

机译：在年轻的农村妇女样本中，HPV相关的风险感知和HPV疫苗摄入量。

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Appalachia Kentucky is recognized for increased cervical cancer incidence, morbidity and mortality and lower rates of Pap testing. Understanding the predictors of Human Papillomavirus (HPV) vaccine uptake is warranted among this population. The purpose of this exploratory research is to determine associations between HPV-related risk perceptions and uptake of free Gardasil offered to rural Appalachian women ages 18-26 attending regional health clinics. Young women (N = 247) were recruited from health clinics in Southeastern, Kentucky from March 2008 through September 2009. After completing a brief interview assessing seven HPV-related risk perceptions, women received a HPV vaccine voucher which provided the entire three-dose vaccine series free of charge. Whether women redeemed the voucher for dose one of Gardasil served as the study outcome variable. Hierarchical logistic regression was used to estimate the independent effects of each predictor variable on vaccine uptake. Less than 50% redeemed the voucher to receive dose one of the HPV vaccine. Five of the seven variables significantly predicted uptake. In a controlled analysis, only two predictors remained significant: "in general, vaccines are a good thing" (P = .02) and "I believe that getting the vaccine will be painful" (P = .03). The remaining three predictor variables (worry about having HPV [P = .07], HPV is serious enough for vaccination [P = .43], and not sure vaccine is safe [P = .22]) were not significant in the model. Health promotion programs designed for this population may enhance HPV vaccine uptake by creating more realistic perceptions about the inherent value of vaccines and by improving perceptions relative to injection pain.
机译：阿巴拉契亚肯塔基州因宫颈癌的发病率，发病率和死亡率增加以及子宫颈抹片检查的发生率降低而闻名。在这一人群中，有必要了解人乳头瘤病毒（HPV）疫苗摄入的预测因素。这项探索性研究的目的是确定与HPV相关的风险感知与为参加地区保健诊所的18至26岁阿巴拉契亚乡村妇女提供的免费Gardasil摄入量之间的关联。从2008年3月至2009年9月，从肯塔基州东南部的健康诊所招募了年轻妇女（N = 247）。在完成对七种HPV相关风险感知的简短访谈后，妇女获得了HPV疫苗券，其中提供了全部三剂疫苗系列免费。妇女是否以Gardasil的剂量之一兑换优惠券作为研究结果变量。分层逻辑回归用于估计每个预测变量对疫苗摄入的独立影响。不到50％的人兑换了代金券，以接受HPV疫苗中的一种剂量。七个变量中的五个显着预测摄取。在对照分析中，只有两个预测因素仍然很重要：“一般而言，疫苗是一件好事”（P = .02）和“我相信接种疫苗会很痛苦”（P = .03）。其余三个预测变量（担心有HPV [P = .07]，HPV严重到足以进行疫苗接种[P = .43]，以及不确定疫苗是否安全[P = .22]）在模型中并不重要。为此人群设计的健康促进计划可以通过对疫苗的内在价值建立更现实的认识，并通过改善相对于注射痛的认识，来提高HPV疫苗的使用率。

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