人种,农村和年龄在美国妇女中人类乳头瘤病毒疫苗启动中的作用
Casey Macander1, Hui Wang1, Marcelo Galafassi1
1From the College of Community Health Sciences, Institute for Rural Health Research, University of Alabama, Tuscaloosa.
Southern medical journal
|March 28, 2025
概括
在成年女性中,人乳头瘤病毒 (HPV) 疫苗的发射率很低,特别是在农村地区和少数种族中. 这些群体需要增加HPV疫苗接种工作.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 人类乳头瘤病毒 (HPV) 是美国最常见的性传播感染,与子宫癌有关.
- 2006年推出了HPV疫苗,以减少与HPV相关的癌症发病率和死亡率.
- 在青少年中存在HPV疫苗接种的差异,在成年人群中可能会持续存在.
研究的目的:
- 调查种族/种族,农村分类和年龄对美国成年女性HPV疫苗启动的影响.
- 为了确定具有较低HPV疫苗接种率的特定人口群体.
- 为提高HPV疫苗接种率提供有针对性的公共卫生干预信息.
主要方法:
- 来自2022年国家健康访谈调查的4666名18岁至43岁女性的数据分析.
- 利用后勤回归模型来检查人口因素和HPV疫苗启动之间的关联.
- 关键变量包括种族/种族,农村与城市居住,以及年龄.
主要成果:
- 样本中只有40.1%的成年女性报告曾接种过HPV疫苗.
- 城市居民比农村居民更有可能启动HPV疫苗接种.
- 与白人女性相比,西班牙裔,黑人和亚洲女性的启动率较低,随着年龄的增长,启动率下降.
结论:
- 有针对性的策略至关重要,以增加在农村社区和种族/少数民族群体 (黑人,西班牙裔,亚洲人) 的妇女的HPV疫苗接种率.
- 整体HPV疫苗接种率较低,这凸显了HPV检测和宫癌查的持续重要性,特别是在老年妇女中.
- 解决疫苗接种和教育方面的差异对于减少HPV相关疾病的负担至关重要.
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