在社区HIV诊所探索HPV风险的感知和MSM接种疫苗的动机
Johnathon S Lueck1,2, Lovesimrjit S Sandhu3,4, Jessica Richman3,5
1Dell Medical School, The University of Texas at Austin, 1501 Red River Street, Austin, TX, 78712, USA. johnlueck@utexas.edu.
AIDS and behavior
|June 1, 2025
概括
与男性发生性关系的HIV阳性男性 (HIV+MSM) 中人乳头瘤病毒 (HPV) 疫苗接种率较低与对HPV的认识不足有关.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
背景情况:
- 门癌的发病率正在上升,不成比例地影响与男性发生性关系的HIV阳性男性 (HIV+MSM).
- 人类乳头瘤病毒 (HPV) 疫苗接种是有效的,但在这个人群中吸收率很低.
- 了解对HPV感染和疫苗接种的看法对于改善公共卫生战略至关重要.
研究的目的:
- 探索HIV+MSM中对HPV感染和疫苗接种的看法.
- 为了确定影响HPV疫苗在这个人口群体接受的因素.
- 为提高HPV疫苗接种率提供有针对性的干预信息.
主要方法:
- 在德克萨斯州奥斯的一个联邦合格健康中心,在49名HIV+MSM中进行了横截面调查.
- 该调查使用了健康信念模型 (HBM) 框架来评估有关HPV和疫苗接种的认识,感知严重程度,益处,障碍和行动线索.
- 收集的数据包括人口统计,性行为和HPV/疫苗知识.
主要成果:
- 只有22.45%的参与者至少接种了一剂HPV疫苗.
- 不到一半的人承认HPV在癌中的作用,这表明HPV的整体知识很低.
- 接种疫苗的接受与更高的感知严重程度和益处,更少的障碍和更强的医生建议有关,成本是显著的障碍.
结论:
- 关于HPV与癌的联系,在HIV+MSM中存在严重的认识差距.
- 健康信念模型构造,包括感知严重程度,益处和低障碍,是HPV疫苗接受的关键预测因素.
- 需要有针对性的干预措施,强调易感性,益处和医疗保健提供者的建议,以增加这种服务不足的人群中的HPV疫苗接种率.
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