影响大学卫生保健提供者的做法,以例行查女大学生HPV疫苗接种状态
Erica Liebermann1, Bing Si2, M Katherine Hutchinson3
1College of Nursing, University of Rhode Island, RINEC 350 Eddy Street Rm 223, Providence, RI, 02903, USA. eliebermann@uri.edu.
美国大学的许多医疗保健提供者并不经常对女学生进行HPV疫苗接种史的查. 执业护士和支持性政策增加了查率,突出了改善HPV疫苗覆盖率的机会.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 医疗保健提供者实践
背景情况:
- 人类乳头瘤病毒 (HPV) 疫苗接种对于预防HPV相关癌症至关重要.
- 美国HPV疫苗覆盖率较低,需要针对青少年和年轻成年人进行有针对性的干预.
- 大学生代表了追赶HPV疫苗接种的关键人口,因为青少年的覆盖率低于最佳.
研究的目的:
- 调查大学医疗保健提供者 (HCP) 在查女学生HPV疫苗接种史时的做法.
- 在大学卫生中心识别与常规HPV疫苗接种查相关的因素.
主要方法:
- 一项调查对1221名美国大学医疗保健工作者 (执业护士,医生,医生助理) 进行了调查.
- 该调查评估了女性大学生中与HPV疫苗接种状态相关的查实践.
- 用多变量逻辑回归分析来确定相关因素.
主要成果:
- 只有45%的大学医疗保健人员经常对大多数女学生的HPV疫苗接种史进行查.
- 与其他提供者相比,执业护士 (NP) 更有可能始终查HPV疫苗接种状态.
- 常规查与NP角色,积极的提供者态度,机构政策,培训和EHR提示有关.
结论:
- 大学卫生中心对于识别和接种未接种疫苗的女学生至关重要.
- 需要进一步的研究来探索各种学生群体的查实践,并确定HPV疫苗接种评估和接种的障碍/促进因素.
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