影响青少年HPV疫苗接种的因素:指导临床实践的证据
Taylor Mullin1, Diane Von Ah2,3
1College of Nursing, The Ohio State University, Columbus, Ohio, USA.
Worldviews on evidence-based nursing
|February 19, 2026
概括
美国青少年接种人类乳头瘤病毒 (HPV) 疫苗的比例不足,与健康的社会决定因素相关的显著差异. 解决这些问题需要改善接入,沟通和政策干预,以减少与HPV相关的癌症.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 健康差距 研究 研究 研究 研究
背景情况:
- 人类乳头瘤病毒 (HPV) 是可预防癌症的重要原因之一.
- 美国青少年的HPV疫苗接种率低于最佳水平,受个人因素和健康社会决定因素 (SDOH) 的影响.
研究的目的:
- 系统地审查和综合有关美国青少年 (年龄9-18岁) 开始和完成HPV疫苗接种的个人因素和SDOH的文献.
主要方法:
- 对2092篇文章进行系统的文献搜索 (PRISMA指导方针),产生了37项符合条件的研究.
- 使用STROBE检查清单评估方法质量;使用证据水平框架评估研究强度.
主要成果:
- 平均HPV疫苗启动和完成率分别为47%和40%.
- 更高吸收率的预测因素包括提供者推,保险,城市居住,老年和父母教育.
- 在农村,少数民族和低收入人群中,差异显著;障碍包括父母的担忧和物流.
结论:
- 需要多方面的策略来解决HPV疫苗接种差异,包括改善医疗保健准入,改善提供者-家长沟通,以及基于学校的计划等政策干预.
- 在日常青少年护理中规范HPV疫苗接种对于减少HPV相关癌症负担至关重要.
- 研究结果支持年轻人接种补时疫苗,并为更广泛的寿命保护提供共享决策.
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