Reasons for non-vaccination against HPV and future vaccination intentions among 19-26 year-old womenReportar como inadecuado

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BMC Women-s Health

, 10:27

First Online: 01 September 2010Received: 18 January 2010Accepted: 01 September 2010


BackgroundDespite CDC recommendations regarding universal catch-up vaccination against human papillomavirus HPV, only about ten percent of young adult women in the United States have been vaccinated. The purpose of this study was to better understand reasons for non-vaccination among insured 19-26 year-old women and to evaluate future vaccination intentions.

MethodsWe used an administrative claims database from a large US managed care plan to identify women aged 19-26 for receipt of a mailed survey. From a sample of 1,375 women with no evidence of HPV vaccination from June 1, 2006 through April 30, 2007, 222 completed surveys were received, of which 185 were eligible for this analysis. The main outcome measures were unvaccinated women-s attitudes and vaccine awareness, likelihood of future action regarding the vaccine, and reasons for inaction.

ResultsAmong the 185 non-vaccinees, 25.4% were married, 83.2% were white, and 89.2% had a college or higher level education. The vaccine was described as very important by 32.4% of subjects, and 30.1% had discussed the vaccine with a doctor and received a doctor-s recommendation. Half or fewer of respondents were -very- or -extremely- likely to discuss the vaccine with their doctor 50.0%, do additional research on the vaccine 42.6%, ask a doctor to get the vaccine 37.5%, or make an appointment to get the vaccine 27.8%, while 48.0% were -somewhat- -very-, or -extremely- likely to do nothing to get the vaccine. Among the latter, reasons for taking no action included being married or in a monogamous relationship 54.9%, belief that the vaccine is too new 35.4%, not having enough information about the vaccine 31.7%, concerns about side effects 24.4%, and uncertainty about insurance coverage 24.4%.

ConclusionsEducational interventions may be needed to enhance HPV vaccination rates among 19-26 year-old women, particularly regarding information about vaccine safety, vaccine efficacy, insurance coverage, and the value of vaccination to women in monogamous relationships.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6874-10-27 contains supplementary material, which is available to authorized users.

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Autor: Gregory D Zimet - Thomas W Weiss - Susan L Rosenthal - Margaret B Good - Michelle D Vichnin


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