背景:生殖器人乳头瘤病毒(HPV)感染是美国(US)15-25岁年轻人中最普遍的性传播感染。尽管HPV疫苗被推荐用于26岁以下的人群,疫苗完成率仍然很低。
方法:因此,我们的研究利用行为变化的综合理论领域框架(TDF)系统地确定追赶型HPV疫苗接种的促进因素和障碍.五个数据库-Medline,Embase,CINAHL,ERIC,和PsycINFO于2009年1月至2019年7月进行了实证研究,使用定量和定性方法评估美国高校内18-26岁男性的HPV疫苗摄入量.TDF分析过程包括使用混合演绎-归纳方法提取的内容分析,将数据分析和分类为TDF域/主题和子主题。
结果:总体而言,选择17项研究进行数据提取。我们确定了影响大学男生HPV疫苗接种行为的11个关键TDF领域:“知识”(82%的纳入研究),“环境背景和资源”(53%),“对后果的信念”(53%),“不切实际的乐观”(50%)和“悲观”(6%),\'情感\'(50%),“社会影响”(50%),“关于能力的信念”(41%),“意向”(24%),\'钢筋\'(18%),“社会职业角色和身份”(12%),和“行为调节”(12%)。影响HPV疫苗摄取的障碍包括缺乏关于HPV感染的知识和意识。HPV疫苗安全性,有效性,副作用,和成本;缺乏健康提供者的建议;缺乏医疗保健和健康保险;HPV感染的感知易感性和严重程度较低;HPV疫苗错误信息;以及关于HPV疫苗接种的社会耻辱和同伴影响。HPV疫苗摄取的促成者包括HPV疫苗的高水平的感知益处。
结论:我们的研究从理论上确定了影响HPV疫苗接种的因素。这可以为有效的规划提供信息,支持,并实施干预措施,以促进大学/大学环境中高危男性的HPV疫苗接种实践。
Genital human papillomavirus (HPV) infection is the most prevalent sexually transmitted infection among young adults ages 15-25 years in the United States (US). Although HPV vaccines are recommended for individuals ages through 26 years, vaccine completion rates remain substantially low.
Accordingly, our study utilized a comprehensive - Theoretical Domains Framework (TDF) of behavior change to systematically identify facilitators and barriers to catch-up HPV vaccinations. Five databases - Medline, Embase, CINAHL, ERIC, and PsycINFO were searched from January 2009 to July 2019 for empirical studies using quantitative and qualitative methods to assess HPV vaccine uptake among males ages 18-26 years within US college and university settings. The TDF analytic process included a content analysis using the mixed deductive-inductive approach to extract, analyze and categorize data into TDF domains/themes and sub-themes.
Overall, 17 studies were selected for data extraction. We identified eleven key TDF domains that influenced HPV vaccination behavior among college male students: \'knowledge\' (82% of included studies), \'environmental context and resources\' (53%), \'beliefs about consequences\' (53%), \'unrealistic optimism\' (50%) and \'pessimism\' (6%), \'emotion\' (50%), \'social influences\' (50%), \'beliefs about capabilities\' (41%), \'intention\' (24%), \'reinforcement\' (18%), \'social professional role and identity\'(12%), and \'behavioral regulation\' (12%). Barriers influencing HPV vaccine uptake included lack of knowledge and awareness regarding HPV infections, HPV vaccine safety, effectiveness, side effects, and costs; absence of health providers\' recommendations; lack of healthcare and health insurance; low levels of perceived susceptibility and severity for HPV infections; HPV vaccine misinformation; as well as social stigma and peer influences regarding HPV vaccinations. Enablers for HPV vaccine uptake included high levels of perceived benefits for HPV vaccines.
Our study theoretically identified factors influencing HPV vaccinations. This could inform the efficient planning, support, and implementation of interventions that facilitate catch-up HPV vaccination practices among high-risk males within college/university settings.