Evli kadınların HPV aşısına destek sağlayan erkek partner özellikleri
Amaç: Partnerlerine HPV aşısı olması konusunda destek veren erkeklerin özelliklerini değerlendirmek. Gereç ve Yöntemler: Kadın hastalıkları polikliniğine başvuran tüm evli kadınlar (<26 yaş) ve eşleri çalışmaya katılım açısından değerlendirildi. Hastaların ve erkek partnerlerin tüm özellikleri kaydedildi. Tüm erkek katılımcılar, HPV ve HPV aşısı hakkında on ifade içeren bir anket formunu yanıtladı. Erkek katılımcılar, eşlerinin HPV aşısını desteklemelerine ve desteklememelerine göre iki gruba ayrıldı. Bulgular: Toplamda 92 erkek partneri için HPV aşısını desteklerken, 144 erkek HPV aşısına karşı çıktı (destek oranı: %39). Ortalama evlilik yaşı, eğitim durumu ve aylık gelir eşlerine HPV aşısını destekleyen erkekler lehine anlamlı olarak yüksekti. Dindar olduğunu belirtenlerin oranı aşı karşıtı grupta anlamlı olarak daha yüksekti. Aşı ile ilgili güvenlik endişeleri (%27,8), aşının maliyeti (%26,4) ve HPV aşısının etkinliğine dair inanç (%26,4) HPV aşısına karşı çıkmanın en yaygın nedenleriydi. Çok değişkenli regresyon analizinde evlilik yaşı ≥25, lise ve üniversite eğitim düzeyi, aylık gelirin yüksek olması ve kendini dindar olarak tanımlamamanın HPV aşısı destek oranını artırdığını ortaya koydu. Sonuç: Bu çalışmada evlilik yaşı, eğitim düzeyi, aylık geliri ve HPV anketi puanı yüksek olan erkeklerin eşlerinin HPV aşısı olmalarını anlamlı olarak daha fazla destekledikleri bulunmuştur. Buna karşılık, kendilerini dindar olarak tanımlayan erkekler, eşlerinin aşı olmasını önemli ölçüde daha az desteklediler.
Male partner characteristics providing support for HPV vaccination of married women
Objective: To evaluate the characteristics of men who support their partners in getting the HPV vaccine. Material And Methods: All married women (< 26 years) who were admitted to the gynecology outpatient clinic and their husbands were evaluated for participation in the study. Patients’ and all characteristics of male partners were recorded. All male participants answered a survey form including ten statements about HPV and HPV vaccination. Male participants were divided into two groups according to their support or lack of support for HPV vaccination of their wife. Results: In total, 92 men supported HPV vaccination for their partners and 144 men opposed HPV vaccination (support rate: 39%). The mean marriage age, education status and monthly income were significantly higher in favor of men who support HPV vaccination for their wives. The rate of those who stated they were religious was significantly higher in the anti-vaccine group. Safety concerns about vaccine (27.8%), cost of vaccine (26.4%) and belief about HPV vaccine effectiveness (26.4%) were most common reasons for opposing HPV vaccination. Multivariate regression analysis revealed marriage age ≥25 years, education level of high school and university, higher monthly income and not self-identification as religious increased the HPV vaccine support rate. Conclusion: The present study found that men with higher marriage age, higher educational level, higher monthly income, and higher score on the HPV survey were significantly more supportive of their spouses getting the HPV vaccination. In contrast, men who identified themselves as religious had significantly less support for their wife being vaccinated.
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- 1- Pagliusi S. Vaccines against Human Papillomavirus. World Health Organization; Retrieved January 25, 2009 from the World Wide Web: http://www.who.int/vaccines/en/hpvrd.shtml.
- 2- Arbyn M, Weiderpass E, Bruni L, et al. Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis. Lancet Glob Health. 2020;8:191-203.
- 3- Agosti JM, Goldie SJ. Introducing HPV vaccine in developing countries—key challenges and issues. New England Journal of Medicine. 2007;356:1908-10. https://www.cdc.gov/hpv/index.
- 5- Yeganeh N, Curtis D, Kuo A. Factors influencing HPV vaccination status in a Latino population; and parental attitudes towards vaccine mandates. Vaccine. 2010;28:4186-91.
- 6- Santhanes D, Yong CP, Yap YY, et al. Factors influencing intention to obtain the HPV vaccine in South East Asian and Western Pacific regions: A systematic review and meta-analysis. Sci Rep. 2018;8:3640 - 46.
- 7- Nickel B, Dodd RH, Turner RM, et al. Factors associated with the human papillomavirus (HPV) vaccination across three countries following vaccination introduction. Prev Med Rep. 2017;8:169-176.
- 8- Dursun P, Altuntas B, Kuscu E, Ayhan A. Women's knowledge about human papillomavirus and their acceptance of HPV vaccine. Aust N Z J Obstet Gynaecol. 2009;49:202-6.
- 9- Cetin HK, El Kilic H, Koramaz I, Demir T. The Evaluation of Cardiovascular Surgery-Associated Google Search Trends During COVID-19 Waves. Sisli Etfal Hastan Tip Bul. 2022;56(3):323-327.
- 10- Rosenthal SL, Rupp R, Zimet GD, et al. Uptake of HPV vaccine: demographics, sexual history and values, parenting style, and vaccine attitudes. Journal of Adolescent Health. 2008;43:239-45.
- 11- Constantine NA, Jerman P. Acceptance of human papillomavirus vaccination among Californian parents of daughters: a representative statewide analysis. Journal of Adolescent Health. 2007;40:108-15.
- 12- Jones M, Cook R. Intent to receive an HPV vaccine among university men and women and implications for vaccine administration. J Am Coll Health. 2008 ;57:23-32.
- 13- Jaspers L, Budiningsih S, Wolterbeek R, Henderson FC, Peters AA. Parental acceptance of human papillomavirus (HPV) vaccination in Indonesia: a cross-sectional study. Vaccine. 2011;29:7785-93.