旨在检查中年成年人部分和完全 HPV 疫苗接种的患病率以及与疫苗接种状况相关的因素。全国代表性横断面调查。美国。队列包括 2018 年至 2022 年 30 至 44 岁的成年人行为危险因素监测系统 (BRFSS) ) 调查谁完成了有关 HPV 疫苗接种状况的问题。利用调查加权多变量逻辑回归来探索与部分和完全 HPV 疫苗接种状况相关的因素。在这个由 26,470 名美国中年成年人组成的全国代表性队列中，15.8% [95% 置信区间 [CI]: 15.1%-16.6%]报告了任何 HPV 疫苗接种，6.5% [95% CI: 6.0%-7.0%] 报告了完整的 HPV 疫苗接种。在多变量回归中，年龄较小、女性、居住在西部或东北部、较高的教育程度、未婚状况、拥有个人医疗保健提供者以及同性恋性取向与接种疫苗的可能性增加有关。种族与疫苗接种状况存在不同的相关性。年收入、保险状况、癌症病史、头颈癌病史以及最后一次医生检查时间与 HPV 疫苗接种状况无关。以前未接种疫苗的中年人应根据新感染 HPV 的风险来接种 HPV 疫苗以及疫苗接种可能带来的好处。虽然我们的分析表明，个人因素的考虑可能在该队列中的 HPV 疫苗接种中发挥作用，但我们还发现，由于性别、教育程度、种族/族裔群体、地理区域和性别之间的其他社会经济差异，疫苗接种方面可能存在差距。获得个人医疗保健提供者的帮助。这些因素的影响表明改善公共卫生措施的潜在空间。© 2024 美国耳鼻喉科学院 - 头颈外科基金会。

To examine prevalence of partial and complete HPV vaccination among middle-aged adults and factors associated with vaccination status.Nationally representative cross-sectional survey.United States.Cohort includes adults aged 30 to 44 years from 2018 to 2022 Behavioral Risk Factor Surveillance System (BRFSS) survey who completed questions about HPV vaccination status. Survey-weighted multivariable logistic regression was utilized to explore factors associated with partial and complete HPV vaccination status.In this nationally representative cohort of 26,470 US middle-aged adults, 15.8% [95% confidence interval [CI]: 15.1%-16.6%] reported any HPV vaccination, and 6.5% [95% CI: 6.0%-7.0%] reported complete HPV vaccination. On multivariable regression, younger age, female sex, residence in the West or Northeast, higher educational attainment, unmarried status, having a personal healthcare provider, and gay or lesbian sexual orientation were associated with increased likelihood of vaccination. Race was variably associated with vaccination status. Annual income, insurance status, cancer history, head and neck cancer history, and time of last physician checkup were not associated with HPV vaccination status.HPV vaccination among middle-aged adults who were not previously vaccinated should be based on risk for new HPV infection and possible benefits of vaccination. While our analysis shows that consideration of personal factors likely plays a role in HPV vaccination in this cohort, we also find that gaps in vaccination may exist due to other socioeconomic disparities between sexes, educational attainment levels, racial/ethnic groups, geographic regions, and access to a personal healthcare provider. These factors' influence suggests potential room for improved public health measures.© 2024 American Academy of Otolaryngology–Head and Neck Surgery Foundation.