Human papillomavirus (HPV) is the most common sexually transmitted infection on U.S. college campuses. Although HPV vaccination is recommended through age 26, current efforts to improve vaccination rates have predominantly focused on adolescents. Consequently, vaccine uptake remains suboptimal among young adults. This represents a significant missed opportunity, as young adults face the highest risk for new HPV infections. To contextualize the factors impacting decision-making process for this vulnerable population, this study reports key themes that emerged from in-depth interviews with participants (N = 30) who had completed an online intervention study for HPV vaccination among college students. Twelve (40%) of the interviewees vaccinated after exposure to the intervention. Findings centered around empowerment among young adults as the facilitator to get the HPV vaccine: key themes emerged were (1) convenience is critical and empowering; (2) adulthood identity, marked by a heightened sense of autonomy, accountability, and responsibility for self/future self and others, is empowering; (3) equal access to health care and preventive resources is empowering, especially for participants with low socioeconomic status; and (4) accurate knowledge provided in the intervention destigmatized HPV vaccination to empower young adults to make informed decisions. Digital interventions with messages highlighting a newly gained autonomy, future-oriented self and social responsibility, inclusive and accurate knowledge, and providing navigation to improve access may enhance HPV vaccination among young adults.

中文翻译：

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通过数字干预在追赶人群中做出 HPV 疫苗接种决策：赋予年轻人自己的健康决策权。


人瘤病毒 （HPV） 是美国大学校园中最常见的性传播感染。尽管建议在 26 岁之前接种 HPV 疫苗，但目前提高疫苗接种率的努力主要集中在青少年身上。因此，年轻人的疫苗接种率仍然不理想。这代表着一个重大的错失机会，因为年轻人面临新的 HPV 感染的最高风险。为了将影响这一弱势群体决策过程的因素置于背景中，本研究报告了对已完成大学生 HPV 疫苗接种在线干预研究的参与者 （N = 30） 进行深入访谈后出现的关键主题。12 名 （40%） 的受访者在接受干预后接种了疫苗。研究结果集中在年轻人作为获得 HPV 疫苗的促进因素的赋权上：出现的关键主题是 （1） 便利性至关重要且赋权;（2） 成年身份，以高度的自主感、责任感和对自我/未来自我和他人的责任感为标志，是赋权的;（3） 平等获得医疗保健和预防资源是赋权的，特别是对于社会经济地位低的参与者;（4） 干预中提供的准确知识消除了 HPV 疫苗接种的污名化，使年轻人能够做出明智的决定。带有信息的数字干预突出新获得的自主权、面向未来的自我和社会责任、包容和准确的知识，以及提供导航以改善访问，可能会提高年轻人的 HPV 疫苗接种率。