Griffioen Anne M, Glynn Susan, Mullins Tanya K, Zimet Gregory D, Rosenthal Susan L, Fortenberry J Dennis, Kahn Jessica A
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Clin Pediatr (Phila). 2012 Jun;51(6):560-8. doi: 10.1177/0009922812443732.
Introduction. The aims of this qualitative study were to explore (a) the factors influencing mothers' decisions to vaccinate 11- to 12-year-old daughters against human papillomavirus (HPV) and (b) the mothers' and daughters' perspectives about HPV vaccine-related decision making. Methods. Participants were girls (N = 33) who had received an HPV vaccine and their mothers (N = 32), recruited from suburban and urban pediatric practices. Semistructured interviews were conducted with girls and mothers separately, and data were analyzed using framework analysis. Results. The primary factors influencing mothers' decisions to vaccinate daughters against HPV were (a) mother's beliefs and experiences; (b) interactions with clinicians, friends, and family members; and (c) exposure to media reports/marketing. Most daughters believed the decision to be vaccinated was a mutual one, although most mothers believed the decision was theirs. Conclusions. This study provides novel insights into perspectives on decision making about HPV vaccination among mothers and 11- to12-year-old daughters, which can be used in interventions to improve vaccination rates.
引言。本定性研究的目的是探讨：（a）影响母亲决定为11至12岁女儿接种人乳头瘤病毒（HPV）疫苗的因素；（b）母亲和女儿对HPV疫苗相关决策的看法。方法。参与者为从郊区和城市儿科诊所招募的已接种HPV疫苗的女孩（N = 33）及其母亲（N = 32）。分别对女孩和母亲进行半结构化访谈，并使用框架分析法对数据进行分析。结果。影响母亲决定为女儿接种HPV疫苗的主要因素有：（a）母亲的信念和经历；（b）与临床医生、朋友和家庭成员的互动；（c）接触媒体报道/营销信息。大多数女儿认为接种疫苗的决定是双方共同做出的，尽管大多数母亲认为这是她们自己的决定。结论。本研究为母亲和11至12岁女儿对HPV疫苗接种决策的看法提供了新的见解，可用于提高疫苗接种率的干预措施。
