Institute for Health Promotion Research, Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229, USA.
J Adolesc Health. 2013 May;52(5 Suppl):S69-75. doi: 10.1016/j.jadohealth.2012.09.020.
Cervical cancer incidence and mortality are higher for Hispanic women than for women in other population groups. However, the incidence could be reduced if teenaged Hispanic girls received the human papillomavirus (HPV) vaccine before they become sexually active. Unfortunately, few Hispanic girls receive this vaccine, which prevents cervical cancer. This study assessed Hispanic mothers' and girls' perceptions about cervical cancer, HPV, and the HPV vaccine. Results show factors that affect whether Hispanic high school girls receive the vaccine.
Twenty-four Hispanic mothers and 28 Hispanic girls from an urban school district in southeast Texas each participated in one of eight focus groups. Bilingual moderators facilitated the mothers' groups in English and Spanish and the girls' groups in English. We analyzed transcripts of the discussions and identified themes using the grounded theory approach.
Our analysis found several themes that affect whether Hispanic girls get the HPV vaccine: gaps in knowledge; fears and concerns about the vaccine; sociocultural communication practices; and decision-making about HPV vaccination. Both mothers and girls had limited knowledge about cervical cancer, HPV, and the vaccine. Some girls who received the vaccine said they wished their mothers had involved them in making the decision.
Findings may help in developing school or community-based educational programs for Hispanic families. Such programs should provide information on the HPV vaccine and the link between HPV and cervical cancer, and they should assist mothers and girls in communicating to make informed decisions about the vaccine.
与其他人群组的女性相比，西班牙裔女性的宫颈癌发病率和死亡率更高。然而，如果少女西班牙裔女孩在开始性行为之前接种人乳头瘤病毒（HPV）疫苗，那么发病率可能会降低。不幸的是，很少有西班牙裔女孩接种这种预防宫颈癌的疫苗。本研究评估了西班牙裔母亲和女孩对宫颈癌、HPV 和 HPV 疫苗的看法。研究结果表明了影响西班牙裔高中女生接种疫苗的因素。
在德克萨斯州东南部一个城市学区的 24 位西班牙裔母亲和 28 位西班牙裔女孩参加了 8 个焦点小组中的一个。双语主持人用英语和西班牙语为母亲小组和英语为女孩小组主持会议。我们分析了讨论记录，并使用扎根理论方法确定了主题。
我们的分析发现了几个影响西班牙裔女孩接种 HPV 疫苗的因素：知识差距；对疫苗的恐惧和担忧；社会文化沟通实践；以及 HPV 疫苗接种决策。母亲和女孩对宫颈癌、HPV 和疫苗的了解都很有限。一些接种了疫苗的女孩说，她们希望母亲在做出决定时让她们参与。
研究结果可能有助于为西班牙裔家庭制定学校或社区为基础的教育计划。这些计划应提供有关 HPV 疫苗和 HPV 与宫颈癌之间联系的信息，应帮助母亲和女孩进行沟通，以便就疫苗做出明智的决定。
