Zeraiq Lina, Nielsen Dorthe, Sodemann Morten
Migrant Health Clinic, Odense University Hospital, Denmark Center for Global Health, University of Southern Denmark, Odense, Denmark
Migrant Health Clinic, Odense University Hospital, Denmark Center for Global Health, University of Southern Denmark, Odense, Denmark.
Scand J Public Health. 2015 Jun;43(4):408-14. doi: 10.1177/1403494815569105. Epub 2015 Mar 9.
Knowledge regarding the human papillomavirus (HPV) and HPV vaccine uptake among ethnic minorities is poorly explored in Denmark. The objective of this study was to explore attitudes and knowledge towards HPV vaccination among Arab mothers and their daughters.
Five Arabic-speaking focus groups with mothers of vaccine-eligible girls and three focus groups with daughters were conducted. The participants were recruited through different social clubs. A phenomenological approach was used to investigate attitudes and knowledge of HPV vaccination. Meaning condensation inspired by Amedeo Giorgi was used to analyse the transcribed material.
A total of 23 women and 13 daughters were included in this study. The mothers' knowledge regarding HPV was limited to the fact that HPV can cause cervical cancer. Two focus groups mentioned that HPV is a sexually transmitted disease and none of the mothers knew that HPV also causes genital warts. Both mothers and daughters acknowledged that the daughters have deeper insight into health-related issues. A gap of knowledge between generations was identified, as mothers and daughters obtained health information from different sources: mothers used the Arabic TV channels as a source of knowledge and daughters had a range of sources, e.g. school, internet, and Western TV channels. The consequence of these differences in obtaining knowledge is that mothers and daughters lack a common language to discuss health issues. Mothers were influenced by Arabic society, while daughters had created a hybrid of Arabic and Danish. Each generation had its own reasons for accepting the vaccine. The level of HPV knowledge and awareness did not affect their uptake decision in that all the participating mothers had accepted the vaccine for their daughters.
Educational programs should target both mothers and daughters because mothers have an inadequate knowledge about HPV. This is likely to bridge the gap of knowledge between mothers and daughters, which constitutes a barrier between the generations.
在丹麦，关于少数民族对人乳头瘤病毒（HPV）及HPV疫苗接种情况的了解程度研究较少。本研究的目的是探讨阿拉伯母亲及其女儿对HPV疫苗接种的态度和认知。
开展了五个由符合疫苗接种条件女孩的母亲参加的阿拉伯语焦点小组讨论，以及三个由女儿参加的焦点小组讨论。参与者通过不同的社交俱乐部招募。采用现象学方法调查HPV疫苗接种的态度和认知。运用受阿梅代奥·基尔吉启发的意义浓缩法分析转录材料。
本研究共纳入23名母亲和13名女儿。母亲们对HPV的了解仅限于HPV可导致宫颈癌这一事实。两个焦点小组提到HPV是一种性传播疾病，且没有一位母亲知道HPV还会引起尖锐湿疣。母亲和女儿都承认女儿对健康相关问题有更深入的见解。由于母亲和女儿获取健康信息的来源不同，确定了代际之间存在知识差距：母亲们将阿拉伯语电视频道作为知识来源，而女儿们有一系列来源，如学校、互联网和西方电视频道。这些获取知识方式差异的结果是，母亲和女儿缺乏讨论健康问题的共同语言。母亲们受阿拉伯社会影响，而女儿们形成了阿拉伯语和丹麦语的混合体。每代人接受疫苗都有自己的原因。HPV知识和认知水平并未影响她们的接种决定，因为所有参与研究的母亲都已为女儿接受了疫苗接种。
教育项目应同时针对母亲和女儿，因为母亲对HPV的了解不足。这可能会弥合母亲和女儿之间的知识差距，而这种差距构成了代际之间的障碍。
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