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开发一种具有成本效益的教育工具,以促进西班牙裔母亲对人乳头瘤病毒疫苗的接受度。

Development of a Cost-Effective Educational Tool to Promote Acceptance of the HPV Vaccination by Hispanic Mothers.

作者信息

Brueggmann Doerthe, Opper Neisha, Felix Juan, Groneberg David A, Mishell Daniel R, Jaque Jenny M

机构信息

Department of Obstetrics and Gynecology, University of Southern California/Keck School of Medicine, 2020 Zonal Avenue, IRD Office 509, Los Angeles, CA, 90033, USA.

Department of Pathology, University of Southern California/Keck School of Medicine, Los Angeles, CA, USA.

出版信息

J Community Health. 2016 Jun;41(3):468-75. doi: 10.1007/s10900-015-0116-z.

Abstract

Although vaccination against the Human Papilloma Virus (HPV) reduces the risk of related morbidities, the vaccine uptake remains low in adolescents. This has been attributed to limited parental knowledge and misconceptions. In this cross sectional study, we assessed the (1) clarity of educational material informing Hispanic mothers about HPV, cervical cancer and the HPV vaccine, (2) determined vaccination acceptability and (3) identified predictors of vaccine acceptance in an underserved health setting. 418 Hispanic mothers received the educational material and completed an anonymous survey. 91 % of participants understood most or all of the information provided. 77 % of participants reported vaccine acceptance for their children; this increased to 84 % when only those with children eligible to receive vaccination were included. Significant positive predictors of maternal acceptance of the HPV vaccine for their children were understanding most or all of the provided information, older age and acceptance of the HPV vaccine for themselves. Concerns about safety and general dislike of vaccines were negatively associated with HPV vaccine acceptance. Prior knowledge, level of education, previous relevant gynecologic history, general willingness to vaccinate and other general beliefs about vaccines were not significantly associated with HPV vaccine acceptance. The majority of participants reported understanding of the provided educational material. Vaccine acceptability was fairly high, but was even higher among those who understood the information. This study documents a cost-effective way to provide Hispanic mothers with easy-to-understand HPV-related information that could increase parental vaccine acceptability and future vaccine uptake among their children.

摘要

尽管接种人乳头瘤病毒(HPV)疫苗可降低相关疾病的发病风险,但青少年的疫苗接种率仍然很低。这归因于家长知识有限和存在误解。在这项横断面研究中,我们评估了:(1)向西班牙裔母亲介绍HPV、宫颈癌和HPV疫苗的教育材料的清晰度;(2)确定疫苗可接受性;(3)在医疗服务不足的环境中确定疫苗接受度的预测因素。418名西班牙裔母亲收到了教育材料并完成了一项匿名调查。91%的参与者理解了所提供的大部分或全部信息。77%的参与者表示愿意为其子女接种疫苗;若仅纳入有符合接种条件子女的参与者,这一比例升至84%。母亲接受为其子女接种HPV疫苗的显著正向预测因素是理解所提供的大部分或全部信息、年龄较大以及自身接受HPV疫苗。对安全性的担忧和对疫苗的普遍反感与HPV疫苗接受度呈负相关。既往知识、教育水平、既往相关妇科病史、普遍的接种意愿以及对疫苗的其他一般看法与HPV疫苗接受度无显著关联。大多数参与者表示理解所提供的教育材料。疫苗可接受性相当高,但在理解信息的人群中更高。本研究记录了一种经济有效的方法,可为西班牙裔母亲提供易于理解的HPV相关信息,这可能会提高家长对疫苗的接受度以及其子女未来的疫苗接种率。

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