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时机至关重要:探究父母推迟人乳头瘤病毒疫苗接种的决定。

Timing Is Everything: Exploring Parental Decisions to Delay HPV Vaccination.

作者信息

Rendle Katharine A, Leskinen Emily A

机构信息

1 University of Michigan, Ann Arbor, Michigan, USA.

2 National Cancer Institute, Bethesda, Maryland, USA.

出版信息

Qual Health Res. 2017 Jul;27(9):1380-1390. doi: 10.1177/1049732316664499. Epub 2016 Aug 23.

Abstract

The delayed uptake of the human papillomavirus (HPV) vaccine offers an opportunity to explore how temporality and risk are at work in everyday life. Drawing from a mixed-methods study with parents ( N = 50) in Northern California, this study explored parents' decision to delay HPV vaccination for their children among parents who had not yet vaccinated ( n = 27). At the core of these decisions were temporal assessments of risk whereby parents weighed their child's (perceived) present risk of HPV exposure against the uncertain perceived risks of the vaccine itself. Our findings are promising as they indicate that given time, and the continued growth of evidence regarding the safety and effectiveness of HPV vaccination, completion rates should increase. However, our results also suggest that vaccination delays are not merely a matter of scientific doubt but also based on parents' (potentially inaccurate) perceptions of their child's sexual readiness, and thus potentially more difficult to overcome.

摘要

人乳头瘤病毒(HPV)疫苗接种的延迟为探索时间性和风险在日常生活中如何起作用提供了一个契机。本研究基于对北加利福尼亚州50位家长开展的一项混合方法研究,探讨了尚未为子女接种HPV疫苗的家长(n = 27)决定延迟接种的原因。这些决定的核心是对风险的时间性评估,即家长权衡孩子目前(感知到的)感染HPV的风险与疫苗本身不确定的(感知到的)风险。我们的研究结果很有前景,因为它们表明,假以时日,随着关于HPV疫苗安全性和有效性的证据不断增加,疫苗接种完成率应该会提高。然而,我们的结果也表明,疫苗接种延迟不仅是科学上的疑虑问题,还基于家长(可能不准确)对孩子性成熟度的认知,因此可能更难克服。

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