Widman Christy A, Rodriguez Elisa M, Saad-Harfouche Frances, Twarozek Annamaria Masucci, Erwin Deborah O, Mahoney Martin C
Cancer Prevention and Control, Roswell Park Cancer Institute, Elm and Carlton Street, Buffalo, NY, 14263, USA.
Department of Health Behavior, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY, 14263, USA.
J Cancer Educ. 2018 Apr;33(2):332-339. doi: 10.1007/s13187-016-1105-3.
Human papillomavirus (HPV)-related morbidity and mortality remain a significant public health burden despite the availability of HPV vaccines for cancer prevention. We engaged clinicians and parents to identify barriers and opportunities related to adolescent HPV vaccination within a focused geographic region. This mixed-method study design used an interviewer-administered semi-structured interview with clinicians (n = 52) and a written self-administered survey with similar items completed by parents (n = 54). Items focused on experiences, opinions, and ideas about HPV vaccine utilization in the clinical setting, family, and patient perceptions about HPV vaccination and potential future efforts to increase vaccine utilization. Quantitative items were analyzed using descriptive statistics, while qualitative content was analyzed thematically. Suggested solutions for achieving higher rates of HPV vaccination noted by clinicians included public health education, the removal of stigma associated with vaccines, media endorsements, and targeting parents as the primary focus of educational messages. Parents expressed the need for more information about HPV-related disease, HPV vaccines, vaccine safety, sexual concerns, and countering misinformation on social media. Results from this mixed-method study affirm that educational campaigns targeting both health care professionals and parents represent a key facilitator for promoting HPV vaccination; disease burden and cancer prevention emerged as key themes for this messaging.
尽管有用于预防癌症的人乳头瘤病毒（HPV）疫苗，但HPV相关的发病率和死亡率仍然是一项重大的公共卫生负担。我们让临床医生和家长参与进来，以确定在一个特定地理区域内与青少年HPV疫苗接种相关的障碍和机遇。这项混合方法研究设计采用了由访谈员进行的对临床医生的半结构化访谈（n = 52）以及由家长自行填写的包含类似项目的书面调查问卷（n = 54）。这些项目聚焦于在临床环境中HPV疫苗使用的经历、意见和想法，家庭情况，患者对HPV疫苗接种的看法以及未来提高疫苗接种率的潜在努力。定量项目采用描述性统计进行分析，而定性内容则进行主题分析。临床医生指出的提高HPV疫苗接种率的建议解决方案包括公共卫生教育、消除与疫苗相关的污名、媒体宣传以及将家长作为教育信息的主要目标受众。家长表示需要更多关于HPV相关疾病、HPV疫苗、疫苗安全性、性方面的问题以及反驳社交媒体上错误信息的内容。这项混合方法研究的结果证实，针对医疗保健专业人员和家长的教育活动是促进HPV疫苗接种的关键推动因素；疾病负担和癌症预防成为此次宣传的关键主题。
