Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, Colo; Department of Sociology and Criminology, University of Denver, Denver, Colo.
Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, Colo.
Acad Pediatr. 2017 Sep-Oct;17(7):778-784. doi: 10.1016/j.acap.2017.03.013. Epub 2017 Mar 28.
The Advisory Committee on Immunization Practices recommends routine human papillomavirus (HPV) vaccination for female adolescents aged 11 to 12 years, yet vaccination rates remain low. We conducted a qualitative study to understand English- and Spanish-speaking parents' reasons for noninitiation or noncompletion of the HPV vaccine series for their daughters.
Parents of female adolescents aged 12 to 15 years who had not initiated or not completed the HPV vaccine series were identified through administrative data in 2 large urban safety net health care systems in Colorado. Focus groups and in-depth interviews were conducted with English-speaking parents and in-depth interviews were conducted with Spanish-speaking parents. All data were recorded, transcribed, and analyzed for thematic content by experienced analysts using established qualitative content analysis techniques.
Forty-one parents participated in the study. Thirty parents participated in individual interviews and 11 parents participated in 1 of 2 focus groups. The most common reasons for noninitiation and noncompletion among English-speaking parents included a low perceived risk of HPV infection, vaccine safety concerns, and distrust of government and/or medicine. In contrast, Spanish-speaking parents most often reported that providers had either not encouraged initiation of the HPV vaccine series or had not explained the necessity of completing the series. Some noninitiating parents, particularly Spanish-speaking ones, also cited concerns that vaccination would encourage sexual activity.
The reasons for noninitiation and noncompletion of the HPV vaccine series differed substantially between English- and Spanish-speaking parents. To maximize uptake of HPV vaccine, varying approaches might be needed to effectively target specific populations.
免疫实践咨询委员会建议对 11 至 12 岁的女性青少年进行常规人乳头瘤病毒（HPV）疫苗接种，但疫苗接种率仍然很低。我们进行了一项定性研究，以了解英语和西班牙语父母未为其女儿启动或未完成 HPV 疫苗系列接种的原因。
通过科罗拉多州 2 个大型城市安全网医疗保健系统中的行政数据，确定了未启动或未完成 HPV 疫苗系列接种的 12 至 15 岁女性青少年的父母。对英语父母进行了焦点小组和深入访谈，对西班牙语父母进行了深入访谈。所有数据均由经验丰富的分析师使用既定的定性内容分析技术进行记录、转录和主题内容分析。
41 名父母参与了这项研究。30 名父母参加了个人访谈，11 名父母参加了 2 个焦点小组中的 1 个。英语父母中未启动和未完成的最常见原因包括 HPV 感染的低感知风险、疫苗安全问题以及对政府和/或医学的不信任。相比之下，西班牙语父母通常报告说，提供者要么没有鼓励启动 HPV 疫苗系列接种，要么没有解释完成该系列接种的必要性。一些未启动接种的父母，尤其是西班牙语父母，还表示担心接种疫苗会鼓励性行为。
HPV 疫苗系列接种未启动和未完成的原因在英语和西班牙语父母之间存在很大差异。为了最大限度地提高 HPV 疫苗的接种率，可能需要采取不同的方法来有效针对特定人群。
