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人乳头瘤病毒疫苗在社区大学生中的动机和障碍:成功疫苗接种项目的考虑因素。

Human papillomavirus vaccine motivators and barriers among community college students: Considerations for development of a successful vaccination program.

机构信息

Center for Interdisciplinary Research in Women's Health, Department of Obstetrics & Gynecology, University of Texas Medical Branch, United States.

Department of Obstetrics & Gynecology, University of Texas Medical Branch, United States.

出版信息

Vaccine. 2018 Feb 14;36(8):1032-1037. doi: 10.1016/j.vaccine.2018.01.037.

Abstract

BACKGROUND

Previous interventions in colleges to improve human papillomavirus (HPV) vaccination have not been highly successful. Although barriers have been assessed in traditional colleges, less is known about vaccination barriers in community colleges.

METHODS

We approached students aged 18-26 years old enrolled at a community college for an in-person semi-structured qualitative interview on HPV vaccination and health, with questions guided by the Theory of Planned Behavior. Data collection took place between April 2015 and December 2015. Thematic analysis techniques were used to analyze the data.

RESULTS

During interviews with 19 students, 4 themes emerged, including: general vaccine attitudes, barriers to HPV vaccination, motivators to HPV vaccination, and social influences. Participants felt that vaccines were beneficial, but were concerned about side effects. They felt that getting the HPV vaccine would be inconvenient, and they did not know enough about it to decide. Most would not trust their friends' opinions, but would want to know about side effects that their vaccinated friends experienced.

CONCLUSIONS

Successful interventions at community colleges should include several components to increase convenience as well as utilize interactive methods to promote HPV vaccine awareness.

摘要

背景

之前在高校开展的人乳头瘤病毒(HPV)疫苗接种干预措施效果并不理想。虽然传统高校中的接种障碍已得到评估,但对于社区高校中的接种障碍却知之甚少。

方法

我们联系了一所社区高校中年龄在 18-26 岁的学生,邀请他们参加关于 HPV 疫苗接种和健康的现场半结构化定性访谈,问题由计划行为理论指导。数据收集于 2015 年 4 月至 2015 年 12 月进行。采用主题分析技术对数据进行分析。

结果

在对 19 名学生的访谈中,出现了 4 个主题,包括:一般疫苗态度、HPV 疫苗接种障碍、HPV 疫苗接种动机和社会影响。参与者认为疫苗是有益的,但担心其副作用。他们认为接种 HPV 疫苗会不方便,并且对其了解不足,无法做出决定。大多数人不会相信朋友的意见,但希望了解接种过疫苗的朋友的副作用经历。

结论

在社区高校中成功的干预措施应包括几个方面,以增加便利性,并利用互动方法提高 HPV 疫苗的认知度。

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