College of Nursing & Health Sciences, University of Massachusetts Boston, Boston, MA, USA.
Asian American Studies Program, School for Global Inclusion and Social Development, University of Massachusetts Boston, Boston, MA, USA.
Ethn Health. 2021 Apr;26(3):379-391. doi: 10.1080/13557858.2018.1514455. Epub 2018 Aug 24.
Cervical cancer is caused by human papillomavirus (HPV) infection, which can be prevented by vaccination. Mothers play an important role in promoting vaccination and health education. However, Cambodian American mothers reported to have challenges to play a role as primary health educators due to lack of health knowledge and language and cultural gaps. Therefore, this study aims to understand the Cambodian American daughters' and mothers' awareness, knowledge and social norms of HPV vaccination and their health communication and vaccination decision-making. We conducted a pilot randomized clinical trial to promote HPV vaccination. In this study, we have only reported findings from baseline data examining individual, interpersonal and social determinants of HPV vaccination behavior among 19 dyads of Cambodian American mothers and daughters. Both mothers and daughters demonstrated low levels of awareness and knowledge. A significant relationship was found between the daughters' HPV vaccine decisions and their perception of their mothers' intention on HPV vaccination for them. Culturally and linguistically appropriate communication strategies such as storytelling or visual presentation approaches may be more effective than the current practice of using information-based written materials to promote HPV vaccination and health education among Cambodian Americans.
宫颈癌由人乳头瘤病毒（HPV）感染引起，可通过接种疫苗预防。母亲在促进疫苗接种和健康教育方面发挥着重要作用。然而，美国柬埔寨裔母亲报告称，由于缺乏健康知识以及语言和文化障碍，她们在发挥主要健康教育者的作用方面面临挑战。因此，本研究旨在了解美国柬埔寨裔女儿和母亲对 HPV 疫苗接种的认识、知识和社会规范，以及她们的健康沟通和疫苗接种决策。我们开展了一项试点随机临床试验来推广 HPV 疫苗接种。在本研究中，我们仅报告了基线数据的研究结果，该结果调查了 19 对美国柬埔寨裔母亲和女儿的 HPV 疫苗接种行为的个体、人际和社会决定因素。母亲和女儿均表现出低水平的意识和知识。研究发现，女儿的 HPV 疫苗接种决定与其对母亲为自己接种 HPV 疫苗的意图的感知之间存在显著关系。针对美国柬埔寨裔人群，采用讲故事或视觉呈现等文化和语言适宜的沟通策略可能比目前使用基于信息的书面材料来促进 HPV 疫苗接种和健康教育的做法更有效。
