Roncancio Angelica M, Carmack Chakema C, Garcia-Morales Veronica, Cribbs Felicity L, Cano Miguel A
Center for Health Promotion and Prevention Research, The University of Texas School of Public Health, Houston, TX, USA.
Department of Psychological and Learning Sciences, University of Houston, Houston, TX, USA.
Ethn Health. 2021 Apr;26(3):337-351. doi: 10.1080/13557858.2018.1514452. Epub 2018 Aug 24.
Despite the widespread availability of the human papillomavirus (HPV) vaccine in the US, rates of vaccination among Hispanic adolescents lag behind those of other recommended vaccines. Understanding what happens during the HPV vaccination visit should provide important insight into communication between health care providers and Hispanic mothers and identifies areas where communication can be improved. As such, this qualitative study explored Hispanic mothers' experiences during their adolescent child's HPV vaccination visit. Fifty-one participants completed individual interviews. Transcripts were analyzed using a conventional content analysis approach to identify emergent categories or themes. We identified three features of the HPV vaccination visit including: the primary reason for the visit, the type of counseling the mother received about the vaccine and the type of HPV vaccine recommendation received. Most mothers reported that their child was vaccinated against HPV at a routine well-child visit. Some mothers reported that they received in-depth counseling about the vaccine, while others received brief or no counseling from the provider. Mothers also reported receiving either a strong recommendation to vaccinate, a recommendation to vaccinate that emphasized her choice, or no recommendation to vaccinate. Most Hispanic mothers report that they received counseling and a recommendation from their adolescent child's health care provider before vaccinating. However, most of the mothers first heard about the HPV vaccine at the vaccination visit. Mothers who had previously heard about the vaccine outside of the clinic, reported making an appointment specifically for their child to be vaccinated against HPV. Together, these findings indicate a need to raise awareness of the vaccine and to promote HPV vaccination more strongly in this population. Education efforts should target mothers in community settings, in addition to clinic settings in order to increase awareness and vaccination in this population.
尽管人乳头瘤病毒（HPV）疫苗在美国广泛可得，但西班牙裔青少年的疫苗接种率仍落后于其他推荐疫苗的接种率。了解HPV疫苗接种就诊过程中发生的情况，应能为医疗服务提供者与西班牙裔母亲之间的沟通提供重要见解，并确定可改进沟通的领域。因此，这项定性研究探讨了西班牙裔母亲在其青春期孩子进行HPV疫苗接种就诊期间的经历。51名参与者完成了个人访谈。使用传统的内容分析方法对访谈记录进行分析，以确定新出现的类别或主题。我们确定了HPV疫苗接种就诊的三个特征，包括：就诊的主要原因、母亲接受的关于疫苗的咨询类型以及收到的HPV疫苗接种建议类型。大多数母亲报告说，她们的孩子是在常规的儿童健康检查中接种HPV疫苗的。一些母亲报告说，她们接受了关于疫苗的深入咨询，而另一些母亲则从医疗服务提供者那里得到了简短或没有咨询。母亲们还报告说，她们要么收到了强烈的接种建议、强调其选择的接种建议，要么没有接种建议。大多数西班牙裔母亲报告说，她们在给孩子接种疫苗之前，从孩子的医疗服务提供者那里得到了咨询和建议。然而，大多数母亲是在接种就诊时第一次听说HPV疫苗。之前在诊所外听说过该疫苗的母亲报告说，她们专门为孩子预约了HPV疫苗接种。这些发现共同表明，需要提高对该疫苗的认识，并在这一人群中更有力地推广HPV疫苗接种。除了诊所环境外，教育工作还应针对社区环境中的母亲，以提高这一人群的认识和接种率。
