a Department of Global and Community Health , George Mason University , Fairfax , VA , USA.
b School of Nursing , George Mason University , Fairfax , VA , USA.
Hum Vaccin Immunother. 2019;15(1):121-133. doi: 10.1080/21645515.2018.1514353. Epub 2018 Sep 13.
Uninsured Latin American immigrant women are at increased risk for vaccine preventable diseases, such as cervical cancer; yet gaps in vaccine coverage persist. The purpose of this study was to explore vaccine-related knowledge, attitudes and decision-making for tetanus, diphtheria, and acellular pertussis (Tdap) vaccine, meningococcal conjugate vaccine (MenACWY), and human papillomavirus (HPV) vaccine among uninsured Latin American immigrant mothers of adolescent daughters. A purposive sample of 30 low-income, uninsured, predominantly Latin-American immigrant mothers of adolescent daughters aged 13-17 were recruited from two academic-community managed health clinics in Virginia. From March-September 2016, data were collected through in-person, semi-structured interviews, in English or Spanish. For data analysis, conventional content analysis was employed. The majority of participants self-identified as Hispanic and had less than a high-school level education. Key themes included: general acceptance of vaccines; associating vaccines with prevention/protection; minimal vaccine hesitancy; and lack of knowledge regarding vaccine-preventable diseases, vaccines recommended for adolescents, and adolescent daughters' vaccination history. Doctors' recommendation, school requirements, and the media were key influencers of vaccination. Mothers were the primary decision-maker regarding vaccine uptake among their adolescent daughters. Findings highlight the need for efforts to help uninsured Latin American immigrant mothers better understand vaccines, and provide linkages to affordable, accessible vaccines among under-resourced populations.
未参保的拉丁裔移民妇女面临更多的疫苗可预防疾病风险，例如宫颈癌；然而，疫苗接种覆盖率仍存在差距。本研究的目的是探讨未参保的拉丁裔移民母亲对破伤风、白喉和无细胞百日咳（Tdap）疫苗、脑膜炎球菌结合疫苗（MenACWY）和人乳头瘤病毒（HPV）疫苗的相关知识、态度和决策。从弗吉尼亚州的两个学术社区管理的医疗诊所中，选择了 30 名经济状况不佳、未参保、以拉丁裔为主的青少年女儿年龄在 13-17 岁的移民母亲作为研究对象。2016 年 3 月至 9 月，通过英语或西班牙语的个人半结构化访谈收集数据。采用常规内容分析法进行数据分析。大多数参与者自我认定为西班牙裔，受教育程度低于高中水平。主要主题包括：普遍接受疫苗；将疫苗与预防/保护联系起来；对疫苗的犹豫程度较低；对疫苗可预防疾病、推荐给青少年的疫苗以及青少年女儿的疫苗接种史缺乏了解。医生的建议、学校的要求和媒体是疫苗接种的主要影响因素。母亲是其青少年女儿接种疫苗的主要决策者。研究结果强调需要努力帮助未参保的拉丁裔移民母亲更好地了解疫苗，并为资源匮乏的人群提供负担得起且可获得的疫苗。
