a Clinical Epidemiology Program, Ottawa Hospital Research Institute , Ottawa , ON , Canada.
b Division of Social Medicine and Global Health, Lund University , Lund , Sweden.
Hum Vaccin Immunother. 2019;15(7-8):1697-1707. doi: 10.1080/21645515.2018.1539604. Epub 2018 Nov 5.
Human papillomavirus is among the most common sexually transmitted infections in the world. Newcomers, defined in Canada as foreign-born individuals who are either immigrants or refugees, but may also include students and undocumented migrants, face numerous barriers to HPV vaccination. This study sought to understand, from the perspective of healthcare providers, barriers and facilitators to HPV vaccination, and recommendations to improve HPV vaccine uptake among newcomers. Semi-structured interviews were conducted with 10 healthcare providers between March and April 2018. Data were analyzed at the manifest level using a Qualitative Content Analysis approach. Categories of barriers to vaccination included: access, communication, knowledge, culture, and provider-related factors. Facilitators included targeted health promotion; understanding the relevance of HPV vaccination; trusting the healthcare system; and cultural sensitivity. Two overarching recommendations were to publicly fund the HPV vaccine, and enhance language- and culturally-appropriate health promotion activities. Further research should explore informational desires and needs from the perspective of newcomers to inform strategies to promote equitable HPV vaccine coverage.
人乳头瘤病毒是世界上最常见的性传播感染之一。在加拿大，新移民被定义为出生在国外的人，他们可能是移民或难民，但也可能包括学生和无证件移民，他们在 HPV 疫苗接种方面面临着许多障碍。本研究旨在从医疗保健提供者的角度了解 HPV 疫苗接种的障碍和促进因素，以及改善新移民 HPV 疫苗接种率的建议。2018 年 3 月至 4 月期间，对 10 名医疗保健提供者进行了半结构化访谈。使用定性内容分析方法在显式层次上对数据进行了分析。疫苗接种障碍的类别包括：可及性、沟通、知识、文化和提供者相关因素。促进因素包括有针对性的健康促进；了解 HPV 疫苗接种的相关性；信任医疗保健系统；以及文化敏感性。两个总体建议是公开资助 HPV 疫苗，并加强语言和文化上适宜的健康促进活动。进一步的研究应从新移民的角度探讨信息需求，为促进公平的 HPV 疫苗接种覆盖率提供信息。
