Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, 317 Rosenau Hall CB7440, Chapel Hill, NC 27599, USA.
Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, 317 Rosenau Hall CB7440, Chapel Hill, NC 27599, USA; Lineberger Comprehensive Cancer Center, University of North Carolina, USA.
Prev Med. 2019 Jan;118:251-256. doi: 10.1016/j.ypmed.2018.11.005. Epub 2018 Nov 7.
How stories from media and social interactions shape parents' HPV vaccination decisions is poorly understood. We sought to characterize parents' exposure to such stories, as well as associations between story exposure and vaccination behavior. Study participants were 1263 parents of U.S. adolescents who had not yet completed the HPV vaccine series. In 2017, these parents completed an online survey about whether they had heard stories of people who were harmed by HPV vaccine or who got diseases HPV vaccine could have prevented. Almost half of parents had heard HPV vaccine stories, which were about vaccine harms only (19%), vaccine preventable diseases only (11%), or both (15%). Stories of harms more often came from social and traditional media; stories of preventable diseases more often came from conversations (all p < 0.01). Parents who heard only stories about harms were less likely than those who heard no stories to have initiated HPV vaccination (23% vs. 33%, aOR:0.48; 95% CI:0.33:0.69). They were more likely to have delayed (79% vs. 66%, aOR:2.00; 95% CI:1.09:3.71) or refused (72% vs. 24%, aOR:8.87; 95% CI:4.09:19.25) HPV vaccination. Exposure to both stories about harms and preventable diseases was similarly associated with initiation, delay and refusal. Exposure to only stories about preventable diseases was not associated with initiation, delay or refusal. In conclusion, stories of HPV vaccine harms may be associated more strongly with vaccination behavior than stories of HPV vaccine preventable diseases. Communication campaigns should consider strategies to elevate stories of preventable diseases in social and traditional media.
媒体和社交互动中的故事如何影响父母的 HPV 疫苗接种决策，目前了解甚少。我们旨在描述父母接触此类故事的情况，以及接触故事与接种行为之间的关联。研究对象为 1263 名美国青少年的父母，他们尚未完成 HPV 疫苗系列接种。2017 年，这些父母完成了一项在线调查，内容是他们是否听说过有人因 HPV 疫苗而受伤或患上 HPV 疫苗可预防的疾病的故事。近一半的父母听说过 HPV 疫苗的故事，这些故事仅涉及疫苗危害（19%）、疫苗可预防疾病（11%）或两者都有（15%）。关于危害的故事更多地来自社交媒体和传统媒体；关于可预防疾病的故事更多地来自对话（所有 p 值均<0.01）。仅听说过危害故事的父母，与未听说过任何故事的父母相比，开始 HPV 疫苗接种的可能性更低（23%比 33%，OR：0.48；95%CI：0.33:0.69）。他们更有可能推迟（79%比 66%，OR：2.00；95%CI：1.09:3.71）或拒绝（72%比 24%，OR：8.87；95%CI：4.09:19.25）HPV 疫苗接种。接触危害和可预防疾病的故事都与接种的启动、延迟和拒绝有关。仅接触可预防疾病的故事与接种的启动、延迟或拒绝无关。总之，HPV 疫苗危害的故事可能与接种行为的关联比 HPV 疫苗可预防疾病的故事更紧密。传播活动应考虑在社交媒体和传统媒体中提升可预防疾病故事的策略。
