Éxito! Latino Cancer Research Leadership Training, Institute for Health Promotion Research, University Texas Health San Antonio, San Antonio, TX, USA.
Health Disparities and Oncology Policy, Populations and Systems, School of Nursing, George Washington University, Washington, DC, USA.
J Community Health. 2019 Aug;44(4):844-856. doi: 10.1007/s10900-019-00636-7.
To conduct an integrative review to identify and synthesize studies exploring human papillomavirus (HPV) knowledge, awareness, beliefs, attitudes, and acceptability of the HPV vaccine among Latino fathers living in the United States. The review methodology was informed by those developed by Whittemore and Knafl, which allow for the inclusion of qualitative, quantitative, and mixed methods studies. Using the preferred reporting items for systematic reviews meta-analyses guidelines, five electronic databases (PubMed, Medline, PsycINFO, CINAHL, Science Direct) were searched for peer-reviewed, full-text studies published in English with samples that included Latino fathers and examined knowledge, awareness, beliefs, attitudes about the HPV and the HPV vaccines. Studies that did not provide information on the inclusion of fathers in the sample were excluded. Identified eligible studies were analyzed and synthesized using the matrix method. Eleven eligible studies were identified. Most (n = 10) included mothers and fathers. One study included only fathers, and this study determined that although fathers held positive attitudes toward the HPV vaccine, a notable number of participants were unsure of or had not formed an opinion about the HPV vaccine. Fathers felt that a recommendation from their child's physician would impact whether they vaccinated their child. Moreover, of the ten studies including both parents, only two specifically compared fathers' and mothers' knowledge and awareness about the HPV and vaccine acceptability. These two studies determined that fathers were less aware of the HPV and had lower HPV vaccine-related knowledge than mothers. Nevertheless, all of the 11 examined studies, found moderate to high acceptability of the HPV vaccine among Latino parents despite uncertainty about possible vaccine risks and costs. Only 11 studies were identified that included Latino fathers. Of these studies, only one was conducted exclusively with Latino fathers and two compared fathers and mothers. Additional research focusing on Latino fathers is needed given the central role of the family in the Latino culture and the shared role fathers and mothers have in decision-making related to their children's health.
进行综合评价，以确定并综合研究探索生活在美国的拉丁裔父亲对人乳头瘤病毒（HPV）的知识、认识、信念、态度和对 HPV 疫苗的可接受性。该综述方法借鉴了 Whittemore 和 Knafl 的方法，允许纳入定性、定量和混合方法研究。使用系统评价和荟萃分析指南的首选报告项目，在五个电子数据库（PubMed、Medline、PsycINFO、CINAHL、Science Direct）中搜索同行评审的全文研究，这些研究以包括拉丁裔父亲的样本为样本，研究了对 HPV 和 HPV 疫苗的知识、认识、信念和态度。排除未提供样本中包括父亲信息的研究。使用矩阵法对确定的合格研究进行分析和综合。确定了 11 项合格研究。大多数（n=10）研究包括母亲和父亲。一项研究仅包括父亲，该研究表明，尽管父亲对 HPV 疫苗持积极态度，但相当一部分参与者对 HPV 疫苗不确定或尚未形成意见。父亲认为孩子的医生的建议会影响他们是否为孩子接种疫苗。此外，在包括父母双方的十项研究中，只有两项专门比较了父亲和母亲对 HPV 的知识和认识以及 HPV 疫苗的可接受性。这两项研究表明，父亲对 HPV 的认识较低，与 HPV 疫苗相关的知识低于母亲。然而，所有 11 项研究都发现，尽管对可能的疫苗风险和成本存在不确定性，但拉丁裔父母对 HPV 疫苗的接受程度中等偏高。只有 11 项研究确定包括拉丁裔父亲。在这些研究中，只有一项是专门针对拉丁裔父亲进行的，两项研究比较了父亲和母亲。鉴于家庭在拉丁裔文化中的核心作用以及父亲和母亲在与子女健康相关的决策中共同承担的角色，需要对拉丁裔父亲进行更多的研究。
