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男性声音:对年轻男性关于 HPV 和 9vHPV 的沟通偏好的定性评估。

The Male Voice: A Qualitative Assessment of Young Men's Communication Preferences About HPV and 9vHPV.

机构信息

Department of Research, Barnes-Jewish Hospital, Mailstop 90.29.902, 4590 Children's Place, St. Louis, MO, 63110, USA.

Barnes-Jewish Hospital, One Barnes-Jewish Hospital Plaza, St. Louis, MO, 63110, USA.

出版信息

J Community Health. 2019 Oct;44(5):998-1008. doi: 10.1007/s10900-019-00674-1.

Abstract

In the U.S. there is an epidemic of sexually transmitted diseases (STIs). One of the most prevalent STIs is the Human Papillomavirus (HPV). Certain high risk strains of HPV are believed to cause virtually all cervical cancers, over 90% of anal cancers, 70% of oropharyngeal cancers, and the majority of anal genital warts. HPV is preventable through vaccination and is available for both men and women. Several educational interventions have been employed, yet baseline awareness and knowledge related to HPV and 9vHPV remains relatively low among young men. What is not known is the most effective method for providing HPV and 9vHPV information to young men. The purpose of this qualitative study was to learn from young men on how they would like to receive HPV and 9vHPV information. Men between the ages of 18-26 were invited to participate in the study. Ten focus group sessions with a total of 68 participants were conducted from three Midwest community colleges. Analysis resulted in themes related to STIs, HPV and 9vHPV knowledge, 9vHPV receipt, sexual health communication, and communication strategies. Findings suggest that there is not a "one size fits all" preferred communication modality. Recommendations for effective HPV communication include healthcare practitioner self-awareness, community environments where healthcare practitioners can engage in HPV related cancer prevention activities and advocacy for medically accurate sexual health education. Insight into the best way to communicate HPV and 9vHPV information to young men will lead toward improvement in health literacy around HPV, increased 9vHPV uptake, as well as effective health promotion and disease prevention.

摘要

在美国,性传播疾病(STIs)流行。其中最常见的性传播疾病是人乳头瘤病毒(HPV)。某些高危型 HPV 被认为几乎会导致所有宫颈癌、超过 90%的肛门癌、70%的口咽癌,以及大多数肛门生殖器疣。HPV 可通过疫苗预防,男女均可接种。尽管已经采取了多种教育干预措施,但年轻人对 HPV 和 9vHPV 的基本认识和了解仍然相对较低。目前尚不清楚向年轻男性提供 HPV 和 9vHPV 信息的最有效方法是什么。本定性研究的目的是了解年轻男性希望通过何种方式获取 HPV 和 9vHPV 信息。研究邀请了年龄在 18-26 岁之间的男性参加。在三所中西部社区学院进行了十次焦点小组会议,共有 68 名参与者。分析结果得出了与性传播感染、HPV 和 9vHPV 知识、9vHPV 接种、性健康沟通以及沟通策略相关的主题。研究结果表明,不存在一种“一刀切”的首选沟通模式。有效 HPV 沟通的建议包括医疗保健从业者的自我意识、医疗保健从业者可以参与 HPV 相关癌症预防活动的社区环境以及倡导医学上准确的性健康教育。深入了解向年轻男性传达 HPV 和 9vHPV 信息的最佳方式,将有助于提高 HPV 相关健康素养、增加 9vHPV 接种率,以及促进有效的健康促进和疾病预防。

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