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“我认为他不需要接种人乳头瘤病毒疫苗,因为男孩不会患宫颈癌”:关于拉丁裔母亲对人乳头瘤病毒传播、相关癌症及疫苗的(错误)认知的定性研究

"I don't Think He Needs the HPV Vaccine Cause Boys Can't Have Cervical Cancer": a Qualitative Study of Latina Mothers' (Mis) Understandings About Human Papillomavirus Transmission, Associated Cancers, and the Vaccine.

作者信息

Lindsay Ana Cristina, Delgado Denisse, Valdez Madelyne J, Restrepo Emily, Guzman Yessica M

机构信息

Department of Exercise and Health Sciences, College of Nursing and Health Sciences, University of Massachusetts-Boston, 100 Morrissey Boulevard, Boston, MA, 02125, USA.

College of Nursing and Health Sciences, University of Massachusetts-Boston, 100 Morrissey Boulevard, Boston, MA, 02125, USA.

出版信息

J Cancer Educ. 2022 Apr;37(2):370-378. doi: 10.1007/s13187-020-01824-z.

Abstract

Genital human papillomavirus (HPV) is the most common sexually transmitted virus in the United States and etiologically linked to several types of cancers including the cervix, vulva, vagina, penis, anus, and oropharynges. Evidence indicates certain types of HPV-associated cancers disproportionally affect Latinos in the United States. This qualitative study sought to explore Latina mothers' perceptions and understanding of HPV infection, HPV-associated cancers, and the HPV vaccination for their adolescent sons and daughters. Twenty-two individual, face-to-face interviews were conducted in 2018-2019 with mothers who had at least one child between the ages of 11 and 19 years. Data were analyzed using a hybrid method of thematic analysis that incorporated deductive and inductive approaches. Two major themes emerged from the analysis: (1) mothers' (mis) understanding about HPV infection transmission and HPV-associated cancer risk for girls and boys, and (2) mothers' (mis) understandings about the HPV vaccination for girls and boys. Results found that most mothers had inadequate understanding of HPV transmission, HPV-associated cancer risk for males, and need to vaccinate boys against the virus for their own personal health and prevention of HPV-associated cancers. Findings suggest that interventions should focus on improving Latina mothers' understanding of HPV transmission, addressing the lack or inadequate knowledge about HPV-associated cancer risk for males, as well as misconceptions about the importance of the HPV vaccination for males for their personal health and the prevention of HPV-associated cancers. Future research should quantify Latino parents' awareness, knowledge, and acceptability of the HPV vaccine for their sons and daughters.

摘要

生殖器人乳头瘤病毒(HPV)是美国最常见的性传播病毒,在病因上与多种癌症相关,包括宫颈癌、外阴癌、阴道癌、阴茎癌、肛门癌和口咽癌。有证据表明,某些类型的HPV相关癌症对美国的拉丁裔影响尤为严重。这项定性研究旨在探讨拉丁裔母亲对HPV感染、HPV相关癌症以及为其青春期子女接种HPV疫苗的看法和理解。2018年至2019年,对至少有一个11至19岁孩子的母亲进行了22次个人面对面访谈。数据分析采用了结合演绎法和归纳法的混合主题分析方法。分析得出两个主要主题:(1)母亲们对女孩和男孩HPV感染传播及HPV相关癌症风险的(错误)理解;(2)母亲们对女孩和男孩HPV疫苗接种的(错误)理解。结果发现,大多数母亲对HPV传播、男性HPV相关癌症风险以及为男孩接种HPV疫苗以保障其个人健康和预防HPV相关癌症的必要性了解不足。研究结果表明,干预措施应侧重于提高拉丁裔母亲对HPV传播的理解,解决她们对男性HPV相关癌症风险缺乏了解或了解不足的问题,以及消除她们对男性接种HPV疫苗对其个人健康和预防HPV相关癌症重要性的误解。未来的研究应量化拉丁裔父母对其子女接种HPV疫苗的知晓率、知识水平和接受程度。

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