医疗工作者、家长和青少年学生对人乳头瘤病毒疫苗的接受度：印度尼西亚巴厘岛公共卫生中心的一项试点研究
Human papillomavirus vaccine acceptability among healthcare workers, parents, and adolescent pupils: a pilot study in public health centers of Bali, Indonesia.
作者信息
Susanto Tantut, Rif'ah Erwin Nur, Susumaningrum Latifa Aini, Rahmawati Ira, Yunanto Rismawan Adi, Evayanti Ni Luh Putu, Utami Putu Ayu Sani
机构信息
MN, RN, PHN, PhD, Department of Community, Family, and Geriatric Health Nursing, Faculty of Nursing, Universitas Jember, Jl Kalimantan 37 Jember, Jawa Timur, 68121 Indonesia.
MA, PhD, Department of Health Promotion and Behavioural Science, Faculty of Public Health, Universitas Jember, Jl Kalimantan 37 Jember, Jawa Timur, 68121 Indonesia.
出版信息
Germs. 2020 Sep 1;10(4):184-194. doi: 10.18683/germs.2020.1204. eCollection 2020 Sep.
INTRODUCTION
Knowledge and acceptability of HPV vaccination should be identified for supporting the HPV vaccine program in public health centers. Qualitative research approach is one approach that can be developed for increasing the acceptance and use of HPV vaccines in the community. Perceptions of health workers, parents, teachers, and adolescents related to HPV immunization can be explored in depth. This study was performed to explore the perception and meaning of the HPV vaccine acceptability among healthcare professionals, parents, and adolescent pupils in Bali, Indonesia.
METHODS
A mixed method study was conducted among 176 elementary school children. In-depth interviews were performed with five of the parents and eight of the teachers. Then, four focus group discussions among 19 health professionals were performed for supporting data. A self-administered questionnaire was used to measure knowledge of HPV and acceptability of HPV vaccine among participants. An interview of standard guidelines was performed to identify the perception of the HPV vaccine.
RESULTS
The study identified that perception about HPV knowledge and HPV vaccine was low among adolescents and teachers for all of the questions. However, knowledge on HPV and HPV vaccine among parents and healthcare professionals were higher. Meanwhile, the acceptability of the HPV vaccine and the personal experience of women were more positive for the healthcare professionals.
CONCLUSIONS
Knowledge and perception regarding HPV and HPV vaccination among adolescents and teachers in Indonesia, particularly in Denpasar, Bali, are still insufficient. However, the perception of vaccine administration is acceptance for parents and healthcare professionals. Therefore, socialization of HPV vaccine programs in school and community are needed to improve health promotion about the importance of the HPV vaccine.
引言
应了解人乳头瘤病毒（HPV）疫苗接种的知识和可接受性，以支持公共卫生中心的HPV疫苗接种计划。定性研究方法是一种可用于提高社区中HPV疫苗接种接受度和使用率的方法。可以深入探讨卫生工作者、家长、教师和青少年对HPV免疫接种的看法。本研究旨在探讨印度尼西亚巴厘岛的医疗保健专业人员、家长和青少年学生对HPV疫苗可接受性的看法和意义。
方法
对176名小学生进行了混合方法研究。对5名家长和8名教师进行了深入访谈。然后，对19名卫生专业人员进行了4次焦点小组讨论以辅助数据收集。使用自填式问卷来衡量参与者对HPV的知识和对HPV疫苗的可接受性。进行了标准指南访谈以确定对HPV疫苗的看法。
结果
研究发现，对于所有问题，青少年和教师对HPV知识和HPV疫苗的了解程度较低。然而，家长和医疗保健专业人员对HPV和HPV疫苗的了解程度较高。同时，医疗保健专业人员对HPV疫苗的可接受性和女性的个人经历更为积极。
结论
印度尼西亚，特别是巴厘岛登巴萨市的青少年和教师对HPV及HPV疫苗接种的知识和认知仍然不足。然而，家长和医疗保健专业人员对疫苗接种的认知是接受的。因此，需要在学校和社区开展HPV疫苗接种计划的宣传活动，以加强关于HPV疫苗重要性的健康促进工作。
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