Arams Ryan, Weinstock Rachel E, Satterthwaite Muresianu Emma, O'Callaghan Stasha, Tubridy Elizabeth, Torres Maita Yumarlin, Dolan Siobhan M
Family Medicine Residency, Ventura County Medical Center, Ventura, CA, USA.
Department of Obstetrics and Gynecology, Albert Einstein College of Medicine (AECOM), Bronx, NY, USA.
Adolesc Health Med Ther. 2021 Apr 21;12:27-36. doi: 10.2147/AHMT.S299600. eCollection 2021.
Since the introduction of the HPV vaccine in Chile in 2014, there have been few studies exploring community perspectives on the vaccine, specifically of parents of adolescents. This study sought to identify maternal factors and family dynamics that affect HPV vaccination behavior.
Participants were recruited at an OB/GYN clinic in Linares, Chile. Participation was voluntary, and eligibility required 1) having an adolescent daughter between 9 and19 years-old and 2) demonstrating a willingness to discuss HPV-related topics. Thirty semi-structured interviews were conducted to generate qualitative data analyzed using Grounded Theory methodology.
Three thematic constructs emerged from the interviews. Mothers' motivations to vaccinate centered on disease prevention and trust in the medical system but were influenced by notions of sexual liberalism and promiscuity. Second, participants desired, but often had trouble finding, adequate information about vaccine safety and turned to the internet. Third, joint decision making in the family about vaccination led to open family discussions about sex and sexuality.
Chile's school-based opt-out HPV vaccination program engenders a unique landscape of maternal decision-making, risk-benefit analysis, information-seeking, and at-home discussion. More studies are needed around the variable role of fathers in the decision-making process.
自2014年智利引入人乳头瘤病毒（HPV）疫苗以来，很少有研究探讨社区对该疫苗的看法，尤其是青少年家长的看法。本研究旨在确定影响HPV疫苗接种行为的母亲因素和家庭动态。
参与者在智利利纳雷斯的一家妇产科诊所招募。参与是自愿的，入选条件为：1）有一名9至19岁的青春期女儿；2）表明愿意讨论与HPV相关的话题。进行了30次半结构化访谈以生成定性数据，并采用扎根理论方法进行分析。
访谈产生了三个主题结构。母亲接种疫苗的动机主要集中在疾病预防和对医疗系统的信任，但受到性自由主义和滥交观念的影响。其次，参与者希望获得有关疫苗安全性的充分信息，但往往难以找到，于是转向互联网。第三，家庭中关于疫苗接种的共同决策引发了关于性和性行为的公开家庭讨论。
智利基于学校的非强制性HPV疫苗接种计划营造了一个独特的环境，涉及母亲决策、风险效益分析、信息寻求和家庭讨论。关于父亲在决策过程中的可变作用，还需要更多研究。
