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首选 HPV 及 HPV 疫苗学习方法,以指导未来针对农村西班牙裔的 HPV 预防干预措施。

Preferred HPV and HPV Vaccine Learning Methods to Guide Future HPV Prevention Interventions Among Rural Hispanics.

机构信息

East Carolina University, College of Nursing, Health Sciences Bldg Greenville, NC, USA.

University of Miami School of Nursing and Health Studies, FL, USA.

出版信息

J Pediatr Nurs. 2021 Sep-Oct;60:139-145. doi: 10.1016/j.pedn.2021.04.026. Epub 2021 May 4.

Abstract

PURPOSE

HPV vaccination among United States's rural Hispanic youth is suboptimal to the Healthy People 2030 goal. Rural Hispanic parents' HPV vaccine (HPVV) perceptions have influenced these low rates. Furthermore, few effective interventions for increasing HPV vaccination among rural Hispanic populations exist. This study aimed to determine rural Hispanic parent's preferred HPV and HPVV learning methods to guide future HPV prevention interventions.

DESIGN AND METHODS

A descriptive qualitative design was used. A total of 23 rural Hispanic parents from South Florida participated in four focus groups. Conventional content analysis was used to analyze the transcripts.

RESULTS

Three overcharging themes were identified: 1) Learning method preferences for parents, 2) Learning method preferences for youth, and 3) Learning method preferences for families. Sub-themes included participants' preferences on their interest for an intervention, target audiences, teaching methods, availability of community members, intervention facilitators, and content.

CONCLUSIONS

Addressing HPV vaccination by developing culturally tailored programs for rural Hispanic parents is urgently needed to prevent HPV and HPV-related cancers among this disproportionately affected population. Findings highlight essential elements that should be considered when designing an intervention for increasing HPV vaccination among Hispanics in rural settings.

PRACTICE IMPLICATIONS

Pediatric nurses must offer culturally appropriate HPVV education and literature and proactively recommend the HPVV at every opportunity. Pediatric nurses can administer the HPVV at schools and community health fairs while clinics can play educational clips in waiting and examination rooms.

摘要

目的

美国农村西班牙裔青年的 HPV 疫苗接种率不理想,无法达到 2030 年健康目标。农村西班牙裔父母对 HPV 疫苗(HPVV)的认知影响了这些低接种率。此外,针对农村西班牙裔人群增加 HPV 疫苗接种率的有效干预措施很少。本研究旨在确定农村西班牙裔父母对 HPV 和 HPVV 的学习方法偏好,以指导未来的 HPV 预防干预措施。

设计和方法

采用描述性定性设计。共有 23 名来自佛罗里达州南部的农村西班牙裔父母参加了 4 个焦点小组。采用常规内容分析法对转录本进行分析。

结果

确定了三个主要主题:1)父母的学习方法偏好,2)青少年的学习方法偏好,3)家庭的学习方法偏好。子主题包括参与者对干预的兴趣、目标受众、教学方法、社区成员的可用性、干预促进者和内容的偏好。

结论

迫切需要通过为农村西班牙裔父母制定文化上适当的计划来解决 HPV 疫苗接种问题,以预防该人群中 HPV 和 HPV 相关癌症的发生。研究结果强调了在为农村西班牙裔人群设计增加 HPV 疫苗接种率的干预措施时应考虑的重要因素。

实践意义

儿科护士必须提供文化适宜的 HPVV 教育和文献,并在每个机会积极推荐 HPVV。儿科护士可以在学校和社区健康集市上接种 HPVV,而诊所可以在候诊室和检查室播放教育视频。

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