National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia
Menzies School of Health Research, Wellbeing and Preventable Chronic Diseases, Charles Darwin University, Casuarina, Northern Territory, Australia.
BMJ Open. 2021 Aug 3;11(8):e047890. doi: 10.1136/bmjopen-2020-047890.
Aboriginal and Torres Strait Islander women experience a higher burden of cervical cancer than non-Indigenous women in Australia. Cervical cancer is preventable partly through human papillomavirus (HPV) vaccination; in Australia, this is delivered through the national school-based immunisation programme. While HPV vaccination uptake is high among Australian adolescents, there remain gaps in uptake and completion among Aboriginal and Torres Strait Islander adolescents. This study aims to gain a comprehensive understanding of the barriers and facilitators to HPV vaccination uptake and completion among Aboriginal and Torres Strait Islander adolescents in Queensland, Australia.
The study will be guided by an Indigenist research approach and an ecological model for health promotion. Yarning, a qualitative Indigenous research method, will be conducted in up to 10 schools. Participants will include Year 7 (12/13 years old) Aboriginal and Torres Strait Islander adolescents; parents/caregivers; and local key informants and immunisation programme partners involved in the delivery of school-based HPV immunisation programme. Participants will be recruited through school representatives and investigator networks using purposive and snowball sampling and samples of convenience. Field notes, HPV vaccination clinic observations and sequential diagramming of the HPV vaccination process will be conducted. Thematic analysis of data will be led by Aboriginal and Torres Strait Islander researchers. Synthesised sequential diagrams of the process of HPV vaccination and qualitative themes summarising key findings will be produced.
The Aboriginal Health and Medical Research Council of New South Wales Ethics Committee (1646/20), the Australian National University Human Research Ethics Committee (HREC, 2020/478), the HREC of the Northern Territory Department of Health and Menzies School of Health Research (19-3484) and the Townsville Hospital and Health Service HREC (HREC/QTHS/73789) have approved the study. Dissemination will occur via conferences and peer-reviewed publications. Further dissemination will be determined in partnership with the Aboriginal and Torres Strait Islander Steering Committee, including Youth Representatives and Consultation Network.
澳大利亚原住民和托雷斯海峡岛民女性患宫颈癌的负担高于非原住民女性。宫颈癌部分可以通过人乳头瘤病毒（HPV）疫苗接种预防；在澳大利亚，这是通过国家学校免疫计划实施的。尽管澳大利亚青少年 HPV 疫苗接种率很高，但原住民和托雷斯海峡岛民青少年的接种和完成率仍存在差距。本研究旨在全面了解澳大利亚昆士兰州原住民和托雷斯海峡岛民青少年 HPV 疫苗接种和完成的障碍和促进因素。
该研究将遵循本土主义研究方法和健康促进生态模型。将采用“Yarning”这一定性的本土研究方法，在多达 10 所学校进行。参与者将包括 7 年级（12/13 岁）原住民和托雷斯海峡岛民青少年；父母/照顾者；以及参与提供学校 HPV 免疫计划的当地主要信息提供者和免疫计划伙伴。将通过学校代表和调查员网络，采用有针对性的和滚雪球的抽样和方便样本招募参与者。将进行现场记录、HPV 疫苗接种诊所观察和 HPV 疫苗接种过程的顺序图绘制。数据的主题分析将由原住民和托雷斯海峡岛民研究人员领导。将制作 HPV 疫苗接种过程综合顺序图和总结主要发现的定性主题。
新南威尔士州原住民健康和医学研究委员会伦理委员会（1646/20）、澳大利亚国立大学人类研究伦理委员会（HREC，2020/478）、北领地卫生部和 Menzies 健康研究学院 HREC（19-3484）和汤斯维尔医院和卫生服务 HREC（HREC/QTHS/73789）已批准该研究。将通过会议和同行评议出版物进行传播。将与原住民和托雷斯海峡岛民指导委员会合作确定进一步的传播方式，包括青年代表和咨询网络。
