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医疗服务提供者在男男性行为者中推广人乳头瘤病毒疫苗方面的作用:一项范围综述

The Role of Healthcare Providers in Promoting Human Papillomavirus Vaccines among Men Who Have Sex with Men: A Scoping Review.

作者信息

Chin Kok-Yong, Ekeuku Sophia Ogechi, Hamzah Muhammad Rafie

机构信息

Department of Pharmacology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur 56000, Malaysia.

Kuala Lumpur AIDS Support Services Society, Kuala Lumpur 51000, Malaysia.

出版信息

Vaccines (Basel). 2022 Jun 10;10(6):930. doi: 10.3390/vaccines10060930.

DOI:10.3390/vaccines10060930
PMID:35746537
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9231301/
Abstract

BACKGROUND

The uptake of human papillomavirus vaccines (HPVV) among men who have sex with men (MSM) remains unsatisfactory. Healthcare providers play a crucial role in improving HPVV acceptability and uptake among MSM. This scoping review aims to provide an overview of (1) the perceived role of healthcare providers by MSM, and (2) the knowledge, beliefs and practices of healthcare providers themselves in promoting HPVV uptake.

METHODS

A literature search was performed with PubMed and Scopus databases using a specific search string. The relevant original research articles on this topic were identified, and the major findings were charted and discussed.

RESULTS

The literature search identified 18 studies on the perceived role of healthcare providers by MSM, and 6 studies on the knowledge, beliefs and practices of healthcare providers in promoting HPVV uptake among MSM. Recommendations by healthcare providers and disclosure of sexual orientation were important positive predictors of higher HPVV acceptability and uptake. Sexual healthcare providers were more confident in delivering HPVV to MSM clients compared to primary practitioners.

CONCLUSION

Recommendation from, and disclosure of sexual orientation to healthcare providers are important in promoting HPVV uptake among MSM. The competency of healthcare providers in delivering HPVV to MSM can be improved by having clearer guidelines, education campaigns and better incentives.

摘要

背景

男男性行为者(MSM)中人类乳头瘤病毒疫苗(HPVV)的接种率仍不尽人意。医疗服务提供者在提高MSM对HPVV的接受度和接种率方面起着关键作用。本范围综述旨在概述(1)MSM对医疗服务提供者作用的认知,以及(2)医疗服务提供者自身在促进HPVV接种方面的知识、信念和实践。

方法

使用特定搜索字符串在PubMed和Scopus数据库中进行文献检索。确定了关于该主题的相关原始研究文章,并对主要研究结果进行了梳理和讨论。

结果

文献检索发现了18项关于MSM对医疗服务提供者作用认知的研究,以及6项关于医疗服务提供者在促进MSM接种HPVV方面的知识、信念和实践的研究。医疗服务提供者的建议和性取向的披露是HPVV接受度和接种率较高的重要积极预测因素。与初级从业者相比,性健康医疗服务提供者在为MSM客户提供HPVV方面更有信心。

结论

医疗服务提供者的建议以及向其披露性取向对于促进MSM接种HPVV很重要。通过制定更明确的指南、开展教育活动和提供更好的激励措施,可以提高医疗服务提供者向MSM提供HPVV的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754e/9231301/6232984591c7/vaccines-10-00930-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754e/9231301/6232984591c7/vaccines-10-00930-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754e/9231301/6232984591c7/vaccines-10-00930-g001.jpg

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