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肯尼亚父母的知识和信念对HPV疫苗犹豫的影响——研究结果与启示

Impact of Parental Knowledge and Beliefs on HPV Vaccine Hesitancy in Kenya-Findings and Implications.

作者信息

Kolek Chester O, Opanga Sylvia A, Okalebo Faith, Birichi Alfred, Kurdi Amanj, Godman Brian, Meyer Johanna C

机构信息

Migori County Referral Hospital, Suna 40400, Kenya.

Department of Pharmacy, University of Nairobi, Nairobi 00202, Kenya.

出版信息

Vaccines (Basel). 2022 Jul 26;10(8):1185. doi: 10.3390/vaccines10081185.

Abstract

Cervical cancer can be prevented by human papillomavirus (HPV) vaccination. However, parents can have concerns about vaccinating their daughters. Consequently, there is a need to identify prevalence and risk factors for HPV vaccine hesitancy among parents in Kenya. A descriptive cross-sectional study was conducted among parents with children aged 9−14 years attending a leading referral hospital in Kenya. Data on sociodemographic traits, HPV knowledge, beliefs and vaccine hesitancy were collected. Out of 195 participants, 183 (93.5%) were aged >30 years. Thirty-four (46.4%) of males and 39 (35.1%) of females did not know that the vaccine is given to prevent HPV infection. Encouragingly, levels of vaccine acceptance were high (90%) although one-third (37.9%) had a negative perception about the effectiveness of the vaccine, with vaccine hesitancy attributed to safety concerns (76%) and feelings that the child was too young (48%). Positive beliefs and knowledge of the vaccine were positively associated with parental willingness to vaccinate their children. Low levels of parenteral education and a younger age among mothers were negatively associated with willingness to vaccinate. Most parents (59%) would consult their daughters before vaccination, and 77% (n = 150) recommended early sex education. Despite low knowledge levels, there was high parental willingness to have their children vaccinated.

摘要

人乳头瘤病毒(HPV)疫苗接种可预防宫颈癌。然而,父母可能会对女儿接种疫苗有所顾虑。因此,有必要确定肯尼亚父母中HPV疫苗犹豫的患病率及风险因素。对肯尼亚一家主要转诊医院中子女年龄在9至14岁的父母开展了一项描述性横断面研究。收集了社会人口学特征、HPV知识、信念及疫苗犹豫方面的数据。在195名参与者中,183人(93.5%)年龄超过30岁。34名男性(46.4%)和39名女性(35.1%)不知道该疫苗用于预防HPV感染。令人鼓舞的是,疫苗接受程度较高(90%),尽管三分之一(37.9%)的人对疫苗的有效性持负面看法,疫苗犹豫归因于安全担忧(76%)以及觉得孩子太小(48%)。对疫苗的积极信念和知识与父母让孩子接种疫苗的意愿呈正相关。较低的父母教育水平以及母亲年龄较小与接种意愿呈负相关。大多数父母(59%)在接种疫苗前会咨询女儿的意见,77%(n = 150)的父母建议尽早开展性教育。尽管知识水平较低,但父母让孩子接种疫苗的意愿较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc9/9332201/4c98171a34e8/vaccines-10-01185-g001.jpg

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