“为什么有必要？”：非裔美国父母对 HPV 疫苗接种延迟和拒绝的看法。
"Why is it so necessary?": African American Parents' Perspectives on Delaying and Refusing HPV Vaccination.
机构信息
Ariel Washington, Postdoctoral Research Fellow, School of Nursing, University of Michigan, Ann Arbor, MI.
Jasmine Chabaan, Research Assistant, Karmanos Cancer Institute, School of Medicine, Wayne State University, Detroit, MI.
出版信息
J Pediatr Health Care. 2023 Jul-Aug;37(4):373-380. doi: 10.1016/j.pedhc.2023.01.002. Epub 2023 Feb 9.
INTRODUCTION
This study aimed to describe the perspectives of parents who had delayed and refused human papillomavirus (HPV) vaccination for their children, even when it was discussed or recommended by a health care provider, and to identify the factors related to vaccine hesitancy.
METHOD
Twenty predominantly African American parents of children aged 11-17 years were recruited from various community clinics and organizations to participate in focus groups about their decision-making regarding HPV vaccination. Using deductive content analysis and the Vaccine Hesitancy Determinants Matrix, we describe their perspectives and influences on vaccination decision-making.
RESULTS
Multiple reasons emerged, which included concerns about the age of children, perceived discrimination and mistrust based on race and socioeconomic status, and vaccine safety.
DISCUSSION
Findings support the development of targeted interventions that address vaccine safety concerns, mistrust, patient-provider communication, and parent education about the benefits of HPV vaccination.
引言
本研究旨在描述那些即使在医疗服务提供者讨论或推荐后，仍选择延迟或拒绝为孩子接种人乳头瘤病毒（HPV）疫苗的家长的观点，并确定与疫苗犹豫相关的因素。
方法
从各种社区诊所和组织中招募了 20 名主要为非裔美国儿童家长，他们的孩子年龄在 11-17 岁之间，参与了关于 HPV 疫苗接种决策的焦点小组。使用演绎内容分析和疫苗犹豫决定因素矩阵，我们描述了他们的观点以及对疫苗接种决策的影响。
结果
出现了多种原因，包括对儿童年龄的担忧、基于种族和社会经济地位的歧视和不信任、以及疫苗安全性。
讨论
研究结果支持制定有针对性的干预措施，以解决疫苗安全问题、不信任、医患沟通以及家长对 HPV 疫苗接种益处的教育。
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