澳大利亚新南威尔士州讲阿拉伯语母亲的青少年中，人乳头瘤病毒（HPV）疫苗接种的感知促进因素和障碍：一项定性研究。
Perceived facilitators and barriers to the uptake of the human papillomavirus (HPV) vaccine among adolescents of Arabic-speaking mothers in NSW, Australia: A qualitative study.
作者信息
Netfa Faeza, King Catherine, Davies Cristyn, Rashid Harunor, Tashani Mohamed, Booy Robert, Rachel Skinner S
机构信息
Specialty of Child and Adolescent Health, Faculty of Medicine and Health, University of Sydney, Westmead, NSW 2145, Australia.
Kids Research, The Children's Hospital at Westmead, Westmead, NSW 2145, Australia.
出版信息
Vaccine X. 2023 Jun 17;14:100335. doi: 10.1016/j.jvacx.2023.100335. eCollection 2023 Aug.
BACKGROUND
Australia has a large immigrant population but there is little data regarding whether human papillomavirus (HPV) vaccination coverage in adolescents varies according to parents' cultural or ethnic background. This work aims to identify facilitators and barriers to HPV vaccination of adolescents as perceived by Arabic-speaking mothers in Western Sydney, South Western Sydney and Wollongong, NSW, Australia.
METHODS
A purposive sampling approach was applied to recruit mothers of adolescents from Arabic speaking backgrounds who had at least one child eligible for the HPV school-based vaccination program. Face-to-face semi-structured well as online interviews were conducted in Arabic between April 2021 and July 2021. The interviews were audio-recorded, transcribed, and translated into English and examined using thematic analysis.
RESULTS
Sixteen mothers of adolescents from Arabic backgrounds described facilitators and barriers to HPV vaccination. A) Facilitators of HPV vaccination included: knowledge of HPV disease, trust in the school vaccination program, opportunistic recommendations from healthcare workers, information from friends. B) Barriers to accessing HPV vaccination included communication gaps: breakdown in school-parent information flow, lack of access to the Arabic language version of the information sheet, mother - GP communication barriers, mother-child communication gap; and health system gaps: missed opportunities for vaccination. C) Mothers' suggestions to improve HPV vaccination acceptance: to involve religious and cultural leadership, encourage engagement with GPs, and provide school-based education for parents and students.
CONCLUSION
Parents could benefit from assistance with HPV vaccination decision making. Interventions via schools, health professionals and religious and cultural organisations could play important roles in HPV vaccination acceptance for Arabic speaking immigrant families and in introducing their adolescent children to this vaccine.
背景
澳大利亚有大量移民人口，但关于青少年人乳头瘤病毒（HPV）疫苗接种覆盖率是否因父母的文化或种族背景而异的数据很少。这项研究旨在确定澳大利亚新南威尔士州悉尼西部、悉尼西南部和卧龙岗讲阿拉伯语的母亲们所认为的青少年HPV疫苗接种的促进因素和障碍。
方法
采用目的抽样法招募来自讲阿拉伯语背景的青少年母亲，这些母亲至少有一个孩子符合HPV学校疫苗接种计划的资格。在2021年4月至2021年7月期间，用阿拉伯语进行了面对面的半结构化访谈以及在线访谈。访谈进行了录音、转录，并翻译成英语，然后使用主题分析法进行审查。
结果
16位来自阿拉伯背景的青少年母亲描述了HPV疫苗接种的促进因素和障碍。A）HPV疫苗接种的促进因素包括：对HPV疾病的了解、对学校疫苗接种计划的信任、医护人员的机会性推荐、朋友提供的信息。B）HPV疫苗接种的障碍包括沟通差距：学校与家长之间的信息流通中断、无法获取阿拉伯语版的信息表、母亲与全科医生之间的沟通障碍、母亲与孩子之间的沟通差距；以及卫生系统差距：错过疫苗接种机会。C）母亲们对提高HPV疫苗接种接受度的建议：让宗教和文化领袖参与、鼓励与全科医生互动，并为家长和学生提供学校教育。
结论
家长在HPV疫苗接种决策方面可能会受益于相关协助。通过学校以及卫生专业人员、宗教和文化组织进行干预，对于讲阿拉伯语的移民家庭接受HPV疫苗接种以及让他们的青少年子女接种这种疫苗可能会发挥重要作用。
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