Vu Milkie, Berg Carla J, Pham Nhat-Ha T, Tiro Jasmin A, Escoffery Cam, Spring Bonnie, Bednarczyk Robert A, Ta Danny, Kandula Namratha R
Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, United States of America.
Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, United States of America.
PEC Innov. 2023 Jul 6;3:100189. doi: 10.1016/j.pecinn.2023.100189. eCollection 2023 Dec 15.
Assess trusted sources of information, perceived message effectiveness, and preferred dissemination strategies regarding adolescent HPV vaccination among U.S. Vietnamese parents.
Data came from an observational, explanatory sequential mixed-methods study with U.S. Vietnamese parents of adolescents (408 survey participants; 32 interview participants). Surveys and interviews were conducted in both Vietnamese and English. Mixed-methods data were integrated and analyzed for confirmation, expansion, or discordance.
Both quantitative and qualitative findings confirm high trust in HPV vaccination information from providers, government agencies, and cancer organizations. Messages perceived as effective emphasize vaccine safety, experts' endorsement, importance of vaccination prior to HPV exposure, and preventable cancers. Qualitative findings expanded quantitative results, demonstrating a desire for evidence-based information in the Vietnamese language and addressing cultural concerns (e.g., effectiveness or potential side effects specific to Vietnamese adolescents, whether parents should delay HPV vaccination for Vietnamese adolescents). Quantitative and qualitative findings were incongruent about whether parents would trust information about HPV vaccination that is disseminated via social media.
We identified credible messengers, feasible strategies, and elements of impactful messages for interventions to increase adolescent HPV vaccination for U.S. Vietnamese.
We focus on a high-risk, underserved population and integrate mixed-methods design and analysis.
评估美国越南裔父母关于青少年人乳头瘤病毒（HPV）疫苗接种的可靠信息来源、感知到的信息有效性以及偏好的传播策略。
数据来自一项观察性、解释性序列混合方法研究，研究对象为美国越南裔青少年的父母（408名调查参与者；32名访谈参与者）。调查和访谈以越南语和英语进行。对混合方法数据进行整合和分析，以确认、扩展或找出不一致之处。
定量和定性研究结果均证实，人们高度信任来自医疗服务提供者、政府机构和癌症组织的HPV疫苗接种信息。被认为有效的信息强调疫苗安全性、专家认可、在接触HPV之前接种疫苗的重要性以及可预防的癌症。定性研究结果扩展了定量研究结果，表明人们希望获得越南语的循证信息，并解决文化方面的担忧（例如，越南青少年特有的有效性或潜在副作用、父母是否应推迟越南青少年的HPV疫苗接种）。关于父母是否会信任通过社交媒体传播的HPV疫苗接种信息，定量和定性研究结果不一致。
我们确定了可信的信息传播者、可行的策略以及有影响力信息的要素，用于开展干预措施，以提高美国越南裔青少年的HPV疫苗接种率。
我们关注高危、服务不足的人群，并整合了混合方法设计和分析。
