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HPV 疫苗接种信息获取、黑人和西班牙裔母亲的需求和偏好。

HPV Vaccination Information Access, Needs, and Preferences Among Black and Hispanic Mothers.

机构信息

Center for Cancer Health Equity, Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, USA.

School of Public Health, Rutgers University, Piscataway, New Jersey, USA.

出版信息

J Health Commun. 2024 Sep;29(9):566-579. doi: 10.1080/10810730.2024.2386594. Epub 2024 Aug 11.

Abstract

HPV-associated cancer disparities disproportionately affect Black/African American and Hispanic individuals in the U.S. HPV vaccination, which can prevent many HPV-associated cancers, should be clearly recommended by pediatricians to parents of adolescents aged 9-12, yet uptake and completion remain lower than other adolescent vaccinations. We used the Structural Influence Model of Health Communication to explore communication inequalities from interviews with 19 Black and Hispanic mothers of adolescents. We identified HPV vaccination information seeking behaviors, media use, and preferred channels to address information needs. This study provides insights into how mothers' nativity and ethno-racial identity influenced how they accessed and processed information from various sources. Preferences for digital and community-based strategies to address information gaps and hesitancy concerns are also presented. Findings suggest future prevention strategies must increase access to accurate information that resonates with NH-Black and Hispanic communities' needs and is disseminated via preferred communication channels to maximize the effects of multi-level interventions promoting HPV vaccination among communities experiencing disparities.

摘要

HPV 相关癌症的差异在美国不成比例地影响着黑人/非裔美国人和西班牙裔个体。HPV 疫苗接种可以预防许多 HPV 相关癌症,儿科医生应该明确向 9-12 岁青少年的父母推荐,但接种率和完成率仍低于其他青少年疫苗接种。我们使用健康传播的结构影响模型,通过对 19 名黑人及西班牙裔青少年母亲的访谈,探讨了沟通方面的不平等问题。我们确定了 HPV 疫苗接种信息的寻求行为、媒体使用情况以及满足信息需求的首选渠道。这项研究深入了解了母亲的出生地和民族种族身份如何影响她们从各种来源获取和处理信息的方式。此外,还提出了针对数字和社区为基础的策略的偏好,以解决信息差距和犹豫问题。研究结果表明,未来的预防策略必须增加获取准确信息的机会,这些信息需要与 NH-黑人及西班牙裔社区的需求产生共鸣,并通过首选沟通渠道进行传播,以最大限度地发挥多层次干预措施的效果,从而促进在面临差异的社区中推广 HPV 疫苗接种。

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