Department of Graduate Studies, Cizik School of Nursing, The University of Texas Health Science Center, Houston, Texas.
Thomas Jefferson University, Philadelphia, Pennsylvania.
J Am Assoc Nurse Pract. 2024 Nov 1;36(11):637-646. doi: 10.1097/JXX.0000000000001068.
The available limited literature and Centers for Disease Control data suggest that human papillomavirus (HPV) vaccination acceptance is lower among Asian Indians than the general population in the United States.
The purpose of the study was to determine the effects of health beliefs, subjective norms, acculturation, and demographics on HPV vaccination acceptance among Asian Indian parents.
Using a comparative descriptive cross-sectional study design, immigrant and first-generation Asian Indian parents of 9- to 16-year-old children were recruited ( N = 171). The survey comprised the Health Belief and Subjective Norms instrument and the Suinn-Lew Asian Self-Identity Acculturation Scale. The analysis included parametric and nonparametric tests.
Participants who expressed higher levels of perceived barriers were less likely to accept HPV vaccination (odds ratio [OR] = 0.47, p = .016). Spousal opinion negatively correlated with HPV vaccination acceptance (OR = 0.57, p = .006). However, subjective norms positively predicted HPV vaccination acceptance (OR = 1.69, p = .039). Participants who perceived that friends and family approved of the vaccination also had significantly higher rates of vaccination acceptance (OR = 11.99, p = .001).
The results revealed unique factors in the acceptance of HPV vaccination in Asian Indians that were not examined or understood before. The applied Health Beliefs and Subjective Norms theoretical framework suggested that perceived barriers, subjective norms, and the opinions of spouses, friends, and family predicted HPV vaccination acceptance.
Educational interventions targeting providers, spouses, family, and community members with influential effects on parents may positively affect HPV vaccination acceptance. Providers should note that this population welcomes the provider's recommendations.
现有有限的文献和疾病控制中心数据表明，与美国普通人群相比，亚洲裔印度人对人乳头瘤病毒（HPV）疫苗的接受率较低。
本研究旨在确定健康信念、主观规范、文化适应和人口统计学因素对亚洲裔印度父母 HPV 疫苗接种接受率的影响。
采用比较描述性横断面研究设计，招募了 9 至 16 岁儿童的移民和第一代亚洲裔印度父母（N=171）。该调查包括健康信念和主观规范量表以及 Suinn-Lew 亚洲自我认同文化适应量表。分析包括参数和非参数检验。
表达较高感知障碍水平的参与者不太可能接受 HPV 疫苗接种（比值比[OR] = 0.47，p=0.016）。配偶意见与 HPV 疫苗接种接受度呈负相关（OR=0.57，p=0.006）。然而，主观规范正向预测 HPV 疫苗接种接受度（OR=1.69，p=0.039）。认为朋友和家人赞成接种疫苗的参与者的疫苗接种接受率也显著更高（OR=11.99，p=0.001）。
研究结果揭示了亚洲裔印度人 HPV 疫苗接种接受率的独特因素，这些因素以前没有被检查或理解。应用的健康信念和主观规范理论框架表明，感知障碍、主观规范以及配偶、朋友和家人的意见预测了 HPV 疫苗接种接受度。
针对提供者、配偶、家人和对父母有影响的社区成员的教育干预措施可能会对 HPV 疫苗接种接受率产生积极影响。提供者应注意到，该人群欢迎提供者的建议。
