Kyei Grace K, Kyei Evans F, Ansong Rockson
College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, Massachusetts, USA.
Center for Substance Use Research and Related Conditions, Capstone College of Nursing, The University of Alabama, Tuscaloosa, Alabama, USA.
J Adv Nurs. 2025 May;81(5):2368-2381. doi: 10.1111/jan.16653. Epub 2024 Dec 9.
This study examines the factors contributing to HPV vaccine hesitancy using Rodgers's evolutionary concept analysis, focusing on the impact of uncertainties about the vaccine on HPV-related diseases despite its availability.
Rodgers's evolutionary concept analysis was applied to explore factors leading to HPV vaccine hesitancy. The analysis included studies published in English over the past 5 years. Exclusions were studies older than 5 years, non-English publications, and those focusing on other vaccines.
A comprehensive literature review was conducted using key databases such as PsycINFO, CINAHL, MEDLINE, and PubMed. Relevant keywords included 'HPV' and 'vaccine hesitancy' to ensure thoroughness.
Studies were selected based on their relevance to HPV vaccine hesitancy. Factors contributing to hesitancy were analysed, focusing on antecedents, attributes, and consequences.
The analysis identified key antecedents to HPV vaccine hesitancy, including false cultural beliefs, educational level, knowledge, and vaccine availability. Additional factors were insurance/income, perceived risk, and decision-making processes. Key attributes impacting hesitancy included media coverage, environmental and community influences, social factors, trust in healthcare systems, efficacy rates, and safety concerns. The consequences of hesitancy were reduced vaccine uptake, increased HPV-related diseases, and the spread of misinformation.
The study highlights the complex interplay of factors contributing to HPV vaccine hesitancy. Understanding these factors is crucial for addressing the challenges posed by vaccine hesitancy and developing effective interventions.
Insights from this analysis can guide public health strategies aimed at improving vaccine uptake and reducing HPV-related diseases. Targeted interventions can address misinformation and enhance trust in vaccines, ultimately leading to better public health outcomes.
This concept analysis was conducted without the involvement of patients, service users, caregivers, or members of the public.
本研究运用罗杰斯的进化概念分析法，探讨导致人乳头瘤病毒（HPV）疫苗犹豫的因素，重点关注尽管有HPV疫苗，但人们对该疫苗及HPV相关疾病存在不确定性所产生的影响。
运用罗杰斯的进化概念分析法，探究导致HPV疫苗犹豫的因素。分析涵盖过去5年以英文发表的研究。排除5年以上的研究、非英文出版物以及关注其他疫苗的研究。
使用诸如心理学文摘数据库（PsycINFO）、护理学与健康领域数据库（CINAHL）、医学文献数据库（MEDLINE）和医学期刊数据库（PubMed）等关键数据库进行全面的文献综述。相关关键词包括“HPV”和“疫苗犹豫”，以确保全面性。
根据研究与HPV疫苗犹豫的相关性进行筛选。分析导致犹豫的因素，重点关注前因、属性和后果。
分析确定了HPV疫苗犹豫的关键前因，包括错误的文化观念、教育水平、知识以及疫苗可及性。其他因素有保险/收入、感知风险和决策过程。影响犹豫的关键属性包括媒体报道、环境和社区影响、社会因素、对医疗保健系统的信任、有效率以及安全担忧。犹豫的后果是疫苗接种率降低、HPV相关疾病增加以及错误信息传播。
该研究凸显了导致HPV疫苗犹豫的因素之间复杂的相互作用。了解这些因素对于应对疫苗犹豫带来的挑战以及制定有效的干预措施至关重要。
该分析所得见解可为旨在提高疫苗接种率和减少HPV相关疾病的公共卫生策略提供指导。有针对性的干预措施可解决错误信息问题并增强对疫苗的信任，最终带来更好的公共卫生结果。
本概念分析未涉及患者、服务使用者、护理人员或公众。
