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新西兰非洲裔父母对人乳头瘤病毒疫苗的认知、态度和看法

Knowledge, Attitudes, and Perceptions of African Parents in New Zealand Towards the Human Papillomavirus Vaccine.

作者信息

Akoro Uje, Stuart George

机构信息

Medical School, Oceania University of Medicine, Apia, WSM.

Research, Oceania University of Medicine, Apia, WSM.

出版信息

Cureus. 2024 Dec 19;16(12):e76046. doi: 10.7759/cureus.76046. eCollection 2024 Dec.

Abstract

Introduction Human papillomavirus (HPV) is a well-documented cause of cervical cancer, leading to significant mortality that may be decreased through screening and the administration of HPV vaccination. Our understanding of New Zealand immigrants' knowledge, attitudes, and perceptions of the HPV vaccine is limited. Preliminary research shows that immigrants have low knowledge and negative perceptions of the HPV vaccine and that cervical cancer and HPV awareness was low among African parents. This study examines the knowledge, attitudes, and perceptions of African parents in New Zealand towards the HPV vaccine. Method A cross-sectional study of 100 African parents was conducted in New Zealand on a randomly selected sample from different African community groups. A self-report questionnaire was used for data collection. Results Of the 100 parents who completed the survey, 51 (51%) were women and 49 (49%) were men. Only 45 (45%) of the parents had a high level of knowledge of the HPV vaccine, while 44 (44%) had a low level of knowledge and 11 (11%) had only moderate knowledge. Most of the parents 75 (75%) had a positive attitude toward the HPV vaccine and 71 (71%) had a positive perception of the utilization of the vaccine. A positive relationship was identified between the level of knowledge and attitude (gamma = 0.66, p-value = 0.02) and between the level of knowledge and perception (gamma = 0.73, p-value < 0.001). Parental attitudes towards HPV vaccination uptake were largely influenced by (i) their level of education 88 (88%), (ii) their concerns about the vaccine's adverse effects 85 (85%), (iii) inadequate knowledge and information about the vaccine 92 (92%), and (iv) public health concerns 89 (89%). Conclusion The level of knowledge of the HPV vaccine among 44 (44%) participants in this study was low, though most parents had positive attitudes and perceptions toward the HPV vaccine and were willing to allow their children to be vaccinated against HPV infection. Inadequate knowledge and concerns about the vaccine's adverse effects were some of the main factors influencing the parents' negative attitudes toward the uptake of the HPV vaccine and more education is needed among African parents to improve their knowledge of the HPV vaccine and to address their concerns about the adverse effects of the vaccine. Improved knowledge and education of the HPV vaccine may promote higher vaccine uptake among African parents.

摘要

引言 人乳头瘤病毒(HPV)是宫颈癌的一个已被充分证明的病因,导致大量死亡,而通过筛查和接种HPV疫苗可降低死亡率。我们对新西兰移民关于HPV疫苗的知识、态度和看法的了解有限。初步研究表明,移民对HPV疫苗的知识了解较少且看法负面,并且非洲裔父母对宫颈癌和HPV的知晓率较低。本研究调查了新西兰非洲裔父母对HPV疫苗的知识、态度和看法。

方法 对来自不同非洲社区群体的100名非洲裔父母进行了一项横断面研究,样本是在新西兰随机抽取的。使用自填式问卷收集数据。

结果 在完成调查的100名父母中,51名(51%)为女性,49名(49%)为男性。只有45名(45%)父母对HPV疫苗有较高的知识水平,44名(44%)知识水平较低,11名(11%)仅有中等知识水平。大多数父母75名(75%)对HPV疫苗持积极态度,71名(71%)对疫苗的使用持积极看法。知识水平与态度之间(伽马系数=0.66,p值=0.02)以及知识水平与看法之间(伽马系数=0.73,p值<0.001)存在正相关关系。父母对HPV疫苗接种的态度在很大程度上受到以下因素影响:(i)他们的教育水平88名(88%),(ii)他们对疫苗不良反应的担忧85名(85%),(iii)关于疫苗的知识和信息不足92名(92%),以及(iv)对公共卫生的担忧89名(89%)。

结论 本研究中44名(44%)参与者对HPV疫苗的知识水平较低,尽管大多数父母对HPV疫苗持积极态度和看法,并愿意让他们的孩子接种HPV疫苗以预防感染。知识不足以及对疫苗不良反应的担忧是影响父母对HPV疫苗接种持负面态度的一些主要因素,非洲裔父母需要更多教育来提高他们对HPV疫苗的知识,并解决他们对疫苗不良反应的担忧。改善对HPV疫苗的知识和教育可能会促进非洲裔父母更高的疫苗接种率。

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