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在中国资源匮乏地区促进青春期女孩人乳头瘤病毒疫苗接种:一项多中心定性研究。

Promoting HPV vaccination among adolescent girls in low-resource areas of China: A multi-centered qualitative study.

作者信息

Zhu Yitong, Wang Huike, Zhang Bo, Ding Hanyue, Qiao Youlin

机构信息

School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Center of Clinical Big Data and Analytics of the Second Affiliated Hospital and School of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

出版信息

Hum Vaccin Immunother. 2025 Dec;21(1):2521940. doi: 10.1080/21645515.2025.2521940. Epub 2025 Jun 26.


DOI:10.1080/21645515.2025.2521940
PMID:40570008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12203860/
Abstract

The human papillomavirus (HPV) vaccine is a key preventive measure against cervical cancer, yet by 2022, the vaccination rate among 9-14-year-old girls in China remained only 4%. This study explores parental decision-making regarding HPV vaccination for girls in low-resource areas of China with mobile information influence. Qualitative interviews were conducted with parents ( = 22) from middle schools in Shanxi, Sichuan, Inner Mongolia, and Yunnan provinces using purposive sampling. Participants engaged in Health Belief Model (HBM)-based-semi-structured interviews from January to March 2024. Data was transcribed and analyzed using Haase's adaptation of Colaizzi's method. Three key themes emerged: (1) Parental protection as the primary driver-Parents' instinct to protect their daughters, combined with expanded access to online health information, reinforced their recognition of HPV vaccination as a crucial preventive measure. (2) The role of government-supported programs-Free vaccination initiatives significantly improved accessibility and affordability, fostering trust in government and scientific credibility, while collective campaigns reinforced vaccine acceptance. (3) Barriers in the mobile information era-Conflicting and unclear online information led to confusion and hesitancy. Parents expressed the need for clear, authoritative communication on vaccine safety, efficacy, age recommendations, and valency options. Government-funded vaccination programs play a vital role in the mobile era, effectively promoting HPV vaccination in low-resource areas by mitigating economic barriers, trust issues, and resource limitations. However, pervasive misinformation in the mobile era remains a barrier, highlighting the urgent need for authoritative, comprehensible health communication strategies. To promote HPV vaccination, policymakers should prioritize nationwide vaccination programs and dissemination of accurate, evidence-based public health information.

摘要

人乳头瘤病毒(HPV)疫苗是预防宫颈癌的关键措施,但截至2022年,中国9至14岁女孩的HPV疫苗接种率仅为4%。本研究探讨了在中国资源匮乏地区,受移动信息影响,父母对女孩HPV疫苗接种的决策情况。采用目的抽样法,对来自山西、四川、内蒙古和云南省中学的22名家长进行了定性访谈。2024年1月至3月,参与者参与了基于健康信念模型(HBM)的半结构化访谈。数据采用哈泽对科莱齐方法的改编进行转录和分析。出现了三个关键主题:(1)父母的保护本能是主要驱动力——父母保护女儿的本能,加上获取在线健康信息的渠道增多,强化了他们对HPV疫苗接种作为关键预防措施的认识。(2)政府支持项目的作用——免费疫苗接种倡议显著提高了可及性和可承受性,增强了对政府的信任和科学可信度,同时集体宣传活动增强了对疫苗的接受度。(3)移动信息时代的障碍——相互矛盾和不明确的在线信息导致困惑和犹豫。家长们表示,需要就疫苗安全性、有效性、年龄建议和价型选择进行清晰、权威的沟通。政府资助的疫苗接种项目在移动时代发挥着至关重要的作用,通过减轻经济障碍、信任问题和资源限制,有效促进了资源匮乏地区的HPV疫苗接种。然而,移动时代普遍存在的错误信息仍然是一个障碍,凸显了迫切需要权威、易懂的健康传播策略。为了促进HPV疫苗接种,政策制定者应优先考虑全国性疫苗接种项目,并传播准确、基于证据的公共卫生信息。

相似文献

[1]
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[2]
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[3]
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[4]
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[5]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Papillomavirus vaccine: a revolution in the fight against cervical cancer in the Democratic Republic of Congo.

Ann Med Surg (Lond). 2025-6-25

本文引用的文献

[1]
Cancer incidence and mortality in China, 2016.

J Natl Cancer Cent. 2022-2-27

[2]
Estimated Human Papillomavirus Vaccine Coverage Among Females 9-45 Years of Age - China, 2017-2022.

China CDC Wkly. 2024-5-10

[3]
Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.

CA Cancer J Clin. 2024

[4]
Parental willingness of HPV vaccination in Mainland China: A meta-analysis.

Hum Vaccin Immunother. 2024-12-31

[5]
Information needs of ethnically diverse, vaccine-hesitant parents during decision-making about the HPV vaccine for their adolescent child: a qualitative study.

BMC Public Health. 2024-1-4

[6]
Tackling barriers to scale up human papillomavirus vaccination in China: progress and the way forward.

Infect Dis Poverty. 2023-9-21

[7]
Factors affecting HPV vaccine uptake among ethnic minority adolescent girls: A systematic review and meta-analysis.

Asia Pac J Oncol Nurs. 2023-7-31

[8]
The status and challenges of HPV vaccine programme in China: an exploration of the related policy obstacles.

BMJ Glob Health. 2023-8

[9]
Correlates of Parental Consent to Human Papillomavirus Vaccine Uptake by Their Adolescent Daughters in ZAMBIA: Application of the Health Belief Model.

Vaccines (Basel). 2023-4-28

[10]
Human Papillomavirus (HPV) Vaccination Knowledge, Beliefs, and Hesitancy Associated with Stages of Parental Readiness for Adolescent HPV Vaccination: Implications for HPV Vaccination Promotion.

Trop Med Infect Dis. 2023-4-26

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