在非裔美国人父母-孩子二合体的临床接触期间的沟通互动,需求和偏好
Jennifer Cunningham-Erves1, Meredith Smalls2, Elizabeth C Stewart3
1Department of Internal Medicine, School of Medicine, Meharry Medical College, 1005 Dr. D.B. Todd Jr. Blvd., Nashville, TN, 37208-3599, USA. jerves@mmc.edu.
提供者建议是非洲裔美国青少年接种人类乳头瘤病毒 (HPV) 疫苗的关键. 然而,大多数父母和孩子希望在临床接触期间改善沟通和补充信息,以更好地接种HPV疫苗.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 疫苗学 疫苗学 疫苗学
背景情况:
- 在非洲裔美国青少年中,人类乳头瘤病毒 (HPV) 接种率仍然低于最佳水平.
- 提供者建议被认为是提高HPV疫苗接种率和系列完成的关键.
- 在临床接触期间,关于HPV疫苗咨询的亲子观点的研究有限.
研究的目的:
- 探索和比较有关HPV疫苗接种的临床接触期间的亲子相互作用,需求和偏好.
- 为了检查这些动态跨不同的HPV疫苗接种状态 (未接种疫苗,启动,完成) 在非洲裔美国人两位数.
主要方法:
- 定性,现象学研究设计.
- 半结构面试与非洲裔美国人父母-子女二合体 (n=30) 进行.
- 代式,感应式-演式的主题分析,以确定关键主题.
主要成果:
- 父母对HPV疫苗的态度通常是积极的,尽管有所不同.
- 随着疫苗接种情况的增加,提供者建议的数量增加,但大多数父母和孩子对当前的沟通方式感到不满.
- 补充材料经常用于决策,并且在接种疫苗后需要持续沟通.
结论:
- 在与非裔美国人亲子对象的临床接触期间,需要在HPV疫苗接种方面制定增强的,量身定制的沟通策略.
- 无论疫苗接种情况如何,解决父母和孩子的特定信息需求可以改善HPV疫苗接种率.
- 整合补充信息和促进持续对话可以支持知情决策和系列完成.
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