探索对HPV疫苗接种的文化和宗教影响 使用基于Web的决策辅助工具做出决策:一项准实验性研究
1Department of Nursing, School of Health Sciences, Ariel University, Ariel, Israel.
概括
一个基于网络的决策辅助工具改善了大多数以色列宗教团体的人类乳头瘤病毒 (HPV) 疫苗接种意图,但不是极端正统社区. 需要量身定制的文化策略来解决社区对更好的HPV疫苗接种的具体担忧.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 卫生传播健康传播
背景情况:
- 人类乳头瘤病毒 (HPV) 感染是与癌症和生殖器有关的重大健康问题.
- 以色列的HPV疫苗接种率较低,特别是在极端正统派中,归因于宗教和文化障碍.
- 基于网络的决策辅助工具可以支持明智的健康选择和共享决策.
研究的目的:
- 评估基于网络的新型决策辅助工具对HPV疫苗接种意图,知识,决策自我有效性和决策冲突的影响.
- 评估这些影响在以色列父母和年轻成年人,专注于宗教间的群体差异.
主要方法:
- 为家长 (n=120) 和年轻人 (n=160) 开发两个基于网络的决策辅助工具.
- 准实验性研究涉及希伯来语说话的参与者符合HPV疫苗接种条件.
- 干预前后的调查问卷测量了接种疫苗的意图,HPV知识,决策的自我有效性和决策冲突.
主要成果:
- 决策援助显著改善了大多数宗教团体的HPV疫苗接种意图,但极端正统的犹太社区除外.
- 极端正统的参与者对接种疫苗表示不情愿 (OR=0.23对于父母,OR=0.43对于年轻人).
- 在穆斯林-阿拉伯参与者中观察到更多的接种疫苗倾向 (OR=3.12),并注意到父母对接种女孩疫苗的偏好 (OR=2.66).
结论:
- 基于网络的决策辅助工具对以色列各种宗教团体的HPV疫苗接种决策质量产生了积极的影响,极端正统社区除外.
- 在极端正统的参与者中,知识有所提高,但决策冲突和自我效能却没有.
- 文化定制的方法对于解决特定社区关切和促进知情的HPV疫苗接种决策至关重要.
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