主要在西班牙裔边境人口中完成HPV疫苗系列的障碍:混合方法评估
Amir Hernandez1, Jessica Calderón-Mora2, Hatty Lara3
1College of Health Science, University of Texas at El Paso, El Paso, Texas, USA.
概括
在西班牙裔社区,低人乳头瘤病毒 (HPV) 疫苗接种率与结构性障碍有关. 解决这些问题对于预防癌症和提高疫苗接种率至关重要.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 健康差异 在健康上的差异
背景情况:
- 人类乳头瘤病毒 (HPV) 感染是美国常见的性传播感染.
- 预防HPV疫苗对于预防HPV相关的癌症,如宫癌至关重要.
- 在西班牙裔人口中,由于语言,文化规范和成本等因素,HPV疫苗的接种率显著较低.
研究的目的:
- 为了调查HPV疫苗接种的障碍.
- 专注于一个主要是西班牙裔美国-墨西哥边境县.
- 该研究于2015年6月至2018年3月进行.
主要方法:
- 采用混合方法的方法.
- 分析了与HPV疫苗接种相关的因素.
- 通过参与者后续电话和提醒笔记评估障碍.
主要成果:
- 这项研究包括了1787名参与者.
- 年轻人 (9-17岁) 比年轻人更有可能完成疫苗系列.
- 出生在墨西哥的个人显示了更高的完成率.
- 确定的主要障碍是无法联系 (86.42%),其次是安排问题 (4.5%) 和资格不合格 (3.55%).
结论:
- 结构性障碍显著影响HPV疫苗接种率.
- 医疗保健的获取和质量是影响采用医疗保健的健康相关决定因素.
- 干预措施应侧重于克服这些系统性挑战,以改善疫苗接种覆盖率.
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