学校HPV疫苗接种要求对儿科医生建议的影响
Ashley Hedrick McKenzie1, Lara S Savas2, Ross Shegog2
1Department of Communication, Clemson University, 105 Sikes Hall, Clemson, SC 29634, USA.
Vaccines
|January 8, 2025
概括
儿科医生在干预后增加了对HPV疫苗的无条件,假设和捆绑推 (UPBR) 的使用. 这一变化与他们对沟通疫苗接种要求的信念有关.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 儿科医学 儿科医学
背景情况:
- 儿科医生的建议显著影响父母对HPV疫苗接种的决定.
- 无条件,假设和捆绑推 (UPBR) 被认为是提高HPV疫苗接种率的最佳实践.
- 青少年疫苗接种计划 (AVP) 是一项多层次的干预措施,旨在提高疫苗接种率.
研究的目的:
- 评估AVP干预后儿科医生使用UPBR的变化.
- 确定影响儿科医生中UPBR使用的心理社会决定因素.
- 评估AVP在促进UPBR采用方面的有效性.
主要方法:
- 一项调查研究涉及休斯顿地区51家诊所的儿科医生.
- 基线调查于2015年进行 (n=137),后续调查于2019年 (n=120).
- 对UPBR使用和相关心理社会因素的自我报告数据的分析.
主要成果:
- 儿科医生UPBR的使用在AVP实施后显著增加.
- 随访UPBR使用的一个关键预测因素是提供者对告知家长HPV疫苗接种不需要参加公立学校的必要性的信念.
- 这种信念显著介导了观察到的UPBR使用量的增加.
结论:
- 在增加儿科医生采用UPBRs时,AVP干预是有效的.
- 儿科医生对传达HPV疫苗接种在入学过程中不是强制性的信念对于UPBR的使用至关重要.
- 未来的HPV疫苗推广应该集中在改变儿科医生关于疫苗要求的沟通信念上.
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