在美国的佛得角移民中对HPV疫苗接种的社会生态影响:一种定性研究
Ana Cristina Lindsay1, Celestina V Antunes2, Aysha G Pires2
1Department of Urban Public Health, Donna M & Robert J Manning College of Nursing & Health Sciences, University of Massachusetts Boston, Boston, MA 02125, USA.
Vaccines
|July 30, 2025
概括
在美国的佛得角移民父母中,人类乳头瘤病毒 (HPV) 疫苗接种的决定受到文化,社会和结构因素的影响. 解决知识差距和改善沟通是提高HPV疫苗接种率的关键.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 社会医学科学 社会医学科学
背景情况:
- 人类乳头瘤病毒 (HPV) 是一种常见的性传播感染,与多种癌症有关.
- 疫苗接种率低于最佳水平,特别是在少数群体和移民群体中.
- 在美国的佛得角移民中对HPV疫苗决策的研究有限.
研究的目的:
- 探索影响HPV疫苗决策的文化,社会和结构因素在美国的佛得角移民父母中.
- 在这个代表性不足的人群中识别HPV疫苗接种的障碍和促进者.
主要方法:
- 定性研究采用了对45名佛得角移民父母 (11-17岁的孩子) 的深入采访.
- 以社会生态模型 (SEM) 为指导,在多个层面 (从人际关系到政策) 进行主题分析.
- 探索有关HPV和疫苗接种的父母知识,信仰,沟通和信息来源.
主要成果:
- 父母报告HPV和疫苗的知识有限,有性别信仰和误解.
- 母亲是主要的决策者,但共同决策是常见的;对提供者的信任很高.
- 沟通不良,缺乏文化适合的材料,耻辱和错误信息阻碍了明智的决策;学校和教会是值得信赖的信息来源.
结论:
- 接种HPV疫苗和犹受到个人信仰,家庭,提供者互动,文化规范和结构性障碍的影响.
- 需要多层次战略,包括文化定制的教育和改善提供者沟通.
- 社区参与和解决公共卫生信息中的结构性差距对于明智的疫苗接种决定至关重要.
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