危地马拉农村土著社区的HPV疫苗意识和接种:一个横截面研究
Lucía Abascal Miguel1, Rubi Gaitán Barrillas2, Jamie Sewan Johnston3
1Institute for Global Health Sciences, University of California San Francisco, San Francisco, California, USA lucia.abascal@ucsf.edu.
BMJ open
|December 30, 2025
概括
尽管人们对接种疫苗的意愿很高,但危地马拉的土著护理人员之间仍然存在关于人类乳头瘤病毒 (HPV) 疫苗的重大知识差距. 文化定制的教育对于改善这些社区HPV疫苗的认识和接种至关重要.
科学领域:
- 全球健康 全球健康
- 疫苗学 疫苗学 疫苗学
- 公共卫生 公共卫生
背景情况:
- 危地马拉的农村土著社区在获得医疗保健方面面临着独特的挑战.
- 人类乳头瘤病毒 (HPV) 感染在全球范围内是一个重大的公共卫生问题.
- 接种HPV疫苗是预防宫癌的关键工具.
研究的目的:
- 评估危地马拉农村土著社区的护理人员对HPV疫苗的认识和接种情况.
- 为了确定与HPV疫苗不认识和低吸收相关的社会人口统计因素.
- 为制定有针对性的健康教育策略提供信息.
主要方法:
- 在危地马拉中部高地地区的12个农村土著社区进行了横截面调查.
- 经过培训的多语言卫生工作者使用社区参与的方法进行调查.
- 后勤回归和双变量分析确定了疫苗不认识和吸收的预测因素.
主要成果:
- 95%的护理人员表示愿意接种疫苗,但只有56%的人听说过HPV疫苗.
- 在符合条件的女儿中,接种疫苗的比例较低 (33.7%).
- 原住民身份,年龄较大和文盲与不意识有关;原住民语言使用与更高的意识有关.
结论:
- 在危地马拉的土著护理人员中,HPV疫苗知识的重大差距仍然存在.
- 社区知情,语言和文化适应的教育策略至关重要.
- 解决这些知识差距对于提高HPV疫苗意识和在服务不足的人群中接种疫苗至关重要.
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