The role of trust in HPV vaccine uptake among racial and ethnic minorities in the United States: a narrative review.
The role of trust in HPV vaccine uptake among racial and ethnic minorities in the United States: a narrative review.
复制标题
DOI：
10.3934/publichealth.2021027
复制
发表时间：
2021
影响因子：
3.3
通讯作者：
Fang CY
中科院分区：
文献类型：
--
作者：
Harrington N;Chen Y;O'Reilly AM;Fang CY
尽管人类乳头瘤病毒（HPV）疫苗在预防宫颈癌和其他HPV相关癌症方面具有临床证明的益处，但美国（US）青少年和年轻人的疫苗接种覆盖率并不理想，特别是在种族和少数民族青少年中。历史遗留问题，加上目前医疗保健中的种族/民族差异，可能导致HPV疫苗的次优吸收和完成，部分原因是对医生和医疗机构的信任程度不同。本叙述性综述的目的是描述美国少数种族和族裔对HPV疫苗接种的信任及其在决策中的作用。我们使用PubMed数据库进行了文献检索，检索词得到了1176篇文章。我们审查了41篇全文文章的合格性，并在本次审查中纳入了20篇文章。这些研究使用了不同的信任或不信任措施，不仅评估了医生/医疗保健提供者的信任，还评估了其他来源，包括制药公司，媒体和神职人员。我们的审查结果显示，人们对医生和医疗服务提供者的信任程度普遍较高，但对制药公司的信任程度较低。对医疗保健提供者、政府机构或制药公司的不信任一直与不太有利的态度和较低的疫苗接种率有关。不信任的下游效应可能通过对疫苗有效性和安全性的特定健康信念而发生。与白色群体相比，少数群体更有可能报告对家庭成员、宗教组织和媒体来源的信任。关于疫苗接种的决策是一个多层次的过程，涉及比较疫苗的预期效益和预期风险。了解可信来源如何有效地利用社交和传统媒体的工具来增加知识和意识，可能有助于打击有关HPV疫苗的错误信息，并改善与不同社区的接触。
Despite the clinically proven benefits of the human papillomavirus (HPV) vaccine in preventing cervical and other HPV-associated cancers, vaccination coverage has been suboptimal among adolescents and young adults in the United States (US), particularly among racial and ethnic minority adolescents. Historical legacies, combined with current racial/ethnic disparities in healthcare, may contribute to suboptimal uptake and completion of the HPV vaccine in part through differing levels of trust in doctors and healthcare institutions. The purpose of this narrative review was to characterize trust and its role in decision making about HPV vaccine uptake among US racial and ethnic minorities. We conducted a literature search using the PubMed database, and our search terms yielded 1176 articles. We reviewed 41 full-text articles for eligibility and included 20 articles in this review. These studies used varied measures of trust or mistrust and assessed trust in not only doctors/healthcare providers, but also other sources including pharmaceutical companies, media, and clergy. Our review findings revealed generally high levels of trust in doctors and healthcare providers, but less so in pharmaceutical companies. Mistrust of either healthcare providers, government agencies or pharmaceutical companies was consistently associated with less favorable attitudes and lower vaccine uptake. The downstream effects of mistrust may occur through selected health beliefs regarding the perceived efficacy and safety of the vaccine. Minority groups were more likely to report trust in family members, religious organizations, and media sources compared to their white counterparts. Decision making about vaccine uptake is a multilayered process that involves comparing the perceived benefits of the vaccine against its perceived risks. Understanding how trusted sources can effectively harness the tools of social and traditional media to increase knowledge and awareness may help combat misinformation about the HPV vaccine and improve engagement with diverse communities.