Stories about HPV vaccine in social media, traditional media, and conversations
Stories about HPV vaccine in social media, traditional media, and conversations
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社交媒体、传统媒体以及日常交谈中关于人乳头瘤病毒（HPV）疫苗的相关报道及讨论
DOI：
10.1016/j.ypmed.2018.11.005
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发表时间：
2019-01-01
影响因子：
5.1
通讯作者：
Gilkey, Melissa B.
中科院分区：
文献类型：
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作者：
Margolis, Marjorie A.;Brewer, Noel T.;Gilkey, Melissa B.
媒体和社交互动的故事如何影响父母的HPV疫苗接种决定，人们知之甚少。我们试图描述父母对这类故事的暴露，以及故事暴露与疫苗接种行为之间的联系。研究参与者是1263名尚未完成HPV疫苗系列接种的美国青少年的父母。2017年，这些家长完成了一项在线调查，询问他们是否听说过被HPV疫苗伤害的人或患上HPV疫苗本可以预防的疾病的人的故事。几乎一半的父母听说过HPV疫苗的故事，这些故事只关于疫苗的危害(19%)，只关于疫苗可预防的疾病(11%)，或者两者都有(15%)。关于危害的报道更多地来自社交媒体和传统媒体；关于可预防疾病的报道更多地来自对话(所有p<；0.01)。只听到危害故事的父母比没有听到故事的父母更不可能开始接种HPV疫苗(23%比33%，AOR：0.48；95%CI：0.33：0.69)。他们更有可能延迟(79%比66%，AOR：2.00；95%CI：1.09：3.71)或拒绝(72%比24%，AOR：8.87；95%CI：4.09：19.25)HPV疫苗接种。接触到关于危害和可预防疾病的这两个故事，同样与启动、延迟和拒绝有关。只接触有关可预防疾病的故事与启动、延迟或拒绝无关。总而言之，与HPV疫苗可预防疾病的故事相比，HPV疫苗危害的故事可能与疫苗接种行为更密切相关。宣传活动应考虑在社交媒体和传统媒体中宣传可预防疾病的故事的战略。
How stories from media and social interactions shape parents' HPV vaccination decisions is poorly understood. We sought to characterize parents' exposure to such stories, as well as associations between story exposure and vaccination behavior. Study participants were 1263 parents of U.S. adolescents who had not yet completed the HPV vaccine series. In 2017, these parents completed an online survey about whether they had heard stories of people who were harmed by HPV vaccine or who got diseases HPV vaccine could have prevented. Almost half of parents had heard HPV vaccine stories, which were about vaccine harms only (19%), vaccine preventable diseases only (11%), or both (15%). Stories of harms more often came from social and traditional media; stories of preventable diseases more often came from conversations (all p < 0.01). Parents who heard only stories about harms were less likely than those who heard no stories to have initiated HPV vaccination (23% vs. 33%, aOR:0.48; 95% CI:0.33:0.69). They were more likely to have delayed (79% vs. 66%, aOR:2.00; 95% CI:1.09:3.71) or refused (72% vs. 24%, aOR:8.87; 95% CI:4.09:19.25) HPV vaccination. Exposure to both stories about harms and preventable diseases was similarly associated with initiation, delay and refusal. Exposure to only stories about preventable diseases was not associated with initiation, delay or refusal. In conclusion, stories of HPV vaccine harms may be associated more strongly with vaccination behavior than stories of HPV vaccine preventable diseases. Communication campaigns should consider strategies to elevate stories of preventable diseases in social and traditional media.