Human Papillomavirus Vaccination and Social Media: Results in a Trial With Mothers of Daughters Aged 14-17.
Human Papillomavirus Vaccination and Social Media: Results in a Trial With Mothers of Daughters Aged 14-17.
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DOI：
10.3389/fdgth.2021.683034
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发表时间：
2021
影响因子：
--
通讯作者：
Arroyo KM
中科院分区：
文献类型：
--
作者：
Buller DB;Pagoto S;Henry K;Berteletti J;Walkosz BJ;Bibeau J;Baker K;Hillhouse J;Arroyo KM
简介：父母在网上获得有关人乳头瘤病毒（HPV）疫苗的信息，并遇到疫苗关键内容，特别是在社交媒体上，这可能会抑制疫苗接种。对一项随机试验进行了二次分析，该试验针对的是在Facebook上发布HPV疫苗接种帖子的母亲，目的是（a）确定母亲对其青春期女儿进行HPV疫苗接种的自我报告中是否发生了前后变化;（B）描述对疫苗帖子的评论和反应;（c）探讨受评母亲对活动的参与程度与接受HPV疫苗注射的母亲自我报告改变的关系。材料和方法：从美国34个州招募了14-17岁女儿的母亲（n = 869）。在Facebook的两个私人群组中开展了一项社交媒体活动，其中一个群组中16%的帖子集中在室内晒黑（IT）上，另一个群组中16%的帖子集中在处方药滥用上，这是通过随机分配的。在两组中，职位促进HPV疫苗接种（n = 38职位;无随机化）和其他疾病的疫苗接种（例如，流感，n = 49）。HPV和其他疫苗接种岗位涵盖了疫苗的需求，接种疫苗的青少年人数，疫苗如何降低感染率，以及接种疫苗的积极益处或不接种疫苗的危害。在社会认知理论和创新扩散理论的指导下，帖子旨在增加知识，感知风险，反应效能（即，与未接种疫苗的女儿相比具有相对优势），以及接种疫苗的标准。正如运输理论所解释的那样，一些疫苗接种帖子与故事相关联，以利用叙事中的识别效应。所有母亲都接受了疫苗接种（即，没有随机化）。母亲在基线和12个月和18个月随访时完成调查，以通过自我报告措施评估HPV疫苗的摄取。对每个HPV相关帖子的反应（如悲伤，愤怒）和评论进行计数和编码。结果如下：在基线时，63.4%的母亲报告开始接种HPV疫苗（1剂），在测试后12个月时为71.3%（前/后p < 0.001），在测试后18个月时为73.3%（前/后p < 0.001）。在基线时，50.2%的母亲完成了HPV疫苗接种（两剂或三剂），在测试后12个月时为62.5%（前/后p < 0.001），在测试后18个月时为65.9%（前/后p < 0.001）。对于HPV疫苗的帖子，8.1%的母亲做出了反应（总共162人），68.4%的帖子收到了反应（63.2%喜欢; 13.2%爱，7.9%悲伤）。此外，7.6%的母亲发表了评论（n = 122; 51个不利，68个有利，1个中立），这些帖子中有50.0%收到了评论。HPV疫苗接种后反应或评论数的变化前后无差异（Ps > 0.05）。基线疫苗接种与对HPV疫苗帖子的评论价相关（7.2%的女儿在基线时完成HPV系列的母亲做出了有利的评论，但7.6%的女儿未接种疫苗的母亲做出了不利的评论）。结论：在社交媒体上需要有效的策略来推广HPV疫苗，并抵制对它们的错误信息和耐药性。女儿完成HPV疫苗课程的母亲可能会被招募为HPV疫苗的影响者，因为他们可能倾向于谈论疫苗。应监测未接种疫苗的母亲的评论，以确保他们不会传播疫苗关键的错误信息。研究的局限性包括缺乏随机化和对照组，HPV疫苗的信息数量相对较少，测量间隔较长，无法测量疫苗接种岗位的意见，与种族和社交媒体使用相关的普遍性降低，以及使用自我报告的疫苗状态。临床试验注册：www.clinicaltrials.gov，标识符NCT 02835807。
Introduction: Parents acquire information about human papillomavirus (HPV) vaccines online and encounter vaccine-critical content, especially on social media, which may depress vaccine uptake. Secondary analysis in a randomized trial of a Facebook-delivered adolescent health campaign targeting mothers with posts on HPV vaccination was undertaken with the aims of (a) determining whether the pre–post-change occurred in self-reports of the mothers on HPV vaccination of their adolescent daughters; (b) describing the comments and reactions to vaccine posts; (c) exploring the relationship of campaign engagement of the mothers assessed by their comments and reactions to posts to change in the self-reports of the mothers of HPV vaccination. Materials and Methods: Mothers of daughters aged 14–17 were recruited from 34 states of the US (n = 869). A social media campaign was delivered in two Facebook private groups that differed in that 16% of posts in one were focused on indoor tanning (IT) and 16% in the other, on prescription drug misuse, assigned by randomization. In both groups, posts promoted HPV vaccination (n = 38 posts; no randomization) and vaccination for other disease (e.g., influenza, n = 49). HPV and other vaccination posts covered the need for a vaccine, the number of adolescents vaccinated, how vaccines are decreasing the infection rates, and stories of positive benefits of being vaccinated or harms from not vaccinating. Guided by social cognitive theory and diffusion of innovations theory, posts were intended to increase knowledge, perceived risk, response efficacy (i.e., a relative advantage over not vaccinated daughters), and norms for vaccination. Some vaccination posts linked to stories to capitalize on identification effects in narratives, as explained in transportation theory. All mothers received the posts on vaccination (i.e., there was no randomization). Mothers completed surveys at baseline and 12- and 18-month follow-up to assess HPV vaccine uptake by self-report measures. Reactions (such as sad, angry) and comments to each HPV-related post were counted and coded. Results: Initiation of HPV vaccination (1 dose) was reported by 63.4% of mothers at baseline, 71.3% at 12-month posttest (pre/post p < 0.001), and 73.3% at 18-month posttest (pre/post p < 0.001). Completion of HPV vaccination (two or three doses) was conveyed by 50.2% of mothers at baseline, 62.5% at 12-month posttest (pre/post p < 0.001), and 65.9% at 18-month posttest (pre/post p < 0.001). For posts on HPV vaccines, 8.1% of mothers reacted (n = 162 total), and 68.4% of posts received a reaction (63.2% like; 13.2% love, 7.9% sad). In addition, 7.6% of mothers commented (n = 122; 51 unfavorable, 68 favorable, 1 neutral), and 50.0% of these posts received a comment. There were no differences in pre–post change in vaccine status by the count of reactions or comments to HPV vaccine posts (Ps > 0.05). Baseline vaccination was associated with the valence of comments to HPV vaccine posts (7.2% of mothers whose daughters had completed the HPV series at baseline made a favorable comment but 7.6% of mothers whose daughters were unvaccinated made an unfavorable comment). Conclusion: Effective strategies are needed in social media to promote HPV vaccines and counter misinformation about and resistance to them. Mothers whose daughters complete the HPV vaccine course might be recruited as influencers on HPV vaccines, as they may be predisposed to talk favorably about the vaccine. Comments from mothers who have not been vaccinated should be monitored to ensure that they do not spread vaccine-critical misinformation. Study limitations included lack of randomization and control group, relatively small number of messages on HPV vaccines, long measurement intervals, inability to measure views of vaccination posts, reduced generalizability related to ethnicity and social media use, and use of self-reported vaccine status. Clinical Trial Registration: www.clinicaltrials.gov, identifier NCT02835807.
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影响因子：
12.7
作者：
Bonnevie, Erika;Goldbarg, Jaclyn;Smyser, Joe
通讯作者：
Smyser, Joe
影响因子：
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作者：
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DOI：
10.1093/jnci/dji019
发表时间：
2005-02-02
期刊：
JOURNAL OF THE NATIONAL CANCER INSTITUTE
影响因子：
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作者：
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通讯作者：
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影响因子：
7.6
作者：
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通讯作者：
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影响因子：
12.7
作者：
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