Perception of Barriers to Immunization Among Parents of Hmong Origin in California
Perception of Barriers to Immunization Among Parents of Hmong Origin in California
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DOI：
10.2105/ajph.2009.175935
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发表时间：
2010-05-01
影响因子：
12.7
通讯作者：
Diaz, Rafael
中科院分区：
文献类型：
--
作者：
Baker, Dian L.;Dang, Michelle T.;Diaz, Rafael
目标.我们探讨了与认知障碍免疫接种的父母在加州，其儿童经历持久的免疫接种不平等，即使有健康保险。学术研究人员和苗族社区成员合作开展了一个基于社区的参与性研究项目。我们用标准化的仪器在自然环境中收集数据。我们分析了417名父母和照顾者的回答，并建立了一个结构方程模型，以确定因素，有助于感知障碍。在3个潜在的影响因素中，出生、社会经济地位和使用苗族传统医疗保健（即，咨询巫师和草药医生），后2个显着预测较高的感知障碍免疫。在美国的出生年份、到达美国的年龄和英语流利程度并不能预测感知障碍。旨在减少免疫不平等现象的干预措施应考虑到影响不同难民和移民群体免疫率的不同社会文化因素。(Am J公共卫生。2010;100：839-845. doi：10.2105/AJPH.2009.175935）
Objectives. We explored factors associated with perception of barriers to immunization among parents of Hmong origin in California, whose children experience persistent immunization inequities even with health insurance.Methods. A partnership of academic researchers and members of the Hmong community conducted a community-based participatory research project. We collected data in naturalistic settings with a standardized instrument. We analyzed responses from 417 parents and caregivers and created a structural equation model to determine factors that contributed to perceived barriers.Results. Of 3 potential contributing factors to perceived barriers nativity, socioeconomic position, and use of traditional Hmong health care (i.e., consulting shamans and herbalists) the latter 2 significantly predicted higher perceived barriers to immunization. Nativity, indicated by years in the United States, age of arrival in the United States, and English language fluency, did not predict perceived barriers.Conclusions. Interventions aimed at reducing immunization inequities should consider distinct sociocultural factors that affect immunization rates among different refugee and immigrant groups. (Am J Public Health. 2010;100:839-845. doi:10.2105/AJPH.2009.175935)