A Physician's Recommendation for Human Papillomavirus Vaccination: What Makes African-American Mothers Compliant?
A Physician's Recommendation for Human Papillomavirus Vaccination: What Makes African-American Mothers Compliant?
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医生对人乳头瘤病毒疫苗接种的建议：是什么让非裔美国母亲顺从？
DOI：
10.1097/inf.0000000000001906
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Talbott,LauraL
中科院分区：
文献类型：
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作者：
Cunningham-Erves,JenniferL;Kelly-Taylor,KendriaD;Mayo-Gamble,TiliciaL;Deakings,JasonA;Talbott,LauraL
背景：改善非洲裔美国（AA）女性青少年的人乳头瘤病毒（HPV）疫苗接种以减少宫颈癌负担是重要且具有成本效益的。本研究的目的是确定因素最有影响力的AA母亲的可能性遵守医生的建议，让他们的女儿HPV vaccine.Methods：我们进行了一项横断面调查。参与者通过在线和社区网站（即学校，社区中心等）招募。在亚拉巴马。共有280位AA母亲及其青春期女儿完成了调查。二元逻辑回归被用来确定影响母亲的可能性，坚持医生的建议，让他们的女儿HPV vaccine.Results的因素：最显着的影响因素，母亲的可能性，以遵守医生的建议是文化：未来时间取向（P = 0.001）、HPV疫苗接种的感知障碍（P = 0.007）、对HPV的感知易感性（P = 0.047）和HPV疫苗接种的感知益处（P = 0.002）。对感知障碍和感知益处的进一步探索发现，母亲认为HPV疫苗是保护女儿健康的好方法，这是唯一显著的益处。没有明显的障碍措施。结论：医生的建议应向AA母亲提供有关HPV风险的建议，以及早期接种HPV疫苗以降低宫颈癌风险的重要性。它应该进一步解决母亲认为HPV疫苗接种的缺点（例如，副作用）。在医生推荐的实践中阐明这一信息可以提高HPV疫苗接种率，从而降低这一高危人群的宫颈癌负担。
Background:Improving human papillomavirus (HPV) vaccination among African–American (AA) female adolescents to reduce the cervical cancer burden is important and cost-effective. The study objective is to identify factors most influential to AA mothers’ likelihood to comply with a physician’s recommendation to get their daughters the HPV vaccine.Methods:We conducted a cross-sectional survey. Participants were recruited through online and community sites (ie, schools, community centers, etc.) in Alabama. A total of 280 AA mothers and their adolescent daughters completed the survey. A binary logistic regression was used to determine factors influencing mother’s likelihood to adhere with a physician’s recommendation to get their daughters the HPV vaccine.Results:The most significant factors influencing mother’s likelihood to comply with physician’s recommendation were culture: future-time orientation (P= 0.001), perceived barriers of HPV vaccination (P= 0.007), perceived susceptibility to HPV (P= 0.047) and perceived benefits of HPV vaccination (P= 0.002). Further exploration of perceived barriers and perceived benefits found mother’s perception that the HPV vaccine is a good way to protect my daughter’s health as the only significant benefit. No measures of perceived barriers were significant.Conclusions:A physician’s recommendation should advise AA mothers on the risk of HPV and the importance of HPV vaccination at an early age to reduce cervical cancer risk. It should further address mothers’ perceived disadvantages of HPV vaccination (eg, side effects). Incorporating this information in physician recommendation practices could increase HPV vaccination rates with implications in reducing the cervical cancer burden among this high-risk population.