A Small Dose of HIV? HIV Vaccine Mental Models and Risk Communication

A Small Dose of HIV? HIV Vaccine Mental Models and Risk Communication
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DOI:
10.1177/1090198107305078
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发表时间:
2009-04-01
影响因子:
4.2
通讯作者:
Duan, Naihua
Duan, Naihua
中科院分区:
医学3区
文献类型:
--
作者:
Newman, Peter A.;Seiden, Danielle S.;Duan, Naihua

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与艾滋病毒疫苗相关的现有知识和信念为制定风险沟通信息以支持未来艾滋病毒疫苗的传播提供了重要基础。这项研究探讨了受艾滋病毒/艾滋病影响较大的人群中成年人的艾滋病毒疫苗心理模型。九个焦点小组的参与者(N = 99;中位年龄 = 33 岁;48% 女性;22% 非裔美国人,44% 拉丁裔,28% 白人)从洛杉矶的针具交换场所、公共诊所和同性恋社区中心招募。使用叙事主题分析和民族志定性软件对数据进行分析。 HIV疫苗的心理模型包括活病毒、副作用、完全保护(100%功效、终身保护、减少对HIV/AIDS的焦虑)和“高危人群”。艾滋病毒疫苗风险沟通可以消除对疫苗引起的感染和副作用的过度恐惧,并减轻对“灵丹妙药”的夸大期望,这对于第一代艾滋病毒疫苗控制艾滋病流行的有效性至关重要。
Existing knowledge and beliefs related to HIV vaccines provide an important basis for the development of risk communication messages to support future HIV vaccine dissemination. This study explored HIV vaccine mental models among adults from segments of the population disproportionately affected by HIV/AIDS. Nine focus groups were conducted with participants (N = 99; median age = 33 years; 48% female; 22% African American, 44% Latino, and 28% white) recruited from needle exchange sites, public clinics, and gay community centers in Los Angeles. Data were analyzed using narrative thematic analysis and Ethnograph qualitative software. Mental models of HIV vaccines included live virus, side effects, complete protection (100% efficacy, lifetime protection, reduced anxiety about HIV/AIDS), and " high-risk groups." HIV vaccine risk communication to counter undue fears of vaccine-induced infection and side effects and to mitigate exaggerated expectations of a "magic bullet" may be vital to the effectiveness of first-generation HIV vaccines in controlling the AIDS epidemic.