Knowledge and Attitudes Toward Human Papillomavirus Vaccination Among Latina Mothers of South American and Caribbean Descent in the Eastern US
Knowledge and Attitudes Toward Human Papillomavirus Vaccination Among Latina Mothers of South American and Caribbean Descent in the Eastern US
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DOI：
10.1089/heq.2018.0058
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发表时间：
2019-01-01
期刊：
影响因子：
2.7
通讯作者：
Bucalo, Jennifer
中科院分区：
文献类型：
--
作者：
Btoush, Rula;Brown, Diane R.;Bucalo, Jennifer
目的：本研究的目的是探讨知识，态度，障碍，和促进者的人乳头瘤病毒（HPV）疫苗接种的拉丁裔母亲的HPV疫苗合格的儿童在低收入的城市地区，以及有用的策略，以提高HPV疫苗接种。方法：该研究包括132名HPV疫苗合格儿童的拉丁裔母亲，在14个焦点小组中接受采访。使用半结构化的讨论，母亲被问及他们对HPV感染和疫苗的知识，对HPV疫苗接种的看法，HPV疫苗启动和完成的障碍，以及对改善HPV疫苗接种策略的意见。结果如下：只有55%的母亲表示听说过HPV疫苗，27%的母亲表示开始接种HPV疫苗，14%的母亲表示完成多剂量系列。母亲普遍缺乏关于HPV感染和疫苗接种的知识，拉丁裔的程度不同。卫生保健提供者（HCP）的建议是HPV疫苗接种的最大障碍/促进因素。母亲们提出的改善HPV疫苗启动和完成的有用策略包括HCP的强烈建议以及解决副作用和安全性问题。其他有用的战略包括以社区和学校为基础的方法，以及使用短信和智能手机技术教育母亲和发送疫苗提醒。结论：这些发现为针对低收入拉丁裔母亲的干预措施的发展提供了见解，并需要改善HCP对HPV疫苗接种的沟通。
Purpose: The purpose of this study was to examine knowledge, attitudes, barriers, and facilitators for human papillomavirus (HPV) vaccination among Latina mothers of HPV vaccine-eligible children in low-income urban areas, as well as useful strategies to improve HPV vaccination. Methods: The study included 132 Latina mothers of HPV vaccine-eligible children, interviewed in 14 focus groups. Using semi-structured discussions, mothers were asked about their knowledge about HPV infection and vaccine, views toward HPV vaccination, barriers for HPV vaccine initiation as well as completion, and opinions on strategies to improve HPV vaccination. Results: Only 55% of mothers reported having ever heard of the HPV vaccine, 27% of mothers indicated initiating the HPV vaccine, and 14% indicated completing the multi-dose series. Mothers generally lacked knowledge about HPV infection and vaccination, with varying degrees by Latino descent. Health care provider (HCP) recommendation was the strongest barrier/facilitator for HPV vaccination. Useful strategies to improve HPV vaccine initiation and completion that the mothers suggested included strong recommendation from HCPs and addressing side effects and safety concerns. Other useful strategies included community and school-based approaches and the use of text messaging and smartphone technology to educate mothers and send vaccine reminders. Conclusion: The findings provide insight for the development of interventions targeting low-income Latina mothers and the need to improve HCP communication on HPV vaccination.