Communication and US-Somali Immigrant Human Papillomavirus (HPV) Vaccine Decision-Making
Communication and US-Somali Immigrant Human Papillomavirus (HPV) Vaccine Decision-Making
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DOI：
10.1007/s13187-015-0959-0
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发表时间：
2017-09-01
影响因子：
1.6
通讯作者：
Krieger, Janice L.
中科院分区：
文献类型：
--
作者：
Dailey, Phokeng M.;Krieger, Janice L.
目前的研究采用多目标理论视角来探讨生活在美国俄亥俄州的索马里移民家庭如何决定是否给他们的孩子接种人乳头瘤病毒（HPV）疫苗——宫颈癌的主要原因。重点是父母在与孩子和卫生保健提供者讨论HPV疫苗时的沟通目标。半结构化访谈录音，转录，并分析使用接地理论的方法。关键主题是疫苗对早期性活动的影响，HPV和HIV（人类免疫缺陷病毒）之间的混淆，认为HPV疫苗是不必要的，对疫苗功效和副作用的不确定性，避免父母与儿童就疫苗进行沟通，以及倾向于将疫苗作为一种健康促进行为。在性活动开始的背景下构建HPV的威胁，疫苗效力的不确定性以及预期的遗憾是索马里父母中HPV疫苗接种不一致的原因。临床医生应该考虑将HPV作为远端威胁而不是直接威胁，将HPV疫苗接种作为一种促进健康的行为而不是预防性传播感染的行为。
The current study uses a multiple goal theoretical perspective to explore how Somali immigrant families living in Ohio, USA, make decisions regarding whether to vaccinate their children against human papillomavirus (HPV)-a leading cause of cervical cancer. A focus was placed on the communication goals of parents in HPV vaccine discussions with their child and health care provider. Semi-structured interviews were audiotaped, transcribed, and analyzed using a grounded theory approach. Key themes are the implications of the vaccine for early sexual activity, confusion between HPV and HIV (human immunodeficiency virus), the perception that the HPV vaccine is unnecessary, uncertainty about the vaccine's efficacy and side effects, avoidance of parent-child communication about the vaccine, and a preference for framing the vaccine as a health promotion behavior. Framing the threat of HPV in the context of initiation of sexual activity, uncertainty regarding vaccine efficacy, and anticipated regret account for the inconsistency in HPV vaccine uptake among Somali parents. Clinicians should consider talking about HPV as a distal versus an immediate threat and HPV vaccine uptake as a health-promotion behavior rather than a sexually transmitted infection prevention behavior.