HPV vaccine delay and refusal among unvaccinated Mexican American young adult women: a qualitative investigation of Mexican-born and US-born HPV vaccine decision narratives.
HPV vaccine delay and refusal among unvaccinated Mexican American young adult women: a qualitative investigation of Mexican-born and US-born HPV vaccine decision narratives.
复制标题
HPV疫苗的延迟和未接种的墨西哥裔美国年轻妇女的拒绝：对出生于墨西哥和美国出生的HPV疫苗决策叙事的定性研究。
DOI：
10.1007/s10865-022-00326-1
复制
发表时间：
2023-04
影响因子：
3.1
通讯作者：
Tanjasiri, Sora
中科院分区：
文献类型：
--
作者：
Garcia, Samantha;Hopfer, Suellen;Amaro, Hortensia;Tanjasiri, Sora
拉丁裔年轻人中HPV疫苗接种率低使HPV相关癌症差异永久化使用定性方法，本研究探讨了影响墨西哥和美国人HPV疫苗延迟和拒绝的个人，人际和社区因素。出生于墨西哥的美国年轻女性从加州橙子县的两个联邦合格的健康中心有目的地抽样18至26岁的参与者（N = 30）。国家少数民族健康和健康差异研究所的研究框架和叙事参与理论指导的半结构化电话采访编码归纳和演绎。参与者主要将疫苗接种状况归因于个人和人际原因。新出现的主题包括HPV疫苗知识低，提供者沟通不足，对HPV和疫苗的负面看法，母亲的责任，母亲对HPV的沟通，文化家庭规范，医疗保健的获取和错误信息。与美国相比-出生于拉丁美洲，墨西哥出生的参与者更频繁地表示避免与家人讨论医疗保健问题。对年轻墨西哥裔美国妇女的HPV疫苗建议应包括社会文化定制的信息，这些信息可能会提高HPV疫苗接种的接受度和吸收率。
Low HPV vaccination rates among Latina young adults perpetuate HPV-associated cancer disparities. Using qualitative methods, this study explored individual, interpersonal, and community factors that influence HPV vaccine delay and refusal among Mexican- and U.S.-born Mexican American young adult women. Participants (N = 30) between 18 and 26 years old were purposively sampled from two federally qualified health centers in Orange County, California. The National Institute on Minority Health and Health Disparities research framework and narrative engagement theory guided semi-structured phone interviews coded inductively and deductively. Participants primarily attributed vaccine status to individual and interpersonal reasons. Emerging themes included low HPV vaccine knowledge, insufficient provider communication, negative perceptions about HPV and the vaccine, motherhood responsibilities, mother’s communication about HPV, cultural family norms, health care access, and misinformation. Compared to U.S.-born Latinas, Mexican-born participants more frequently expressed avoiding health care discussions with family. HPV vaccine recommendations for young Mexican American women should include socioculturally tailored messages that may improve HPV vaccination acceptance and uptake.