"We will do whatever it takes": Understanding Socioecological Level Influences on Hmong-American Adolescents and Parents' Perceptions of the Human Papillomavirus Vaccine.
"We will do whatever it takes": Understanding Socioecological Level Influences on Hmong-American Adolescents and Parents' Perceptions of the Human Papillomavirus Vaccine.
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DOI：
10.1007/s13187-021-02057-4
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发表时间：
2022-12
期刊：
影响因子：
--
通讯作者：
Lee HY
中科院分区：
文献类型：
--
作者：
Xiong S;Kasouaher MY;Vue B;Culhane-Pera KA;Pergament SL;Desai J;Torres MB;Lee HY
亚裔美国人的人乳头瘤病毒（HPV）疫苗接种完成率大大低于大多数白色美国人。我们的目标是确定知识，观念和决策过程中的HPV疫苗接种在苗族人口，一个亚裔美国人组与HPV相关的癌症的风险增加。我们与苗族青少年（n = 12）和父母（n = 13）进行了八个焦点小组，以了解有关一般疫苗接种和HPV疫苗的障碍，促进因素和决策过程。焦点小组的结果进行了分析，使用主题分析，告知社会生态模型和资产透镜。调查结果显示，在个人层面上，苗族青少年和父母对HPV和HPV疫苗的认识水平较低（障碍），并且强烈希望了解HPV和HPV疫苗（促进者）。社区一级的障碍包括关于疫苗和疫苗研究的创伤经历的突出叙述，而促进者包括强大的社区联系。在体制一级，障碍包括保健环境中的结构性制约因素，而促进因素包括在学校诊所容易获得疫苗和提供者的权威性决策。此外，父母、青少年和提供者之间存在一系列决策过程，父母强烈呼吁与提供者进行更多的共同决策。针对苗族青少年和家长的语言和文化特定的HPV教育计划可以解决障碍，并建立在促进者和资产的基础上，以促进这个不断发展的亚裔美国人社区的HPV疫苗接种。
Human papillomavirus (HPV) vaccination completion rates in Asian-American populations are substantially lower than most White Americans. Our objective was to identify the knowledge, perceptions, and decision-making processes about HPV vaccinations in the Hmong population, an Asian-American group with increased risks of HPV-related cancers. We conducted eight focus groups with Hmong adolescents (n = 12) and parents (n = 13) to learn about barriers, facilitators, and decision-making processes regarding general vaccinations and the HPV vaccine. The focus group results were analyzed using thematic analysis, informed by the socioecological model and asset lens. Findings showed that at the individual level, Hmong adolescents and parents had low HPV and HPV vaccine awareness levels (barrier) and strong desires to learn about HPV and the HPV vaccine (facilitator). Community-level barriers included salient narratives about traumatic experiences with vaccines and vaccine research, while facilitators included strong community connections. At the institutional level, barriers included structural constraints in health care settings, while facilitators included ease of obtaining vaccines at school-based clinics and provider authoritative decision-making. Additionally, a range of decision-making processes between parents, adolescents, and providers were present, with parents expressing a strong appeal to engage in more shared decision-making with providers. A linguistically and culturally specific HPV educational program for Hmong adolescents and parents could address the barriers and build on facilitators and assets to promote HPV vaccine uptake in this growing Asian-American community.
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