Barriers and facilitators to uptake of the school-based HPV vaccination programme in an ethnically diverse group of young women.
Barriers and facilitators to uptake of the school-based HPV vaccination programme in an ethnically diverse group of young women.
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DOI：
10.1093/pubmed/fdv073
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发表时间：
2016-09
期刊：
影响因子：
--
通讯作者：
Audrey S
中科院分区：
文献类型：
--
作者：
Batista Ferrer H;Trotter CL;Hickman M;Audrey S
在英格兰西南部的一个种族多样化的年轻女性群体中，确定HPV疫苗接种的障碍和促进因素。观察到三次以学校为基础的疫苗接种会议。2012年10月至2013年7月期间，对23名12至13岁的年轻妇女和6名关键举报人进行了访谈。采用专题分析和数据管理框架方法对数据进行了分析。在这一年龄组中优先预防宫颈癌影响了年轻妇女是否接受HPV疫苗。学校工作人员、学校护士、家长和年轻妇女在确保父母同意书被退回方面的承诺程度不同，可能会影响获得这些同意书的机会。与青少年性活动有关的信仰和价值观，特别是与少数族裔群体有关的信仰和价值观，可能会影响到对性活动的接受。识字和语言困难会损害知情同意，并可能妨碍疫苗接种。以学校为基础的HPV疫苗接种方案成功地覆盖了大多数年轻妇女。然而，关键方面的责任仍然没有解决，这可能影响到交付，并阻止某些群体的吸收。需要针对社会生态模式的适当层面采取多方面的办法，以解决少数族裔群体面临的同意程序和文化及识字障碍，提高吸收率并减少不平等现象。
To identify the barriers and facilitators to uptake of the HPV vaccine in an ethnically diverse group of young women in the south west of England. Three school-based vaccination sessions were observed. Twenty-three young women aged 12 to 13 years, and six key informants, were interviewed between October 2012 and July 2013. Data were analysed using thematic analysis and the Framework method for data management. The priority given to preventing cervical cancer in this age group influenced whether young women received the HPV vaccine. Access could be affected by differing levels of commitment by school staff, school nurses, parents and young women to ensure parental consent forms were returned. Beliefs and values, particularly relevant to minority ethnic groups, in relation to adolescent sexual activity may affect uptake. Literacy and language difficulties undermine informed consent and may prevent vaccination. The school-based HPV vaccination programme successfully reaches the majority of young women. However, responsibility for key aspects remain unresolved which can affect delivery and prevent uptake for some groups. A multi-faceted approach, targeting appropriate levels of the socio-ecological model, is required to address procedures for consent and cultural and literacy barriers faced by minority ethnic groups, increase uptake and reduce inequalities.
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影响因子：
--
作者：
Moser, Kath;Patnick, Julietta;Beral, Valerie
通讯作者：
Beral, Valerie
DOI：
10.1136/jfprhc.2010.0017
发表时间：
2011-01-01
影响因子：
--
作者：
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通讯作者：
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作者：
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通讯作者：
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影响因子：
4.5
作者：
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通讯作者：
Audrey, Suzanne