Human Papillomavirus (HPV) Vaccination Motivators, Barriers, and Brochure Preferences Among Parents in Multicultural Hawai'i: a Qualitative Study
Human Papillomavirus (HPV) Vaccination Motivators, Barriers, and Brochure Preferences Among Parents in Multicultural Hawai'i: a Qualitative Study
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DOI：
10.1007/s13187-016-1009-2
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发表时间：
2017-09-01
影响因子：
1.6
通讯作者：
Braun, Kathryn Lenzner
中科院分区：
文献类型：
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作者：
Dela Cruz, May Rose Isnec;Tsark, Jo Ann Umilani;Braun, Kathryn Lenzner
人乳头瘤病毒（HPV）疫苗可以预防宫颈癌和其他癌症。不幸的是，根据2014年国家免疫调查-青少年数据，美国13至17岁女孩的HPV疫苗接种完成率仅为38%，13至17岁男孩的HPV疫苗接种完成率为31%，夏威夷的患病率也类似。父母对HPV疫苗的可接受性对于疫苗接种至关重要，这可以通过教育材料和干预措施来提高。然而，HPV材料在夏威夷没有广泛分布。这项定性研究的目的是确定HPV疫苗接种的障碍，动机，和小册子的偏好在多元文化的夏威夷青少年的父母。20名家长接受了面谈或电话采访。出现了四大主题：（1）医生在决定接种疫苗时至关重要，（2）父母对儿童性活动的看法指导他们愿意接种疫苗的时间，（3）HPV健康教育材料应由医生提供和讨论，以及（4）父母更喜欢具有当地面孔和推荐的教育手册，包括免疫图表，并解决接种疫苗的障碍。这些发现为夏威夷的亚裔美国人和太平洋岛民量身定制的HPV健康教育材料的开发提供了信息。
The human papillomavirus (HPV) vaccine can prevent cervical and other cancers. Unfortunately, according to the National Immunization Survey-Teen 2014 data, completion of the HPV vaccine was only 38 % for 13-to 17-year-old girls and 31 % for 13-to17-year-old boys in the USA, and prevalence was similar in Hawai`i. Parents' acceptability of the HPV vaccine is critical for the vaccine uptake, and this can be increased by educational materials and interventions. However, HPV materials are not widely distributed in Hawai`i. The purpose of this qualitative study was to identify HPV vaccination barriers, motivators, and brochure preferences among parents of teens in multicultural Hawai`i. Twenty parents were interviewed in person or by telephone. Four major themes emerged: (1) the physician is critical in the decision to vaccinate, (2) parental perception of the child's sexual activity guides the timing of their willingness to vaccinate, (3) HPV health education materials should be provided and discussed by the physician, and (4) parents would prefer an educational brochure that features local faces and testimonials, includes an immunization chart, and addresses barriers to vaccination. These findings informed the development of HPV health education materials tailored to Asian Americans and Pacific Islanders in Hawai`i.