Factors Associated with HPV Vaccination among Cambodian American Teenagers.

Factors Associated with HPV Vaccination among Cambodian American Teenagers.
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DOI:
10.1111/phn.12294
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发表时间:
2016-11
期刊:
Public health nursing (Boston, Mass.)
影响因子:
--
通讯作者:
Grigg-Saito DC
Grigg-Saito DC
中科院分区:
其他
文献类型:
--
作者:
Lee H;Kim M;Kiang P;Shi L;Tan K;Chea P;Peou S;Grigg-Saito DC

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父母对孩子的健康和健康行为有着普遍的影响。然而,由于缺乏关于柬埔寨裔美国人(CA)父母中影响HPV疫苗接种行为的知识水平和社会文化因素的具体文献,在没有进一步调查的情况下,很难为这一特定人群制定有效的、循证的公共卫生HPV疫苗接种计划。CA母亲(n=130)通过英语或高棉语面对面访谈完成了一项健康调查。女孩接种率为29%,男孩为16%。CA母亲对HPV的认识和知识非常低,许多人认为她们的女儿会说英语,在美国接受教育,比她们更了解健康。Logistic回归分析显示,母亲具有较高的英语阅读能力,且对HPV有更多的认识和知识时,柬埔寨裔美国女孩接种疫苗的几率明显较高。尖锐湿疣女童和男童的HPV疫苗接种率低得惊人,这突出表明有必要改进疫苗接种宣传、教育和接种率。这些发现可以用来开发针对CA的有针对性的公共卫生HPV疫苗接种计划,从而减少宫颈癌的差异。
Parents have general influence over their children’s health and health behavior. However, given the dearth of specific literature regarding knowledge level and social and cultural factors influencing HPV vaccination behaviors among Cambodian American (CA) parents, it is difficult to develop an effective, evidence-based public health HPV vaccination program for this particular population without further investigation. CA mothers (n=130) completed a health survey through face-to-face interviews in either English or Khmer language. Girls vaccination rates were 29% while that of boys was 16%. Awareness and knowledge of HPV among CA mothers was very low, and many believed that their daughters, who speak English and were educated in the U.S., had more knowledge about health than they did. Logistic regression analysis showed that Cambodian American girls had significantly higher odds of vaccination when their mothers possessed a higher level of English reading ability and had greater awareness and knowledge of HPV. The strikingly low rates of HPV vaccination among CA girls and boys underscore the need to improve vaccination outreach, education, and uptake. The findings can be used to develop targeted public health HPV vaccination programs for CAs which will reduce cervical cancer disparities.
了解少数民族女孩中次优的人乳头瘤病毒疫苗的摄取。
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