Exploring hepatitis B vaccination acceptance among young men who have sex with men: Facilitators and barriers
Exploring hepatitis B vaccination acceptance among young men who have sex with men: Facilitators and barriers
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DOI：
10.1006/pmed.2002.1047
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发表时间：
2002-08-01
影响因子：
5.1
通讯作者：
Hergenrather, KC
中科院分区：
文献类型：
--
作者：
Rhodes, SD;Hergenrather, KC
背景研究继续表明，尽管1982年获得了有效疫苗的许可证，但在美国，大多数与男性发生性关系的男性仍然没有接种B肝炎疫苗。以理论为基础的定性研究方法被用来探讨居住在伯明翰的男男性行为者对B型肝炎疫苗接种的接受程度。共有62名自认为与男性发生性关系的男性（平均年龄= 25 +/- 2.3;范围：18-36岁）参加了8个重点小组之一。在这项研究的结果中，参与者报告说，他们对感染的敏感性较低;缺乏关于B型肝炎和B型肝炎疫苗接种的基本信息;认为他们的提供者不愿意讨论他们的同性性行为;没有确定接种疫苗的有形或无形好处;获得医疗保健的机会有限，而且几乎没有连续性的护理;不信任联邦政府支持的疫苗接种工作;并报告说，艾滋病毒预防信息的泛滥阻碍了他们对一般健康信息的接受。迫切需要提高认识，促进男男性行为者接种B型肝炎疫苗。虽然进一步的研究是必要的，我们的研究结果表明，许多障碍，B肝炎疫苗接种存在，可能会导致低疫苗接种率。预防工作将受益于消除这些障碍。(C)2002年美国健康基金会和爱思唯尔科学（美国）。
Background. Studies continue to show that the majority of men who have sex with men in the United States remain unvaccinated against hepatitis B despite the licensure of an efficacious vaccine in 1982.Methods. A theory-based, qualitative approach is used to explore acceptance of hepatitis B vaccination among men who have sex with men residing-in Birmingham, Alabama.Results. A total of 62 self-identified men who have sex with men (mean age = 25 +/- 2.3; range: 18-36 years) participated in one of eight focus groups. Among the findings of this study, participants reported low levels of perceived susceptibility to infection; lacked basic information about hepatitis B and hepatitis B vaccination; did not perceive their providers to be comfortable with discussing their same-sex sexual behavior; did not identify tangible or intangible benefits to vaccination; had limited access to health care and had little continuity of care; did not trust federally supported vaccination efforts; and reported the inundation of HIV prevention messages hampered their receptivity to health messages in general.Conclusions. There is an urgent need to enhance awareness and facilitate hepatitis B vaccination among men who have sex with men. While further research is necessary, our findings indicate that numerous barriers to hepatitis B vaccination exist that may result in low vaccination rates. Prevention efforts would benefit from addressing these barriers. (C) 2002 American Health Foundation and Elsevier Science (USA).