Attitudes towards human papillomavirus vaccination: a qualitative study of vaccinated and unvaccinated girls aged 17-18 years
Attitudes towards human papillomavirus vaccination: a qualitative study of vaccinated and unvaccinated girls aged 17-18 years
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DOI：
10.1136/jfprhc.2010.0017
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发表时间：
2011-01-01
影响因子：
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通讯作者：
Waller, Jo
中科院分区：
文献类型：
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作者：
Williams, Kate;Forster, Alice;Waller, Jo
本研究探讨了参加“补种”疫苗接种计划的女孩对人乳头瘤病毒（HPV）的知识和对HPV疫苗接种的态度。2009年3月至5月期间，对接受人乳头瘤病毒疫苗（n=5）和选择不接受人乳头瘤病毒疫苗（n=5）的女孩（17-18岁）进行了访谈。采访持续了大约25分钟，并逐字记录和抄写。采用框架分析法对数据进行定性分析。结果大多数女孩知道HPV是性传播的，但除此之外，对HPV和HPV疫苗的了解有限，并表示希望获得进一步的信息。女孩不确定是否需要接种疫苗，既因为她们认为存在风险（例如，因为她们没有性生活），也因为疫苗很新奇。一些人对疫苗的有效性和安全性表示关切，而另一些人则不相信所提供的信息。他们还讨论了与父母讨论疫苗的尴尬以及接种疫苗的实际障碍。讨论和结论：尽管参与者已经接种了HPV疫苗，但对HPV的了解仍然很差。以学校为基础的干预措施可能是对传单的有益补充，并应侧重于提高对HPV的认识和对HPV疫苗接种目的的认识。
Background and methodology This study explored knowledge about human papillomavirus (HPV) and attitudes towards HPV vaccination among girls who were part of the 'catch-up' vaccination programme. Interviews were carried out between March and May 2009 with girls (aged 17-18 years) who had received HPV vaccine (n=5) and girls who had opted not to receive HPV vaccine (n=5). Interviews lasted approximately 25 minutes, were recorded and transcribed verbatim. The data were analysed qualitatively using framework analysis.Results Most girls were aware that HPV is sexually transmitted, but beyond this had limited understanding of HPV and HPV vaccination, and expressed a desire for further information. Girls were uncertain about the need for the vaccine both in terms of perceived risk (e.g. because they were not sexually active) and because of its novelty. Some had concerns about the efficacy and safety of the vaccine, while others were mistrusting of the information provided. Being embarrassed about discussing the vaccine with parents and practical barriers to vaccination were also discussed.Discussion and conclusions Understanding of HPV was poor, despite participants having been offered the vaccine. School-based interventions might be a useful supplement to leaflets, and should focus on improving knowledge of HPV and awareness of the purpose of HPV vaccination.