Understanding parents' views toward the newly enacted HPV vaccine school entry policy in Puerto Rico: a qualitative study.
Understanding parents' views toward the newly enacted HPV vaccine school entry policy in Puerto Rico: a qualitative study.
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了解波多黎各家长对新颁布的人乳头瘤病毒（HPV）疫苗入学政策的看法：一项定性研究。
DOI：
10.1186/s12889-021-11952-w
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发表时间：
2021-10-25
影响因子：
4.5
通讯作者：
Hull PC
中科院分区：
文献类型：
--
作者：
Colón-López V;Medina-Laabes DT;Abreu RS;Díaz Miranda OL;Ortiz AP;Fernández ME;Hull PC
人乳头瘤病毒疫苗（HPV）是预防HPV相关癌症的重要工具。在波多黎各，卫生部长制定了入学要求，要求11岁和12岁的女孩和男孩至少接种一剂HPV疫苗，并于2018年8月生效。我们的研究旨在调查未接种疫苗的儿童的父母和监护人对波多黎各实施新的HPV疫苗接种入学政策的看法，并确定与实施这一要求相关的潜在障碍和促进因素。在2019年4月至11月期间，我们对尚未接种HPV疫苗系列的11岁和12岁儿童的父母进行了三个焦点小组（n = 12）和八次深度半结构化访谈。访谈的主题是：对疫苗接种的认识、HPV疫苗及其作为新学校入学要求的做法、信息来源的程序、影响者和改变的意愿。采访由我们的工作人员记录和抄写。我们通过主题分析确定了新兴主题。参与者对HPV疫苗学校要求的看法不一。缺乏关于人乳头瘤病毒疫苗的信息和缺乏关于入学要求的沟通是访谈中提到最多的主题。此外，以前来自朋友或家庭成员的负面经历以及不利影响使一些参与者不敢给孩子接种疫苗。我们讨论了申请豁免过程中的障碍。研究参与者提到的大多数障碍都是可以改变的。需要提供有关HPV疫苗授权实施的信息和有关HPV疫苗安全性的教育材料，以解决家长对疫苗副作用的担忧。学校（教师、校长和行政人员）、政府和家长组织需要参与这些努力。这种多层次的方法将有助于改善HPV疫苗接种信息的传播，以澄清家长之间的疑虑和错误信息。在线版本包含补充材料，可在10.1186/s12889-021-11952-w获得。
The Human papillomavirus vaccine (HPV) is an essential tool for the prevention of HPV-related cancers. In Puerto Rico, the Secretary of Health established a school entry requirement of at least one dose of HPV vaccination in girls and boys aged 11 and 12 years, taking effect in August 2018. Our study aimed to examine parents’ and guardians’ views of unvaccinated children about the process of implementation of the new HPV vaccination school entry policy in Puerto Rico and identify potential barriers and facilitators related to the implementation of this requirement. During April through November 2019, we conducted three focus groups (n = 12) and eight in-depth semi-structured interviews with parents of children aged 11 and 12 who had not yet initiated the HPV vaccine series. The interview topics addressed were: perception of vaccination, HPV vaccine and it is inclusion as new school entry requirement practice, procedure of the sources of information, influencers, and willingness to change. The interviews were recorded and transcribed by our staff members. We identified emergent themes through thematic analysis. The participants’ perspective on the HPV vaccine school requirement was mixed. Lack of information of the HPV vaccines and lack of communication about the school-entry requirement were the themes most mentioned in the interviews. Moreover, previous negative experiences from friends or family members and adverse effects deterred some participants from vaccinating their kids. We discussed barriers in the process of soliciting an exemption. Most barriers mentioned by study participants are modifiable. Information about the HPV vaccine mandate’s implementation and educational materials regarding HPV vaccine safety need to be provided to address parents’ concerns related to the vaccine’s side effects. Schools (teachers, principal directors, and administrative staff), the government, and parent organizations need to be part of these efforts. This multilevel approach will help to improve disseminating information about HPV vaccination to clarify doubts and misinformation among parents. The online version contains supplementary material available at 10.1186/s12889-021-11952-w.
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影响因子：
1.9
作者：
Aragones A;Genoff M;Gonzalez C;Shuk E;Gany F
通讯作者：
Gany F
影响因子：
2.7
作者：
Btoush, Rula;Brown, Diane R.;Bucalo, Jennifer
通讯作者：
Bucalo, Jennifer
影响因子：
3.1
作者：
Lockhart, Steven;Dempsey, Amanda F.;Barnard, Juliana G.
通讯作者：
Barnard, Juliana G.
DOI：
10.1111/cch.12331
发表时间：
2016-07
期刊：
Child: care, health and development
影响因子：
--
作者：
Ogunbajo A;Hansen CE;North AL;Okoloko E;Niccolai LM
通讯作者：
Niccolai LM
影响因子：
2.9
作者：
Newman PA;Logie CH;Lacombe-Duncan A;Baiden P;Tepjan S;Rubincam C;Doukas N;Asey F
通讯作者：
Asey F