How acceptable is adolescent self-consent for the HPV vaccination: Findings from a qualitative study in south-west England.
How acceptable is adolescent self-consent for the HPV vaccination: Findings from a qualitative study in south-west England.
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DOI：
10.1016/j.vaccine.2020.09.074
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发表时间：
2020-11-03
期刊：
影响因子：
5.5
通讯作者：
Fisher H
中科院分区：
文献类型：
--
作者：
Audrey S;Farr M;Roderick M;Evans K;Fisher H
人类乳头瘤病毒（HPV）疫苗接种计划有可能降低宫颈癌的发病率。HPV疫苗接种的首选年龄是12-13岁，以获得最佳益处。英格兰的法律的框架允许青少年在没有父母同意的情况下接种疫苗，如果他们被评估为有能力的话。制定了“关于学龄免疫自我同意的西南模板途径”，以提高英格兰西南部的免疫接种率。研究新程序对年轻妇女、父母和照顾者、学校工作人员和免疫护士的可接受程度。这项研究是在2017/18和2018/19计划年期间在英格兰西南部的两个地方当局进行的。半结构化的数字记录访谈进行了53名参与者：一名卫生服务经理，三名免疫接种护士，五名工作人员在替代教育提供者，三名工作人员在主流学校，19名年轻妇女和22名家长。所有录音均逐字转录，并在NVivo软件的协助下进行专题分析。大多数参与者不完全了解使年轻人能够自我同意接种疫苗的法律的框架。有一种强烈的假设认为，父母应作出影响其子女健康的决定。HPV疫苗接种的首选年龄（12-13岁）导致不愿意认可自我同意，这被认为有可能破坏父母和学校工作人员之间以及家庭内部的信任。在实践中，正式的自我同意是罕见的。与青少年自我同意有关的未决问题包括公众和专业人士对青年人权利和能力的看法，即青年人对影响其健康的决定承担责任的能力，以及对自我同意对家庭内部以及专业人士与他们所服务的家庭之间关系的影响的关切。
Human Papillomavirus (HPV) vaccination programmes have the potential to reduce the incidence of cervical cancer. The preferred age for HPV vaccination is 12–13 years for optimal benefit. The legal framework in England allows adolescents to be vaccinated without parental consent if they are assessed as competent. A ‘South West Template Pathway on Self Consent for School Aged Immunisations’ was developed to improve uptake of immunisations in south-west England. To examine how acceptable the new procedures are to the young women, parents and carers, school staff and immunisation nurses involved. The research was undertaken in two local authorities in south-west England during the 2017/18 and 2018/19 programme years. Semi-structured digitally recorded interviews were undertaken with 53 participants: one health service manager, three immunisation nurses, five staff at alternative education providers, three staff at mainstream schools, 19 young women and 22 parents. All recordings were transcribed verbatim and thematic analysis was undertaken, assisted by NVivo software. Most participants were not fully aware of the legal framework that enables a young person to self-consent to vaccination. There was a strong presumption that parents should make decisions affecting the health of their children. The preferred age at which the HPV vaccination is administered (12–13 years) contributed to reluctance in endorsing self-consent which was thought to have the potential to break down trust between parents and school staff, and within families. In practice, formal self-consent was rare. Unresolved issues in relation to adolescent self-consent include public and professional perceptions of young people’s rights and abilities to take responsibility for decisions affecting their health, and concerns about the impact of self-consent on relationships both within families and between professionals and the families they serve.
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影响因子：
4.5
作者：
Pessoa Militao Albuquerque, Maria de Fatima;Coimbra, Isabella;Rodrigues, Laura C.
通讯作者：
Rodrigues, Laura C.
影响因子：
2.9
作者：
Audrey, Suzanne;Ferrer, Harriet Batista;Hickman, Matthew
通讯作者：
Hickman, Matthew
DOI：
10.1093/pubmed/fdv073
发表时间：
2016-09
期刊：
Journal of public health (Oxford, England)
影响因子：
--
作者：
Batista Ferrer H;Trotter CL;Hickman M;Audrey S
通讯作者：
Audrey S
影响因子：
4.5
作者：
Ferrer, Harriet Batista;Trotter, Caroline;Audrey, Suzanne
通讯作者：
Audrey, Suzanne
影响因子：
4.4
作者：
Fisher, Harriet;Audrey, Suzanne;Trotter, Caroline
通讯作者：
Trotter, Caroline