The impact of an educational forum intervention on East African mothers' HPV vaccine-related knowledge, attitudes, and intentions to vaccinate their adolescent children.
The impact of an educational forum intervention on East African mothers' HPV vaccine-related knowledge, attitudes, and intentions to vaccinate their adolescent children.
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教育论坛干预对东非母亲的HPV疫苗相关知识，态度和接种青少年儿童的意图的影响。
DOI：
10.1016/j.vaccine.2021.05.029
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发表时间：
2021-06-23
期刊：
影响因子：
5.5
通讯作者：
Winer RL
中科院分区：
文献类型：
--
作者：
Chu H;Ko LK;Ibrahim A;Bille Mohamed F;Lin J;Shankar M;Amsalu F;Ali AA;Richardson BA;Taylor VM;Winer RL
美国东非青少年的HPV疫苗接种率很低。我们开发和评估了针对东非移民母亲的文化定向互动教育干预措施，以增加与HPV疫苗相关的知识、态度和意图，为青春期儿童接种疫苗。符合条件的母亲有11-17岁的≥儿童，并报告所有儿童的HPV疫苗接种状况为未接种或未知。干预通过在西雅图大都市区举行的10次晚宴(8次与索马里社区，2次与埃塞俄比亚社区)进行。由同一种族的医生用参与者的母语进行教育演示和关于知识、态度和意图的前后测试。用McNemar‘s测验和GEE模型评估治疗前后的反应差异。使用国家免疫登记数据评估干预后6个月的HPV疫苗接种情况。在115名参与调查的母亲中，大多数(84%)是索马里人，年龄在40岁以上(60%)。受过正规教育的中位数为8年(0-16年)，61%的人报告家庭收入为25,000美元。干预前对HPV/HPV疫苗的知晓率较低，正确回答在4%-39%之间(61%-91%的回答“不确定”)，干预后的正确回答在29%-97%之间。干预前，只有12%的母亲认为她们有足够的信息来做出接种疫苗的决定，而干预后这一比例为90%。干预前，只有16%的母亲报告她们或多或少或很有可能给孩子接种疫苗，而干预后这一比例为83%。所有治疗前和治疗后的比较在统计学上都有显著差异(p<；0.0001)。尽管母亲在干预后更倾向于报告正确的HPV相关知识和积极的疫苗态度和意向，但只有2名母亲的孩子在干预后6个月内开始接种HPV疫苗。结果表明，有文化针对性的教育干预有效地增加了东非母亲对其青春期子女接种HPV疫苗的相关知识、态度和意图。未来的研究应该确定更多的干预成分，可以弥合意图和行为之间的差距，以促进HPV疫苗的接种。
HPV vaccine uptake in U.S. East African adolescents is low. We developed and evaluated a culturally-targeted interactive educational intervention for East African immigrant mothers to increase HPV-vaccine-related knowledge, attitudes, and intentions to vaccinate adolescent children. Eligible mothers had ≥1 11–17-year-old child and reported all children’s HPV vaccination status as unvaccinated or unknown. The intervention was delivered via 10 dinners in the Seattle metropolitan area (8 with the Somali community, 2 with the Ethiopian community). Educational presentations and pre/post-tests on knowledge, attitudes, and intentions were conducted in the participants’ native language by a co-ethnic physician. Pre/post differences in responses were evaluated with McNemar’s tests and GEE models. HPV vaccination uptake 6-months post-intervention was evaluated using state immunization registry data. Of 115 participating mothers, most (84%) were Somali and <40 years of age (60%). Median years of formal education was 8 (range 0–16), and 61% reported a household income <$25,000. Knowledge of HPV/HPV-vaccines was low pre-intervention, with correct responses ranging from 4%–39% (61%–91% of responses were “not sure”); correct post-intervention responses ranged from 29%–97%. Pre-intervention, only 12% of mothers thought they had enough information to make a decision about vaccination, compared to 90% post-intervention. Pre-intervention, only 16% of mothers reported that they were somewhat or very likely to vaccinate their child, compared to 83% post-intervention. All pre/post comparisons were statistically significantly different (p<0.0001). Although mothers were more likely to report correct HPV-related knowledge and positive vaccine attitudes and intentions post-intervention, only two mothers’ children initiated HPV vaccination within 6 months after the intervention. Results illustrate that a culturally targeted educational intervention effectively increased East African mothers’ HPV vaccine-related knowledge, attitudes, and intentions to vaccinate their adolescent children. Future research should identify additional intervention components that can bridge the gap between intention and behavior to facilitate HPV vaccine uptake.
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DOI：
10.1158/1055-9965.epi-11-0267
发表时间：
2011-07
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
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