HPV Vaccine Promotion: The church as an agent of change.
HPV Vaccine Promotion: The church as an agent of change.
复制标题
DOI：
10.1016/j.socscimed.2020.113375
复制
发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Bednarczyk RA
中科院分区：
文献类型：
--
作者：
Lahijani AY;King AR;Gullatte MM;Hennink M;Bednarczyk RA
自2006年以来，美国一直建议使用疫苗预防人乳头瘤病毒（HPV）感染和相关癌症;然而，疫苗的摄取仍然不理想。许多社会人口因素已经评估了HPV疫苗的摄取，但对宗教和宗教信仰的作用关注较少。我们的定性案例研究旨在通过与格鲁吉亚大都会亚特兰大的非洲卫理公会（AME）教会的领导人和成员进行的七次焦点小组讨论（FGD），确定社区对HPV和HPV疫苗接种的看法。一个社会和行为改变沟通（SBCC）的概念框架被用来确定潜在的途径，以加强沟通和健康促进战略在教会社区。结果显示，教会社区对HPV疫苗有不同的看法，从认为HPV疫苗对青少年是必要的到不必要的。通过SBCC策略可以解决HPV疫苗的两个关键障碍：1）对医疗保健系统的普遍不信任和2）青少年对禁欲的期望。对于未来的HPV预防机会，会众强调他们将更容易接受来自预先建立的可靠来源的HPV疫苗推广信息。教会领导人持有他们的会众的信任，因此，利用SBCC策略实施基于教会的干预措施具有相当大的潜力，可以改变人们对HPV疫苗的看法，并增加疫苗接种率。这些发现可能会在未来的HPV疫苗推广战略中实施，以促进安全和公开的对话，以便在熟悉和信任的环境中传播健康传播信息。
Vaccination to prevent human papillomavirus (HPV) infections and associated cancers has been recommended for use in the US since 2006; however, vaccine uptake remains suboptimal. Many sociodemographic factors have been evaluated with regard to HPV vaccine uptake but there has been less focus on the role of religion and religiosity. Our qualitative case study aimed to identify community perceptions of HPV and HPV vaccination via seven focus group discussions (FGDs) with leaders and members of an African Methodist Episcopal (AME) church in metro-Atlanta, Georgia from April 2018 to July 2018. A Social and Behavior Change Communication (SBCC) conceptual framework was used to identify potential avenues to strengthen communication and health promotion strategies in the church community. Results showed diverse perceptions about HPV vaccine amongst the church community, ranging from viewing the HPV vaccine as essential to unnecessary for adolescents. Two key barriers to the HPV vaccine that may be addressed through the SBCC strategies were identified: 1) general mistrust in the healthcare system and 2) the expectation of abstinence among adolescents. For future HPV prevention opportunities, congregants highlighted they would be more receptive to receiving HPV vaccine promotion messages from pre-established trustworthy sources. Church leaders hold the trust of their congregation, therefore implementation of a church-based intervention utilizing the SBCC strategies has considerable potential to transform perceptions of the HPV vaccine and increase vaccination uptake. These findings may be implemented in future HPV vaccine promotion strategies within faith-based communities to promote safe and open dialogue for health communication messages to be disseminated in a familiar and trusted setting.
登录
查看更多内容
影响因子：
3.2
作者：
Hennink, Monique M.;Kaiser, Bonnie N.;Weber, Mary Beth
通讯作者：
Weber, Mary Beth
影响因子：
5.5
作者：
Fu LY;Zimet GD;Latkin CA;Joseph JG
通讯作者：
Joseph JG
影响因子：
2.8
作者：
Gullatte, Mary Magee;Brawley, Otis;Mooney, Kathi
通讯作者：
Mooney, Kathi
DOI：
10.3390/v9100267
发表时间：
2017-09-21
期刊：
Viruses
影响因子：
--
作者：
Gravitt PE;Winer RL
通讯作者：
Winer RL
影响因子：
5.4
作者：
Berkman, LF;Glass, T;Seeman, TE
通讯作者：
Seeman, TE