美国中美洲移民父母中HPV疫苗接种开始和意向的社会心理决定因素

IF 2.2 Q3 IMMUNOLOGY

Vaccine: X Pub Date : 2025-05-05 DOI:10.1016/j.jvacx.2025.100648

Ana Cristina Lindsay , Denisse Delgado , Virginia Arango Moreno , Doris Lucero , Axel Hernandez Nieto , Nachalie Rodriguez-Cruz , Qun Le

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引用次数: 0

摘要

这项横断面研究探讨了影响美国中美洲父母接种HPV疫苗的心理社会因素和意向。只有20%的儿童开始接种疫苗，23%未接种疫苗儿童的父母打算在12个月内接种疫苗。接种疫苗的儿童的父母对HPV的了解程度显著提高(p <；0.001)、感知易感性（p = 0.001）、疫苗信念（p = 0.004）、自我效能(p <；0.01)，社会支持(Community OR = 40.95, p <；0.001;Peer OR = 88.50, p <；0.001)。卫生保健提供者（HCP）的建议在孩子已接种疫苗的父母中更为常见(p <；0.001)，并报告了较少的访问障碍(OR = 16.30, p <；0.001)。与接种疫苗相关的因素包括母亲性别（OR = 2.55, p = 0.02）、HPV知识(OR = 159.83, p <；0.001)，感知获益(OR = 45.03, p <；0.001)，社区支持(OR = 40.95, p <；0.001)。在多变量分析中，美国出生的儿童（AOR = 11.11, p = 0.03）和较高的疫苗可及性（AOR = 150.05, p = 0.01）是接种疫苗的显著预测因子。在双变量分析中，与疫苗意向相关的因素包括母亲性别（OR = 2.82, p = 0.02）、父母年龄（OR = 0.95, p = 0.02）、美国居住时间（OR = 0.95, p = 0.02）、文化适应（OR = 7.48, p = 0.02）、同伴规范（OR = 3.74, p = 0.02）、较低的安全担忧（p = 0.04）、较高的自我效能感（p = 0.03）和HCP推荐(OR = 13.64, p <；0.001)。在多变量分析中，HCP推荐是疫苗意向的主要预测因子（AOR = 11.66, p = 0.002）。这项研究确定了影响中美洲父母接种HPV疫苗的主要社会心理因素。干预措施应侧重于提高人乳头瘤病毒知识、解决安全问题、加强支持和促进有针对性的建议。

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Psychosocial determinants of HPV vaccination initiation and intention among Central American immigrant parents in the United States

This cross-sectional study explored psychosocial factors influencing HPV vaccine initiation and intentions among Central American parents in the United States (U.S.). Only 20 % of children had initiated vaccination, and 23 % of parents of unvaccinated children intended to vaccinate within 12 months. Parents whose children had initiated vaccination had significantly higher HPV knowledge (p < 0.001), perceived susceptibility (p = 0.001), vaccine beliefs (p = 0.004), self-efficacy (p < 0.01), and social support (Community OR = 40.95, p < 0.001; Peer OR = 88.50, p < 0.001). Healthcare provider (HCP) recommendations were more common among parents whose children had initiated vaccination (p < 0.001) and reported fewer access barriers (OR = 16.30, p < 0.001). Factors associated with vaccine initiation included maternal gender (OR = 2.55, p = 0.02), HPV knowledge (OR = 159.83, p < 0.001), perceived benefits (OR = 45.03, p < 0.001), and community support (OR = 40.95, p < 0.001). In multivariable analysis, U.S.-born children (AOR = 11.11, p = 0.03) and higher perceived vaccine accessibility (AOR = 150.05, p = 0.01) were significant predictors of vaccine initiation. In bivariate analysis, factors associated with vaccine intention included maternal gender (OR = 2.82, p = 0.02), parental age (OR = 0.95, p = 0.02), U.S. residency length (OR = 0.95, p = 0.02), acculturation (OR = 7.48, p = 0.02), peer norms (OR = 3.74, p = 0.02), lower safety concerns (p = 0.04), higher self-efficacy (p = 0.03), and HCP recommendation (OR = 13.64, p < 0.001). In multivariate analysis, HCP recommendation was the main predictor of vaccine intention (AOR = 11.66, p = 0.002). This study identified key psychosocial factors influencing HPV vaccine initiation and intentions among Central American parents. Interventions should focus on enhancing HPV knowledge, addressing safety concerns, strengthening support, and promoting tailored recommendations.

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来源期刊

Vaccine: X Multiple-

CiteScore

2.80

自引率

2.60%

发文量

102

审稿时长

13 weeks