爱尔兰父母对HPV疫苗接种看法的定性研究。

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Stephanie Creed, Elaine Walsh, Tony Foley
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引用次数: 5

摘要

背景:尽管有大量证据支持人乳头瘤病毒(HPV)疫苗预防宫颈癌,但在许多国家,这种疫苗的接种率低于目标。爱尔兰的HPV接种率从2014-15年的87%下降到2016-17年的51%,目前仍处于次优状态,2017-18年为64.1%。目的:本研究旨在探讨家长对HPV疫苗的看法;阐明与该疫苗有关的具体问题,并确定对HPV疫苗接种决定的相关影响,以便为优化接种策略提供信息。方法:采用半结构化访谈对尚未接种HPV疫苗的11-13岁女孩(n = 18)的父母进行了深入的定性研究。采用方便抽样。2018年在爱尔兰共和国进行了为期六个月的访谈,并进行了录音、转录和专题分析。结果:共访谈18人,其中女性14人,男性4人。父母倾向于接种HPV疫苗,以保护他们的女儿并预防疾病。接种疫苗的障碍包括;对长期副作用的恐惧,知识的缺乏以及风险与收益的比例。全科医生(全科医生)被认为对父母的疫苗接种决定有很大的影响,媒体报道和爱尔兰最近的子宫颈筛查方案争议也是如此。结论:本研究表明,家长对HPV疫苗的关注仍然存在。需要关于该疫苗安全性研究的更全面的信息。全科医生可能在HPV疫苗接种中发挥关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A qualitative study of parental views of HPV vaccination in Ireland.

A qualitative study of parental views of HPV vaccination in Ireland.

Background: Despite significant evidence supporting the Human Papillomavirus (HPV) vaccine in the prevention of cervical cancer, uptake of this vaccine is below target in many countries. HPV uptake in Ireland has declined from 87% in 2014-15 to 51% in 2016-17 and currently remains suboptimal at 64.1% in 2017-18.

Objectives: This study aimed to explore parental views of the HPV vaccine; elucidate specific concerns relating to this vaccine and to identify relevant influences on the decision to vaccinate against HPV to inform strategies to optimise uptake.

Methods: An in-depth qualitative study, using semi-structured interviews was conducted among parents of 11-13-year-old girls (n = 18) who had not yet been offered the HPV vaccine. Convenience sampling was used. Interviews, conducted in the Republic of Ireland over six-months in 2018, were audio-recorded, transcribed, and analysed by thematic analysis.

Results: Eighteen interviews were conducted (14 female and 4 male participants). Parents favoured HPV vaccination to protect their daughters and prevent disease. Barriers to vaccination included; the fear of long-term side effects, lack of knowledge and the risk versus benefit ratio. General practitioners (GPs) were identified as having a strong influence over parental vaccination decisions, as did media reports and the recent cervical screening programme controversy in Ireland.

Conclusion: This study suggests that significant parental concerns remain to the HPV vaccine. More comprehensive information on the research surrounding this vaccine's safety profile is required. GP's may play a pivotal role in HPV vaccination going forward.

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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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