"Why is it so necessary?": African American Parents' Perspectives on Delaying and Refusing HPV Vaccination.

Autor: Washington A; Ariel Washington, Postdoctoral Research Fellow, School of Nursing, University of Michigan, Ann Arbor, MI. Electronic address: awashington@wayne.edu., Chabaan J; Jasmine Chabaan, Research Assistant, Karmanos Cancer Institute, School of Medicine, Wayne State University, Detroit, MI., Fakih A; Ali Fakih, Research Assistant, Karmanos Cancer Institute, School of Medicine, Wayne State University, Detroit, MI., Ford S; Sabrina Ford, Associate Professor, Department of Obstetrics, Gynecology and Reproductive Biology, College of Human Medicine, Michigan State University, East Lansing, MI., Rutledge L; Lisa Rutledge, Special Projects Manager, Western Wayne Family Health Centers, Inkster, MI., Lilly J; Jametta Lilly, CEO, Detroit Parent Network, Detroit, MI., Herrera MY; Maida Y. Herrera, Research Support Manager, Karmanos Cancer Institute, School of Medicine, Wayne State University, Detroit, MI., Kim Y; Yang Kim, Research Assistant, Karmanos Cancer Institute, School of Medicine, Wayne State University, Detroit, MI., Thompson HS; Hayley S. Thompson, Professor, Karmanos Cancer Institute, School of Medicine, Wayne State University, Detroit, MI.
Jazyk: angličtina
Zdroj: Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners [J Pediatr Health Care] 2023 Jul-Aug; Vol. 37 (4), pp. 373-380. Date of Electronic Publication: 2023 Feb 09.
DOI: 10.1016/j.pedhc.2023.01.002
Abstrakt: Introduction: This study aimed to describe the perspectives of parents who had delayed and refused human papillomavirus (HPV) vaccination for their children, even when it was discussed or recommended by a health care provider, and to identify the factors related to vaccine hesitancy.
Method: Twenty predominantly African American parents of children aged 11-17 years were recruited from various community clinics and organizations to participate in focus groups about their decision-making regarding HPV vaccination. Using deductive content analysis and the Vaccine Hesitancy Determinants Matrix, we describe their perspectives and influences on vaccination decision-making.
Results: Multiple reasons emerged, which included concerns about the age of children, perceived discrimination and mistrust based on race and socioeconomic status, and vaccine safety.
Discussion: Findings support the development of targeted interventions that address vaccine safety concerns, mistrust, patient-provider communication, and parent education about the benefits of HPV vaccination.
(Copyright © 2023 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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