A Narrative Engagement Framework to Understand HPV Vaccination Among Latina and Vietnamese Women in a Planned Parenthood Setting
Autor: | Suellen Hopfer, Sora Park Tanjasiri, Samantha Garcia, Huong T Duong, Jennefer A. Russo |
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Rok vydání: | 2017 |
Předmět: |
Social stigma
Social Stigma Uterine Cervical Neoplasms Human sexuality Medical and Health Sciences 0302 clinical medicine 030212 general & internal medicine planned parenthood health equity Reproductive health Latina cancer disparities Narration Vaccination Gender studies Hispanic or Latino Health equity narrative engagement Vietnam Family planning language Female Public Health Hispanic Americans 0305 other medical science Psychology Asian Continental Ancestry Group Adult medicine.medical_specialty Adolescent Vietnamese Stigma (botany) Article Education Young Adult 03 medical and health sciences Asian People Arts and Humanities (miscellaneous) medicine Humans Papillomavirus Vaccines HPV vaccine 030505 public health business.industry Psychology and Cognitive Sciences Public Health Environmental and Occupational Health Vietnamese cancer disparities Health Status Disparities Patient Acceptance of Health Care United States language.human_language Family medicine business |
Zdroj: | Hopfer, Suellen; Garcia, Samantha; Duong, Huong T; Russo, Jennefer A; & Tanjasiri, Sora P. (2017). A Narrative Engagement Framework to Understand HPV Vaccination Among Latina and Vietnamese Women in a Planned Parenthood Setting.. Health education & behavior : the official publication of the Society for Public Health Education, 44(5), 738-747. doi: 10.1177/1090198117728761. UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/6q85h452 |
ISSN: | 1552-6127 1090-1981 |
DOI: | 10.1177/1090198117728761 |
Popis: | Disparities in cervical cancer and human papillomavirus (HPV) vaccination persist among Vietnamese and Latina women. Through a partnership with Planned Parenthood of Orange and San Bernardino Counties (PPOSBC) in Southern California, we conducted in-depth interviews with young adult Latina ( n = 24) and Vietnamese ( n = 24) women, and PPOSBC staff ( n = 2). We purposively sampled vaccinated women to elicit HPV vaccine decision narratives to uncover rich data on motivators, cultural values, and implicit vaccine attitudes. Unvaccinated women were interviewed to identify barriers. Women were also asked to discuss their observations of men's HPV vaccine attitudes. Narrative engagement theory guided the study privileging the meaning women ascribed to their experiences and conversations related to vaccine decision making. Vaccine decision narratives included (a) mother-daughter narratives, (b) practitioner recommendation of HPV vaccination, (c) independence narratives among Vietnamese women, (d) HPV (un)awareness narratives, and (d) school exposure to HPV knowledge. Barriers to vaccinating included trust in partner HPV status, and family silence and stigma about sexual health. Participants conveyed the importance of including messages aimed at reaching men. Practitioners described insurance barriers to offering same day vaccination at PPOSBC health center visits. Narrative communication theory and methodology address health equity by privileging how Vietnamese and Latina women ascribe meaning to their lived experiences and conversations about HPV vaccination. Identifying authentic and relatable vaccine decision narratives will be necessary to effectively engage Vietnamese and Latina women. These findings will guide the process of adapting an existing National Cancer Institute research-tested HPV vaccine intervention. |
Databáze: | OpenAIRE |
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