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
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