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标题：Role of Healthcare Providers’ Recommendation Style in HPV Vaccine Decision-Making among Haitian Parents and Female Patients
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作者：Dudith Pierre-Victor ; Dionne P. Stephens ; Rachel Clarke 等
期刊名称：Californian Journal of Health Promotion
电子版ISSN：1545-8725
出版年度：2017
卷号：15
期号：3
页码：68-80
出版社：Californian Journal of Health Promotion
摘要：Background and Purpose: The strong influence of physician recommendation on vaccine uptake is well established in the literature. However, its influence on HPV vaccine decision-making among young Haitian women is understudied. This study investigated the role of healthcare providers’ recommendation style in Haitian parents’ and female patients’ HPV vaccine decision-making. Methods: Thirty self-identified Haitian women aged 17-26 years were recruited from a large university campus in the Southeastern United States (N=30). They completed in-depth face-to-face interviews regarding their HPV vaccine decision-making process. Transcripts were analyzed using thematic analysis. Results: Provider recommendation was cited as a major factor that influenced HPV vaccine uptake. Additionally, the framing of the HPV vaccine message greatly influenced vaccine decisions. Messages that framed the vaccine as a preventive measure for cervical cancer or as a preventive vaccine without an emphasis on the sexual transmission route of the virus were most effective. Messages that framed the vaccine as a preventive measure against a sexually transmitted infection did not positively influence young women to be vaccinated. Conclusions: These findings indicate that providers’ recommendation style highly affects HPV vaccine decision. Thus, appropriate HPV vaccine framing is important for encouraging vaccine uptake in this ethnic group.
关键词：HPV vaccine; Haitian; healthcare providers; recommendation style; and decision-making