PDF(Pubmed)
Abstract：
UNASSIGNED: The human papillomavirus (HPV) vaccination is an important preventive measure for HPV-related conditions such as cervical cancer. In 2019, Zambia introduced a free national HPV vaccination program for 14-year-old girls. However, the adolescents\' knowledge and perceptions regarding the HPV vaccine are not well understood. Therefore, this study aimed to understand adolescent girls\' knowledge and perceptions regarding the HPV vaccine and discuss its acceptability and uptake implications.
UNASSIGNED: We conducted a qualitative study in the Lusaka district between June 2021 and November 2021 using semi-structured interviews with adolescent girls aged 15-18 years regardless of their HPV vaccination status. Interviews were transcribed verbatim, and NVIVO 12 was used for data management and analysis. We coded transcripts deductively and inductively based on emerging themes. Perceptions were coded using the health belief model constructs.
UNASSIGNED: We interviewed 30 adolescent girls to reach saturation. Seventeen girls reported having received at least one dose of the HPV vaccine. Participants expressed variable knowledge and awareness about HPV and the HPV vaccine. Participants exhibited positive attitudes towards the HPV vaccine and perceived it as beneficial. However, there were multiple perceived barriers to vaccination, such as the need for parental consent, not being in school, concerns about vaccine side effects, and belief in myths and misinformation.
UNASSIGNED: The adolescent girls in this study showed variable knowledge and positive attitudes toward the HPV vaccine despite the many perceived barriers. To support increased HPV vaccine acceptability and uptake among adolescent girls in Zambia, it is critical to actively engage stakeholders involved in HPV vaccination, such as adolescents and their parents, and debunk myths and misconceptions about HPV vaccination. Health education in schools and communities should be implemented to increase knowledge about HPV and HPV vaccination among adolescents and their parents.
UNASSIGNED: We conducted a qualitative study in the Lusaka district between June 2021 and November 2021 using semi-structured interviews with adolescent girls aged 15-18 years regardless of their HPV vaccination status. Interviews were transcribed verbatim, and NVIVO 12 was used for data management and analysis. We coded transcripts deductively and inductively based on emerging themes. Perceptions were coded using the health belief model constructs.
UNASSIGNED: We interviewed 30 adolescent girls to reach saturation. Seventeen girls reported having received at least one dose of the HPV vaccine. Participants expressed variable knowledge and awareness about HPV and the HPV vaccine. Participants exhibited positive attitudes towards the HPV vaccine and perceived it as beneficial. However, there were multiple perceived barriers to vaccination, such as the need for parental consent, not being in school, concerns about vaccine side effects, and belief in myths and misinformation.
UNASSIGNED: The adolescent girls in this study showed variable knowledge and positive attitudes toward the HPV vaccine despite the many perceived barriers. To support increased HPV vaccine acceptability and uptake among adolescent girls in Zambia, it is critical to actively engage stakeholders involved in HPV vaccination, such as adolescents and their parents, and debunk myths and misconceptions about HPV vaccination. Health education in schools and communities should be implemented to increase knowledge about HPV and HPV vaccination among adolescents and their parents.
摘要：
■人乳头瘤病毒（HPV）疫苗接种是宫颈癌等HPV相关疾病的重要预防措施。2019年，赞比亚为14岁女孩推出了免费的国家HPV疫苗接种计划。然而,青少年对HPV疫苗的知识和认知还没有得到很好的理解.因此,本研究旨在了解青春期少女对HPV疫苗的认识和看法,并讨论其可接受性和摄取意义.
■我们在2021年6月至2021年11月期间在卢萨卡地区进行了一项定性研究，对15-18岁的青少年女孩进行了半结构化访谈，无论她们的HPV疫苗接种状况如何。访谈被逐字转录，NVIVO12用于数据管理和分析。我们根据新兴主题演绎和归纳地对成绩单进行编码。使用健康信念模型构造对感知进行编码。
■我们采访了30名达到饱和的青春期女孩。据报道，有17名女孩接受了至少一剂HPV疫苗。参与者表达了对HPV和HPV疫苗的不同知识和认识。参与者对HPV疫苗表现出积极的态度，并认为它是有益的。然而,疫苗接种有多种障碍，比如需要父母的同意，不在学校，对疫苗副作用的担忧，相信神话和错误信息。
■本研究中的青春期女孩对HPV疫苗表现出不同的知识和积极态度，尽管存在许多感知障碍。为了支持赞比亚少女增加HPV疫苗的可接受性和摄入量，积极参与HPV疫苗接种的利益相关者至关重要，比如青少年和他们的父母，揭穿关于HPV疫苗接种的神话和误解。应在学校和社区开展健康教育，以增加青少年及其父母对HPV和HPV疫苗接种的了解。
■我们在2021年6月至2021年11月期间在卢萨卡地区进行了一项定性研究，对15-18岁的青少年女孩进行了半结构化访谈，无论她们的HPV疫苗接种状况如何。访谈被逐字转录，NVIVO12用于数据管理和分析。我们根据新兴主题演绎和归纳地对成绩单进行编码。使用健康信念模型构造对感知进行编码。
■我们采访了30名达到饱和的青春期女孩。据报道，有17名女孩接受了至少一剂HPV疫苗。参与者表达了对HPV和HPV疫苗的不同知识和认识。参与者对HPV疫苗表现出积极的态度，并认为它是有益的。然而,疫苗接种有多种障碍，比如需要父母的同意，不在学校，对疫苗副作用的担忧，相信神话和错误信息。
■本研究中的青春期女孩对HPV疫苗表现出不同的知识和积极态度，尽管存在许多感知障碍。为了支持赞比亚少女增加HPV疫苗的可接受性和摄入量，积极参与HPV疫苗接种的利益相关者至关重要，比如青少年和他们的父母，揭穿关于HPV疫苗接种的神话和误解。应在学校和社区开展健康教育，以增加青少年及其父母对HPV和HPV疫苗接种的了解。
