背景:人乳头瘤病毒(HPV)引起了重大的公共卫生问题,因为它与癌症和生殖器疣等各种严重的健康状况有关。尽管疫苗的安全性,功效,以及通过国家学校计划的可用性,以色列的HPV疫苗接种率仍然很低,由于宗教和文化障碍,特别是在超东正教社区内。决策辅助工具在促进共同决策和促进医疗保健中的知情选择方面显示出希望。本研究旨在评估一种新的基于网络的决策援助对HPV疫苗接种意向的影响。知识,决策自我效能感,以及以色列父母和年轻人之间的决定性冲突,特别关注宗教团体之间的差异。
方法:为10至17岁(n=120)和18至26岁(n=160)的年轻人的父母开发了两种基于Web的决策辅助工具。在讲希伯来语的父母和符合HPV疫苗接种资格的年轻人中进行了准实验研究。参与者完成了评估疫苗接种意向的干预前和干预后问卷,关于HPV的知识,决策自我效能感,和决策冲突。
结果:决策援助显著改善了大多数宗教团体对HPV疫苗接种的意愿,除了犹太极端东正教社区。超正统参与者表现出不愿为自己或子女接种疫苗(父母组的比值比[OR]=0.23,P<0.001;年轻人组的比值比=0.43,P<0.001)。观察到父母对女孩接种疫苗的偏好高于男孩(OR=2.66,P<0.001),穆斯林-阿拉伯人的疫苗接种倾向增加(OR=3.12,P<0.001)。超正统参与者的知识水平有所提高,但决策冲突和自我效能感却没有提高。
结论:基于网络的决策帮助对以色列各宗教团体的HPV疫苗接种决策质量产生积极影响,除了超正统社区.解决特定社区问题的文化定制方法对于知情决策至关重要。
结论:以色列的人乳头瘤病毒(HPV)疫苗接种率大大低于其他常规疫苗接种率,特别是在宗教和超东正教社区中,很大程度上是由于社会文化信仰和错误信息。在一项涉及父母和年轻人的研究中实施了新开发的基于网络的决策辅助,以评估其对疫苗接种意图的影响。关于HPV的知识,决策自我效能感,和决策冲突。虽然决策援助显著增强了疫苗接种意向,知识,以及不同宗教团体的行为控制,在极端正统的犹太社区中,它没有产生相同的结果。这项研究强调了文化适应在以色列HPV疫苗决策辅助中的重要作用,揭示了不同宗教和文化群体在疫苗接种观念和决定方面的巨大差异。
BACKGROUND: Human papillomavirus (HPV) poses a significant public health concern, as it is linked to various serious health conditions such as cancer and genital warts. Despite the vaccine\'s safety, efficacy, and availability through national school programs, HPV vaccination rates remain low in Israel, particularly within the ultra-Orthodox community due to religious and cultural barriers. Decision aids have shown promise in facilitating shared decision making and promoting informed choices in health care. This
study aimed to assess the impact of a novel Web-based decision aid on HPV vaccination intentions, knowledge, decision self-efficacy, and decisional conflict among Israeli parents and young adults, with a specific focus on exploring differences between religious groups.
METHODS: Two Web-based decision aids were developed for parents of children aged 10 to 17 y (n = 120) and young adults aged 18 to 26 y (n = 160). A quasi-experimental
study was conducted among Hebrew-speaking parents and young adults eligible for HPV vaccination. Participants completed pre- and postintervention questionnaires assessing vaccination intentions, knowledge about HPV, decision self-efficacy, and decisional conflict.
RESULTS: The decision aid significantly improved intentions toward HPV vaccination among most religious groups, except the Jewish ultra-Orthodox community. Ultra-Orthodox participants exhibited reluctance to vaccinate themselves or their children (odds ratio [OR] = 0.23, P < 0.001 for parents\' group; OR = 0.43, P < 0.001 for young adults\' group). Parental preference for vaccinating girls over boys (OR = 2.66, P < 0.001) and increased inclination for vaccination among Muslim-Arabs were observed (OR = 3.12, P < 0.001). Knowledge levels improved among ultra-Orthodox participants but not decisional conflict and self-efficacy.
CONCLUSIONS: The Web-based decision aid positively influenced the quality of HPV vaccination decision making among various religious groups in Israel, except for the ultra-Orthodox community. Culturally tailored approaches that address specific community concerns are essential for informed decision making.
CONCLUSIONS: Human papillomavirus (HPV) vaccination rates in Israel are substantially lower than those of other routine vaccinations, particularly among religious and ultra-Orthodox communities, largely due to sociocultural beliefs and misinformation.A newly developed Web-based decision aid was implemented in a
study involving parents and young adults to evaluate its impact on vaccination intent, knowledge about HPV, decision self-efficacy, and decisional conflict.While the decision aid significantly enhanced vaccination intention, knowledge, and perceived behavioral control among various religious groups, it did not yield the same outcomes within the ultra-Orthodox Jewish community.This
study highlights the vital role of cultural adaptation in HPV vaccine decision aids within Israel, revealing significant disparities in vaccination perceptions and decisions among diverse religious and cultural groups.