尽管有机会接种人乳头瘤病毒(HPV)疫苗,波多黎各的疫苗接种率仍然很低。父母和青少年之间关于性话题的沟通可能会影响HPV疫苗接种的决定。特别是在年轻女性中;然而,很少有研究解决这个问题。这项定性研究探索了波多黎各母亲和女儿在性相关主题上的交流,HPV,包括HPV疫苗。
30名参与者,包括9个母亲和21个女儿,参加了七个焦点小组。参与者被分为母亲和女儿组,并按疫苗接种状态进一步分层。使用改进的扎根理论方法分析了成绩单,以识别紧急主题。
焦点小组的数据揭示了四个主要主题:(1)关于性相关主题的亲女交流有限;(2)女儿与父母讨论性相关主题的不适;(3)父母对禁欲的关注;以及,(4)关于HPV和HPV疫苗的有限亲子关系。
尽管在这项研究中,女儿们在尴尬的感觉中挣扎,侵犯隐私,鼓励禁欲,以及父母对他们婚前性活跃的反应的恐惧,他们还认识到有必要增加关于性相关主题的亲子关系,包括HPV和HPV疫苗.教育工作应针对女儿和父母,以提高沟通技巧和自我效能,并使他们能够在公开和非判断性的对话中讨论性健康。
Although opportunities to vaccinate against human papillomavirus (HPV) are available, vaccination rates in Puerto Rico remain low. Communication between parents and adolescents about sexual topics may influence decisions about HPV vaccination uptake, particularly among young women; yet, few studies have addressed this issue. This qualitative study explored Puerto Rican mothers\' and daughters\' communication on sex-related topics, and HPV, including the HPV vaccine.
Thirty participants, including 9 mothers and 21 daughters, participated in seven focus groups. Participants were divided into groups of mothers and daughters, and further stratified by vaccination status. Transcripts were analyzed using a modified grounded theory approach to identify emergent themes.
Focus group data revealed four main themes: (1) limited parent-daughter communication about sex-related topics; (2) daughters\' discomfort discussing sex-related topics with their parents; (3) parental focus on abstinence; and, (4) limited parent-daughter communication about HPV and the HPV vaccine.
Although daughters in this study struggled with feelings of embarrassment, invasion of privacy, encouragement of abstinence, and the fear of parents\' reaction to them being sexually active prior to marriage, they also recognized the need to increase the parent-daughter communication about sex-related topics including HPV and the HPV vaccine. Educational efforts should target both daughters and parents to increase communication skills and self-efficacy and to enable them to discuss sexual health in open and nonjudgmental conversations.