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首页> 外文期刊>Vaccine >'HPV? Never heard of it!': A systematic review of girls' and parents' information needs, views and preferences about human papillomavirus vaccination
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'HPV? Never heard of it!': A systematic review of girls' and parents' information needs, views and preferences about human papillomavirus vaccination

机译：“ HPV？从未听说过！”：对女孩和父母关于人乳头瘤病毒疫苗接种的信息需求，观点和偏好的系统评价

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Background and objective: Two human papillomavirus vaccines were licenced in 2006/2007 for cervical cancer prevention. National vaccination programmes for schoolgirls were subsequently introduced in some European countries, North America and Australia. To understand factors influencing vaccine uptake and to inform the development of appropriate UK educational materials, we aimed to synthesise evidence of girls' and parents' information needs, views and preferences regarding HPV vaccination. Design: Systematic review and mixed method synthesis of qualitative and survey data. Data sources: Twelve electronic databases; bibliographies of included studies 1980 to August 2011. Review methods: Two reviewers independently screened papers and appraised study quality. Studies were synthesised collaboratively using framework methods for qualitative data, and survey results integrated where they supported, contrasted or added to the themes identified. Results: Twenty-eight qualitative studies and 44 surveys were included. Where vaccination was offered, uptake was high. Intention to decline was related to a preference for vaccinating later to avoid appearing to condone early sexual activity, concerns about vaccine safety and low perception of risk of HPV infection. Knowledge was poor and there were many misconceptions; participants tried to assess the potential benefits and harms of vaccination but struggled to interpret limited information about HPV in the context of existing knowledge about sexually transmitted infections and cancer. Conclusion Many girls and their parents have limited understanding to an extent that impinges on their ability to make informed choices about HPV vaccination and could impact on future uptake of cervical screening. This is a considerable challenge to those who design and provide information, but getting the messages right for this programme could help in developing patient information about other HPV related cancers
机译：背景与目的：2006/2007年，两种人乳头瘤病毒疫苗被批准用于预防宫颈癌。随后在一些欧洲国家，北美和澳大利亚实施了针对女学生的国家疫苗接种计划。为了了解影响疫苗接种的因素并为英国适当的教育材料的发展提供信息，我们旨在综合证明女孩和父母对HPV疫苗的信息需求，观点和偏好的证据。设计：定性和调查数据的系统审查和混合方法综合。数据来源：十二个电子数据库;纳入研究的参考书目为1980年至2011年8月。评审方法：两位评审独立筛选论文并评估研究质量。研究使用定性数据的框架方法进行协作综合，并将调查结果支持，对比​​或添加到确定的主题中。结果：包括28个定性研究和44个调查。在提供疫苗接种的地方，吸收率很高。下降的意图与优先选择后期接种疫苗有关，以避免似乎纵容早期的性活动，对疫苗安全性的担忧以及对HPV感染风险的低感知。知识薄弱，有很多误解;参与者试图评估疫苗接种的潜在利弊，但在有关性传播感染和癌症的现有知识的背景下，努力解释有关HPV的有限信息。结论许多女孩及其父母的了解程度有限，影响了他们对HPV疫苗接种做出知情选择的能力，并可能影响未来子宫颈癌筛查的使用。对于那些设计和提供信息的人来说，这是一个巨大的挑战，但是正确获取该程序的信息可能有助于开发有关其他HPV相关癌症的患者信息

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