探讨非裔美国人接受人乳头瘤病毒疫苗接种的文化因素：综合评价。
Exploring Cultural Factors of Human Papillomavirus Vaccination Acceptance in African Americans: An Integrative Review.
机构信息
Duquesne University, Pittsburgh, PA, USA.
University of Pittsburgh, PA, USA.
出版信息
J Transcult Nurs. 2022 Nov;33(6):723-731. doi: 10.1177/10436596221125899. Epub 2022 Oct 5.
INTRODUCTION
Human papillomavirus (HPV) vaccine can prevent HPV-related cancers. However, African Americans (AA) have a 30% higher incidence of HPV-related cervical cancer than Whites. The purpose of this integrative review is to explore cultural factors and beliefs impacting HPV vaccine decisions in AA adults.
METHODOLOGY
The Whittemore & Knafl model guided this review. Databases searched were PubMed, CINAHL, and Embase. Key terms included "human papillomavirus," "vaccine," "cultural values," "African American," and "adult." Inclusion criteria were AAs aged 18 years and over living in the United States.
RESULTS
A total of 634 articles were identified, and 20 studies published from 2010 to 2020 were used. Common factors influencing HPV vaccine decisions included religion, knowledge, physician recommendation, social network, attitudes, mistrust, benefits, and safety.
DISCUSSION
Limitations included omission of articles lacking AA representation, limited databases searched, and one-author-evaluated studies. Future studies to discover additional cultural factors influencing HPV vaccine acceptance are critical.
引言
人乳头瘤病毒（HPV）疫苗可以预防 HPV 相关癌症。然而，非裔美国人（AA）患 HPV 相关宫颈癌的发病率比白人高 30%。本综合评论的目的是探讨影响 AA 成年人 HPV 疫苗决策的文化因素和信念。
方法
Whittemore 和 Knafl 模型指导了本次审查。搜索的数据库是 PubMed、CINAHL 和 Embase。关键词包括“人乳头瘤病毒”、“疫苗”、“文化价值观”、“非裔美国人”和“成人”。纳入标准为年龄在 18 岁及以上、居住在美国的 AA。
结果
共确定了 634 篇文章，使用了 20 项 2010 年至 2020 年发表的研究。影响 HPV 疫苗决策的常见因素包括宗教、知识、医生推荐、社交网络、态度、不信任、益处和安全性。
讨论
局限性包括遗漏了缺乏 AA 代表性的文章、搜索的数据库有限以及由一位作者评估的研究。未来研究发现影响 HPV 疫苗接种接受度的其他文化因素至关重要。
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