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Título : | Acceptability of multipurpose human papillomavirus vaccines among providers and mothers of adolescent girls: A mixed-methods study in five countries | Autor : | Morgan, Karen Peris, Merce Goldberg, Shoshana K Smith, Jennifer S Ramos, Silvina Joo Kim, Chan Richter, Karin L Anne McDonald, Mary Vielot, Nadja A Zimet, Gregory Smith, Sara B Whaley, Kevin J |
Palabras clave : | Vacunas;Aceptación de la Atención de Salud;Papillomaviridae;Enfermedades de Transmisión Sexual | Fecha de publicación : | Jun-2017 | Editorial : | 2405-8521 | Resumen : | INTRODUCTION: Multipurpose vaccines (MPVs) could be formulated to prevent multiple sexually transmitted infections simultaneously. Little is known about acceptability of MPVs among vaccine health care providers (HCPs) or mothers of adolescent girls. METHODS: 151 adolescent vaccine providers and 118 mothers of adolescent girls aged 9-14 were recruited from five geographically-diverse countries: Argentina, Malaysia, South Africa, South Korea, and Spain. We assessed providers' preferences for single-purpose human papillomavirus (HPV) vaccine versus MPVs (including HPV+herpes simplex virus (HSV)-2, HPV+HIV, or HPV+HSV-2+HIV) via quantitative surveys. Maternal MPV attitudes were assessed in four focus group discussions (FGDs) in each country. RESULTS: Most providers preferred MPVs over single-purpose HPV vaccination, with preference ranging from 61% in Malaysia to 96% in South Africa. HPV+HSV-2+HIV was the most preferred MPV formulation (56-82%). Overall, 53% of the mothers preferred MPVs over single-purpose HPV vaccines, with strongest support in South Africa (90%) and lowest support in South Korea (29%). Convenience and trust in the health care system were commonly-cited reasons for MPV acceptability. Safety and efficacy concerns were common barriers to accepting MPVs, though specific concerns differed by country. Across FGDs, additional safety and efficacy information on MPVs were requested, particularly from trusted sources like HCPs. CONCLUSIONS: Though maternal acceptability of MPVs varied by country, MPV acceptability would be enhanced by having HCPs provide parents with additional MPV vaccine safety and efficacy information. While most providers preferred MPVs, future health behavior research should identify acceptability barriers, and targeted provider interventions should equip providers to improve vaccination discussions with parents. | URI : | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5608022/ http://repositorio.cedes.org/handle/123456789/4476 |
DOI: | 2405-8521 126-133 3 10.1016/j.pvr.2017.04.001 |
Appears in Collections: | Artículos en publicaciones periódicas |
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Papillomavirus Research 3 (2017) 126–133.pdf | Artículo en inglés | 267,25 kB | Adobe PDF | ![]() View/Open |
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