中大調(diào)查發(fā)現(xiàn)本港南亞裔家長就女兒是否接種HPV疫苗面對多重挑戰(zhàn) 冀消除種族差異 提高疫苗接種率
指南者留學(xué)
2022-07-26 17:02:08
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<div class="ace-line ace-line old-record-id-doxcno8YssoIsCq8WQn0z21SgAe" style="text-align: justify;"><span class="h6"> </span></div>
<div class="ace-line ace-line old-record-id-doxcnwomaGES4mgyyCYtDNOdQKo" style="text-align: justify;"><span class="h6">陳傲霜博士希望透過了解少數(shù)族裔正面對的挑戰(zhàn),讓當(dāng)局制定與其文化共融的策略,增加她們接觸和使用HPV疫苗接種等公共醫(yī)療服務(wù)的機(jī)會。</span></div>
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<div class="ace-line ace-line old-record-id-doxcny4020ggkoUOSwXRKn0kpZg" style="text-align: justify;"><span class="p"> </span></div>
<div class="ace-line ace-line old-record-id-doxcn8gIgwouKsGgOoPZFgvO6yh" style="text-align: justify;"><span class="p">人類瘤病毒(又稱 HPV)疫苗能有效預(yù)防HPV感染及子宮頸癌,但接種率卻很低,尤其是居于香港的南亞少數(shù)族裔。 不少南亞裔母親在決定是否讓未成年女兒接種HPV疫苗時(shí)均面對挑戰(zhàn),然而一直未有研究深入分析其促成因素。</span></div>
<div class="ace-line ace-line old-record-id-doxcnCsKogaCiUewIiyavE9Zo0g" style="text-align: justify;"><span class="p"> </span></div>
<div class="ace-line ace-line old-record-id-doxcnUwsqeiUeg4EkA1UWEtWWSc" style="text-align: justify;"><span class="p">為此,香港中文大學(xué)(中大)醫(yī)學(xué)院那打素護(hù)理學(xué)院于2021年5月至9月期間,進(jìn)行了一項(xiàng)探索性研究:香港南亞少數(shù)族裔中影響父母對女兒接種子宮頸癌疫苗決定的挑戰(zhàn)和促成因素的研究。 項(xiàng)目由平等機(jī)會委員會資助。 參與是次研究聚焦小組訪問的73名南亞裔母親原籍印度、巴基斯坦或尼泊爾,并最少有1名9歲至17歲的未成年女兒。 研究結(jié)果有助了解南亞裔母親面對的挑戰(zhàn)及其促成因素,并為當(dāng)局提供指引,采取適當(dāng)?shù)慕槿氪胧?,以提高本港南亞裔人士的HPV疫苗接種率。</span></div>
<div class="ace-line ace-line old-record-id-doxcnkew8e0Os8gMOA3EkM7bXR6" style="text-align: justify;"><span class="p"> </span></div>
<div class="ace-line ace-line old-record-id-doxcnIaYWEA8qMkAIk3vyaM0MBg" style="text-align: justify;"><span class="p"><strong>南亞裔母親就女兒接種疫苗面對多重挑戰(zhàn)</strong></span></div>
<div class="ace-line ace-line old-record-id-doxcnCKi280c0Ik4eSmLJJ6RkJg" style="text-align: justify;"><span class="p"> </span></div>
<div class="ace-line ace-line old-record-id-doxcnQYA6YwUAQQUyAziB2YSqLf" style="text-align: justify;"><span class="p">研究團(tuán)隊(duì)發(fā)現(xiàn),南亞裔母親一般對子宮頸癌、HPV病毒或HPV 疫苗缺乏認(rèn)知和知識。 疫苗價(jià)錢昂貴和缺乏財(cái)務(wù)資助亦是南亞裔母親未有讓女兒接種疫苗的主要原因之一。</span></div>
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<div class="ace-line ace-line old-record-id-doxcnuOU8o2KqgWgsGSyuKLmUhc" style="text-align: justify;"><span class="p">另外,所有受訪南亞裔母親均認(rèn)為醫(yī)護(hù)專業(yè)人員提供的信息和建議可信,但她們過往從沒就女兒接種HPV疫苗獲得相關(guān)建議。 家人的支持對于南亞裔母親決定是否讓女兒接種HPV疫苗亦十分重要。</span></div>
<div class="ace-line ace-line old-record-id-doxcnKq4W2k6Amyu8ULDXDSgqde" style="text-align: justify;"><span class="p"> </span></div>
<div class="ace-line ace-line old-record-id-doxcnGukckgAk6E8mOaEGUetuwf" style="text-align: justify;"><span class="p">大部份南亞裔母親表示,她們在使用醫(yī)療服務(wù)時(shí)面對語言障礙。 其中一名印度裔母親指出,她為女兒安排接種時(shí),難以與說中文的醫(yī)護(hù)人員溝通。</span></div>
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<div class="ace-line ace-line old-record-id-doxcnyu6uaIyIMMSEWaiMRr9uFf" style="text-align: justify;"><span class="p"><strong>多項(xiàng)因素促成南亞裔母親讓女兒接種HPV疫苗</strong></span></div>
<div class="ace-line ace-line old-record-id-doxcnwOUKm2eMECIaGstbcpgHkh" style="text-align: justify;"><span class="p"> </span></div>
<div class="ace-line ace-line old-record-id-doxcnCsKEYO480YwmQphct8jk0c" style="text-align: justify;"><span class="p">受訪南亞裔母親認(rèn)為,醫(yī)護(hù)專業(yè)人員、健康講座、社區(qū)中心、老師、學(xué)校、健康中心提供的健康信息均屬可信。 HPV疫苗可減低女兒患上子宮頸癌的風(fēng)險(xiǎn)亦是南亞裔母親讓女兒接種疫苗的主要原因之一。</span></div>
<div class="ace-line ace-line old-record-id-doxcnmcYmM6s2iQEiUnF8FzlcTh" style="text-align: justify;"><span class="p"> </span></div>
<div class="ace-line ace-line old-record-id-doxcn04i8CyyaUI2M6YYskkrn9g" style="text-align: justify;"><span class="p">疫苗資助、學(xué)?;蛘才诺囊呙缃臃N計(jì)劃亦有助解決南亞裔母親安排疫苗接種時(shí)遇到的困難, 提高她們讓女兒接種疫苗的意愿。</span></div>
<div class="ace-line ace-line old-record-id-doxcn4ycWOOKCkYmWCsyEHjFEpc" style="text-align: justify;"><span class="p"> </span></div>
<div class="ace-line ace-line old-record-id-doxcnGwwCC2yqy4YOk3tBOajwOh" style="text-align: justify;"><span class="p">根據(jù)上述發(fā)現(xiàn),研究團(tuán)隊(duì)建議:</span></div>
<div class="ace-line ace-line old-record-id-doxcneoscSqwwSYsKGcj2O6e2Sd" style="text-align: justify;"><span class="p"> </span></div>
<div class="ace-line ace-line old-record-id-doxcnaiYMyKA88auywzfvkr0dZc" style="text-align: justify;"><span class="p"><strong>(一)加強(qiáng)宣傳子宮頸健康與HPV疫苗接種</strong></span></div>
<div class="ace-line ace-line old-record-id-doxcnW00AS0q4GOioWSk15c71Ld" style="text-align: justify;"><span class="p"> </span></div>
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<div><span class="p">衛(wèi)生署學(xué)童免疫注射小組可在符合條件的適齡學(xué)生接種前半年,率先為學(xué)童母親舉辦校本健康講座,講解子宮頸健康和HPV疫苗接種的重要性。</span></div>
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<div class="ace-line ace-line old-record-id-doxcncUQSaIIMMiQ2YPVuYnoU7Y" style="text-align: justify;"><span class="p"> </span></div>
<div class="ace-line ace-line old-record-id-doxcnM4YWGgGQ2Gc0KAUttHhMQf" style="text-align: justify;"><span class="p"><strong>(二)增加健康信息發(fā)布和接收渠道</strong></span></div>
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<div><span class="p">健康宣傳信息,包括短片、海報(bào)和單張,應(yīng)設(shè)有南亞語言版本(例如印度語、烏爾都語及尼泊爾語等),并于南亞裔母親常用的社交平臺發(fā)布(例如YouTube、Facebook及WhatsApp等)。</span></div>
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<div class="ace-line ace-line old-record-id-doxcnecwWAqmCse4AQ6ckeedv0B" style="text-align: justify;"><span class="p"> </span></div>
<div class="ace-line ace-line old-record-id-doxcnaIaIWcywiuW2acYBvW58NK" style="text-align: justify;"><span class="p"><strong>(三)提供HPV疫苗接種建議</strong></span></div>
<div class="ace-line ace-line old-record-id-doxcnugA2OuykUsUAwL0cCrTZNb" style="text-align: justify;"><span class="p"> </span></div>
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<div><span class="p">鼓勵(lì)醫(yī)護(hù)專業(yè)人員善用健康咨詢或問診時(shí)間,向家中有9歲至17歲女兒的南亞裔母親提供HPV疫苗接種的建議。</span></div>
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<div class="ace-line ace-line old-record-id-doxcnY2yIIWcmKIUogzvE3iAysc" style="text-align: justify;"><span class="p"> </span></div>
<div class="ace-line ace-line old-record-id-doxcnI4Ama4keEIiW6bcl1bJc9e" style="text-align: justify;"><span class="p"><strong>(四)打破語言障礙</strong></span></div>
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<div><span class="p">政府應(yīng)撥出更多資源增加傳譯服務(wù),例如培訓(xùn)額外的醫(yī)療傳譯員,助南亞裔人士與醫(yī)護(hù)專業(yè)人員有效溝通。</span></div>
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<div class="ace-line ace-line old-record-id-doxcnoOCgeA6eCaOiaYjxCEM1Je" style="text-align: justify;"><span class="p"><strong>(五)提供疫苗資助</strong></span></div>
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<div><span class="p">為鼓勵(lì)未合資格透過衛(wèi)生署「香港兒童免疫接種計(jì)劃」獲得HPV疫苗的少女進(jìn)行接種,政府應(yīng)為所有18歲以下青少年提供補(bǔ)打HPV疫苗接種服務(wù);重設(shè)關(guān)愛基金,為低收入家庭,提供HPV疫苗接種資助。</span></div>
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<div class="ace-line ace-line old-record-id-doxcn0aeWQGiy6UwmuYGOhpRcHh" style="text-align: justify;"><span class="p"> </span></div>
<div class="ace-line ace-line old-record-id-doxcn6QgkAC68MKw0qyLZy4YYGb" style="text-align: justify;"><span class="p">中大醫(yī)學(xué)院那打素護(hù)理學(xué)院助理教授<strong>陳傲霜博士</strong>表示:「本港少數(shù)族裔人口正日益增加,為確保少數(shù)族裔女性獲得有效的保護(hù)措施,預(yù)防感染HPV和患上子宮頸癌,我們必須深入了解她們面對的挑戰(zhàn),讓當(dāng)局制定與其文化共融的策略,增加她們接觸和使用HPV疫苗接種等公共醫(yī)療服務(wù)的機(jī)會?!?lt;/span></div>
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