Do Hoai, Seng Paularita, Talbot Jocelyn, Acorda Elizabeth, Coronado Gloria D, Taylor Victoria M
Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Asian Pac J Cancer Prev. 2009 Jul-Sep;10(3):339-44.
The cervical cancer incidence rate among Cambodian American women is 15.0 per 100,000, compared to 7.7 per 100,000 among non-Latina white women. HPV infection has been identified as a universal risk factor for cervical cancer. The HPV vaccine was recently approved in the United States for females aged 9-26 years. There is little information about HPV vaccination knowledge and beliefs in Southeast Asian communities.
We conducted 13 key informant interviews with Cambodian community leaders, as well as four focus groups with Cambodian parents (37 participants). Two of the focus groups included fathers and two of the focus groups included mothers. Interview and focus group questions addressed HPV vaccine barriers and facilitators.
Participants had limited knowledge about HPV infection and the HPV vaccine. Barriers to HPV vaccination included a lack of information about the vaccine, as well as concerns about vaccine safety, effectiveness, and financial costs. The most important facilitators were a health care provider recommendation for vaccination and believing in the importance of disease prevention.
Future cervical cancer control educational programs for Cambodians should promote use of the HPV vaccine for age-eligible individuals. Health care providers who serve Cambodian communities should be encouraged to recommend HPV vaccination.
柬埔寨裔美国女性的宫颈癌发病率为每10万人中有15.0例，而非拉丁裔白人女性为每10万人中有7.7例。人乳头瘤病毒（HPV）感染已被确认为宫颈癌的一个普遍危险因素。HPV疫苗最近在美国被批准用于9至26岁的女性。关于东南亚社区HPV疫苗接种知识和观念的信息很少。
我们对柬埔寨社区领袖进行了13次关键信息人访谈，并与柬埔寨父母开展了4次焦点小组讨论（37名参与者）。其中两个焦点小组包括父亲，另外两个焦点小组包括母亲。访谈和焦点小组问题涉及HPV疫苗接种的障碍和促进因素。
参与者对HPV感染和HPV疫苗的了解有限。HPV疫苗接种的障碍包括缺乏关于疫苗的信息，以及对疫苗安全性、有效性和费用的担忧。最重要的促进因素是医疗服务提供者对疫苗接种的推荐以及相信疾病预防的重要性。
未来针对柬埔寨人的宫颈癌防控教育项目应促进符合年龄条件的人群使用HPV疫苗。应鼓励为柬埔寨社区服务的医疗服务提供者推荐HPV疫苗接种。
