Center for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA.
Ethn Health. 2009 Dec;14(6):607-24. doi: 10.1080/13557850903248621.
US Hispanic women have higher cervical cancer incidence rates than non-Hispanic White and African-American women and lower rates of cervical cancer screening. Knowledge, attitudes, and cultural beliefs may play a role in higher rates of infection of human papillomavirus (HPV) and decisions about subsequent diagnosis and treatment of cervical cancer.
To explore the level of HPV knowledge, attitudes, and cultural beliefs among Hispanic men and women on the Texas-Mexico border.
Informed by feminist ethnography, the authors used an interpretive approach to understand local respondents' concerns and interests. Focus group sessions were analyzed using thematic content analysis. RECRUITMENT AND SAMPLE: Promotoras (lay health workers) recruited participants using convenience sampling methods. Group sessions were held in public service centers in Brownsville. Participants' ages ranged from 19 to 76 years. METHODS ANALYSIS: Focus group discussions were audio-recorded and transcribed in Spanish. Researchers read and discussed all the transcripts and generated a coding list. Transcripts were coded using ATLAS.ti 5.0.
Participants had little understanding about HPV and its role in the etiology of cervical cancer. Attitudes and concerns differed by gender. Women interpreted a diagnosis of HPV as a diagnosis of cancer and expressed fatalistic beliefs about its treatment. Men initially interpreted a diagnosis of HPV as an indication of their partners' infidelity, but after reflecting upon the ambiguity of HPV transmission, attributed their initial reaction to cultural ideals of machismo. Men ultimately were interested in helping their partners seek care in the event of a positive diagnosis.
Results suggest that understanding Hispanics' cultural norms and values concerning disease, sexuality, and gender is essential to the design and implementation of interventions to prevent and treat HPV and cervical cancer.
美国西班牙裔女性的宫颈癌发病率高于非西班牙裔白人和非裔美国女性，而宫颈癌筛查率较低。知识、态度和文化信仰可能在人乳头瘤病毒（HPV）感染率较高以及随后对宫颈癌的诊断和治疗决策中发挥作用。
探讨德克萨斯-墨西哥边境西班牙裔男女的 HPV 知识、态度和文化信仰水平。
受女性主义民族志的启发，作者采用解释性方法来理解当地受访者的关注点和利益。使用主题内容分析对焦点小组会议进行分析。
宣传员（初级卫生工作者）使用便利抽样方法招募参与者。小组会议在布朗斯维尔的公共服务中心举行。参与者年龄在 19 岁至 76 岁之间。
焦点小组讨论以西班牙语进行录音和转录。研究人员阅读并讨论了所有的记录，并生成了一个编码列表。使用 ATLAS.ti 5.0 对记录进行编码。
参与者对 HPV 及其在宫颈癌病因学中的作用知之甚少。态度和关注点因性别而异。女性将 HPV 的诊断解释为癌症的诊断，并对其治疗持宿命论的看法。男性最初将 HPV 的诊断解释为伴侣不忠的迹象，但在反思 HPV 传播的模糊性后，将他们最初的反应归因于男子气概的文化理想。男性最终有兴趣在伴侣 HPV 检测阳性时帮助她们寻求治疗。
研究结果表明，了解西班牙裔人在疾病、性和性别方面的文化规范和价值观对于设计和实施预防和治疗 HPV 和宫颈癌的干预措施至关重要。
