Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada.
J Community Health. 2011 Feb;36(1):56-62. doi: 10.1007/s10900-010-9278-x.
Accurate knowledge about human Papillomavirus (HPV) and its link to cervical cancer is essential for women to understand and make use of cervical cancer prevention and detection opportunities. This study was the first to survey awareness and knowledge of HPV in a population of Canadian Inuit. The objectives of this study were to assess the level of awareness and knowledge of Inuit women in Nunavik, Quebec, Canada, about HPV infection and its relation to cervical cancer and to study correlates of this awareness. A cross-sectional survey design was used. Women were recruited through convenience sampling at two recruitment sites in Ungava Bay from March 2008 to June 2009. Questionnaires were completed by 175 women aged 18-63. Thirty one percentage reported that they had heard of HPV. Of the women who had heard of HPV, 53% knew that HPV causes cervical cancer. The level of HPV awareness was not found to vary with participants' age. Awareness of HPV was found to be associated with greater or equal to 13 years of education (OR = 4.4, 95%: 1.3-15.1) and knowing someone with cervical cancer (OR = 3.6, 95%: 1.4-8.9). Despite the high prevalence of HPV and incidence of cervical cancer in Inuit populations, there is a low level of knowledge in this population. The lack of awareness and knowledge and misconceptions found in this study has been consistently found in other non-Indigenous populations.
关于人乳头瘤病毒(HPV)及其与宫颈癌关联的准确知识,对于女性了解和利用宫颈癌预防和检测机会至关重要。本研究首次调查了加拿大因纽特人群中 HPV 的认知和知识水平。本研究的目的是评估魁北克努纳武特因纽特妇女对 HPV 感染及其与宫颈癌的关系的认知和知识水平,并研究这种认知的相关因素。采用了横断面调查设计。2008 年 3 月至 2009 年 6 月,在昂加瓦湾的两个招募点通过便利抽样招募了妇女。共有 175 名年龄在 18 至 63 岁的妇女完成了问卷。31%的人报告听说过 HPV。在听说过 HPV 的妇女中,有 53%的人知道 HPV 会导致宫颈癌。HPV 认知水平与参与者的年龄无关。HPV 认知与受教育程度大于或等于 13 年(OR=4.4,95%置信区间:1.3-15.1)和认识宫颈癌患者(OR=3.6,95%置信区间:1.4-8.9)有关。尽管因纽特人群中 HPV 的流行率和宫颈癌的发病率很高,但该人群的知识水平较低。本研究中发现的缺乏意识、知识和误解在其他非土著人群中也一直存在。