National Cancer Institute, Executive Plaza South, Suite 150E, 6120 Executive Blvd., MSC 7105, Rockville, MD 20892-7105, USA.
J Community Health. 2011 Dec;36(6):957-65. doi: 10.1007/s10900-011-9395-1.
Hispanic women have more than a 1.5-fold increased cervical cancer incidence and mortality compared to non-Hispanic white women in the United States. The Centers for Disease Control recommends the HPV vaccine for females at ages 11 and 12 years, though it is approved for females aged 9-26 to protect against the primary types of high-risk HPV (HPV-16 and HPV-18) that cause approximately 70% of cervical cancer cases. Few culturally-tailored Spanish HPV vaccine awareness programs have been developed. This study evaluates the efficacy of a Spanish radionovela as an educational tool. Rural Hispanic parents of daughters aged 9-17 (n = 88; 78 mothers and 10 fathers) were randomized to listen to the HPV vaccine radionovela or to another public service announcement. Participants completed a 30 min pretest posttest questionnaire. Parents who listened to the HPV radionovela (intervention group) scored higher on six knowledge and belief items. They were more likely to confirm that HPV is a common infection (70% vs. 48%, P = .002), to deny that women are able to detect HPV (53% vs. 31%, P = .003), to know vaccine age recommendations (87% vs. 68%, P = .003), and to confirm multiple doses (48% vs. 26%, P = .03) than control group parents. The HPV vaccine radionovela improved HPV and HPV vaccine knowledge and attitudes. Radionovela health education may be an efficacious strategy to increase HPV vaccine awareness among Hispanic parents.
美国西班牙裔女性的宫颈癌发病率和死亡率比非西班牙裔白人女性高出 1.5 倍以上。美国疾病控制与预防中心建议在女性 11 岁和 12 岁时接种 HPV 疫苗，尽管它已批准用于 9-26 岁的女性，以预防导致约 70%宫颈癌病例的主要高危 HPV 类型（HPV-16 和 HPV-18）。目前已经开发了一些针对特定文化的西班牙语 HPV 疫苗意识项目。本研究评估了西班牙语广播剧作为一种教育工具的效果。将年龄在 9-17 岁的西班牙裔女儿的农村家长（n = 88；78 位母亲和 10 位父亲）随机分为收听 HPV 疫苗广播剧组或收听另一则公共服务公告组。参与者完成了 30 分钟的预测试后问卷调查。收听 HPV 广播剧的家长（干预组）在六个知识和信念项目上的得分更高。他们更有可能确认 HPV 是一种常见感染（70%对 48%，P =.002），否认女性能够检测到 HPV（53%对 31%，P =.003），知道疫苗年龄建议（87%对 68%，P =.003），并确认多剂（48%对 26%，P =.03），而对照组家长的比例较低。HPV 疫苗广播剧提高了 HPV 和 HPV 疫苗的知识和态度。广播剧健康教育可能是提高西班牙裔父母 HPV 疫苗意识的有效策略。
