University of Kentucky, Lexington, Kentucky 40506-0042, USA.
Qual Health Res. 2012 Apr;22(4):476-87. doi: 10.1177/1049732311425053. Epub 2011 Nov 7.
Human papillomavirus (HPV) vaccination coupled with routine Papanicolaou (Pap) tests can prevent pervasive HPV infections causing cervical cancer. However, both HPV vaccination rates and Pap testing rates in Appalachian Kentucky are lower among all age groups than the rest of the United States. We recruited 19 young women residing in Appalachian Kentucky from university-based and rural clinical settings for group and individual interviews. After considering an integrated behavioral framework, we illustrate these women's perspectives by detailing five themes, including (a) experiential beliefs pose barriers to performing behaviors, (b) three vaccine doses complicate vaccination intention, (c) women have misunderstandings about HPV and the HPV vaccination function, (d) normative influences cue action (and inaction), and (e) specific environmental and contextual barriers exist to performing cervical cancer prevention behaviors in Appalachian Kentucky. These findings related to cervical cancer prevention in Appalachian Kentucky have implications for health-message design and clinical practice.
人乳头瘤病毒（HPV）疫苗接种加上常规巴氏涂片（Pap）检查可以预防广泛存在的 HPV 感染导致的宫颈癌。然而，阿巴拉契亚肯塔基州的 HPV 疫苗接种率和 Pap 检测率在所有年龄段都低于美国其他地区。我们从大学和农村临床环境中招募了 19 名居住在阿巴拉契亚肯塔基州的年轻女性，对她们进行了小组和个人访谈。在考虑了一个综合行为框架之后，我们通过详细描述五个主题来展示这些女性的观点，包括：（a）经验信念对行为表现构成障碍，（b）三剂疫苗使接种意愿复杂化，（c）女性对 HPV 和 HPV 疫苗功能存在误解，（d）规范影响提示行动（和不作为），以及（e）在阿巴拉契亚肯塔基州，执行宫颈癌预防行为存在特定的环境和背景障碍。这些与阿巴拉契亚肯塔基州宫颈癌预防相关的研究结果对健康信息设计和临床实践具有启示意义。
