Schmidt-Grimminger Delf, Frerichs Leah, Black Bird Arlene E, Workman Karen, Dobberpuhl Mitchell, Watanabe-Galloway Shinobu
Avera Cancer Institute, Sioux Falls, SD, USA.
J Cancer Educ. 2013 Jun;28(2):357-66. doi: 10.1007/s13187-013-0468-y.
Native American women in the Northern Plains have a high prevalence of human papillomavirus (HPV) and high incidence of cervical disease and cervical cancer. HPV vaccination coverage is shown to be lower among nonwhite populations and disparity populations. We assessed HPV knowledge, attitudes, and beliefs towards HPV and HPV vaccination during a community-based participatory research project among tribal youth, young adults, parents, and health professionals. In 2009, we recruited a total of 73 individuals to participate in four tribal focus groups: tribal health providers, (n=10), Indian Health Service providers (n=7), young adult women ages 19-26 (n=22), girls (14-18) (n=18), and parents (n=16). Of these, 62 (84.93 %) completed a survey, which included 10 healthcare providers, 22 young adults, 14 teens, and 16 parents. We employed a qualitative thematic analysis of focus group transcript data and conducted frequency analysis of survey data, which were both reviewed and triangulated by a Community Advisory Board. Based on the results of this study, the tribal community advisory board identified local tribal settings for interventions to increase HPV vaccination coverage through health education classes and a school-based vaccination clinic. In addition to tribal community-wide education events to increase awareness of HPV disease, the HPV vaccine, provider-specific training was identified as a potential intervention. These community-based focus group findings underscore the importance of locally and cultural tailored educational interventions to further increase HPV knowledge and HPV vaccination among disparate populations like American Indian adolescent and young adult women.
美国北部平原的美国原住民女性人乳头瘤病毒（HPV）感染率很高，宫颈癌前病变和宫颈癌的发病率也很高。研究表明，非白人人群和弱势群体的HPV疫苗接种率较低。在一个基于社区的参与性研究项目中，我们评估了部落青年、年轻人、家长和卫生专业人员对HPV及HPV疫苗接种的知识、态度和看法。2009年，我们共招募了73人参加四个部落焦点小组：部落卫生服务提供者（10人）、印第安卫生服务提供者（7人）、19 - 26岁的年轻成年女性（22人）、14 - 18岁的女孩（18人）和家长（16人）。其中，62人（84.93%）完成了一项调查，包括10名医疗服务提供者、22名年轻人、14名青少年和16名家长。我们对焦点小组的文字记录数据进行了定性主题分析，并对调查数据进行了频率分析，社区咨询委员会对这两项分析进行了审查和验证。基于这项研究的结果，部落社区咨询委员会确定了当地部落环境中的干预措施，通过健康教育课程和校内疫苗接种诊所来提高HPV疫苗接种率。除了在部落社区范围内开展教育活动以提高对HPV疾病和HPV疫苗的认识外，针对提供者的特定培训也被确定为一种潜在干预措施。这些基于社区的焦点小组研究结果强调了针对当地文化量身定制教育干预措施对于进一步提高美国印第安青少年和年轻成年女性等不同人群的HPV知识和HPV疫苗接种率的重要性。
