Department of Health Sciences, California State University, Northridge, Northridge, CA, USA.
J Community Health. 2013 Dec;38(6):1003-9. doi: 10.1007/s10900-013-9709-6.
Human papillomavirus (HPV) is the most common sexually transmitted disease in the US and the primary cause of cervical cancer. Vietnamese American women have the highest incidence rates of cervical cancer but one of the lowest HPV vaccination rates. Parental knowledge is an important predictor of HPV vaccination; however, little is known about HPV knowledge in the Vietnamese American community. We aimed to describe the HPV knowledge of Vietnamese mothers in Houston, Texas and their intention to vaccinate their daughters. We conducted face-to-face interviews with Vietnamese mothers who had daughters aged 9-26 years. We collected data on demographics, acculturation, HPV knowledge, and vaccination intention. Knowledge scores (0-5) were calculated using 5 knowledge questions. We used logistic regression to identify predictors of HPV knowledge. Participants had low levels of acculturation by report of reading (31%) and writing (23%) English well. Less than 50% of participants (n = 47) had heard of HPV, and among these, the mean HPV knowledge score was 4. Although only 1 in 3 had discussed HPV with their medical provider, nearly 86% of participants who had not heard of HPV would vaccinate their daughter if their doctor had recommended it. Good written English skills and belief that the HPV vaccine was not expensive were predictors of HPV awareness. HPV awareness is low among less acculturated Vietnamese mothers in Houston. Future educational efforts about the role of HPV vaccine in preventing cervical cancer should be made in their language when targeting parents of a high risk Vietnamese population.
人乳头瘤病毒(HPV)是美国最常见的性传播疾病,也是宫颈癌的主要病因。越裔美国女性宫颈癌发病率最高,但 HPV 疫苗接种率却是最低的之一。父母的知识是 HPV 疫苗接种的重要预测因素;然而,关于越裔美国社区 HPV 知识的了解甚少。我们旨在描述德克萨斯州休斯顿的越裔美国家长对 HPV 的了解及其为女儿接种疫苗的意愿。我们对有 9-26 岁女儿的越裔美国家长进行了面对面访谈。我们收集了人口统计学、文化适应、HPV 知识和接种意愿的数据。使用 5 个知识问题计算知识得分(0-5 分)。我们使用逻辑回归来确定 HPV 知识的预测因素。参与者的英语读写水平较低,有 31%的人表示能很好地阅读英语,23%的人表示能很好地书写英语。不到 50%的参与者(n = 47)听说过 HPV,在这些人中,HPV 知识平均得分为 4 分。尽管只有 1/3 的参与者曾与医疗服务提供者讨论过 HPV,但近 86%的未听说过 HPV 的参与者如果医生建议,会为女儿接种疫苗。良好的书面英语技能和认为 HPV 疫苗不贵是 HPV 意识的预测因素。在休斯顿,文化程度较低的越裔美国家长 HPV 意识较低。针对高危越南人群的父母,未来应该用他们的语言开展有关 HPV 疫苗在预防宫颈癌方面作用的教育工作。