Pankey Tyson, Ramaswamy Megha
Department of Counseling Psychology, University of Wisconsin - Madison, Madison, WI, USA.
Int J Prison Health. 2015;11(1):49-58. doi: 10.1108/IJPH-05-2014-0012.
The purpose of this paper is to explore incarcerated women's awareness, beliefs, and experiences with human papillomavirus (HPV) infection and vaccination.
DESIGN/METHODOLOGY/APPROACH: Researchers conducted focus groups with 45 incarcerated women in an urban Midwestern US jail to assess how women talked about their Papanicolaou (Pap) test screening and abnormal Pap test follow-up experiences. Some focus group questions specifically assessed individual awareness, beliefs, and experiences with HPV infection and vaccination. Based on these data, the authors described participants' awareness of HPV, as well as used open coding to ultimately extract themes related to beliefs and experiences with HPV infection and vaccine.
While all 45 participants reported experiencing an abnormal Pap test event within the last five years, only two-thirds of participants (n=30) reported having heard of the HPV infection. Several themes emerged from the analysis of the data: the women's beliefs about cause and severity of HPV; frustration with age requirements of the vaccine; varied experiences with vaccinations for themselves and their children; the impact of media exposure on knowledge; and desire for more HPV infection and vaccine information.
ORIGINALITY/VALUE: Incarcerated women's awareness and limited experiences with HPV infection and vaccination may be a barrier to adequate screening and cervical cancer prevention. This study has implications for the development of cervical health education for this high-risk group of women, who are four to five times as likely to have cervical cancer as non-incarcerated women.
本文旨在探讨被监禁女性对人乳头瘤病毒（HPV）感染及疫苗接种的认知、信念和经历。
设计/方法/途径：研究人员在美国中西部城市的一所监狱中，对45名被监禁女性进行了焦点小组访谈，以评估她们如何谈论巴氏试验筛查以及巴氏试验异常后的后续经历。一些焦点小组问题专门评估了个体对HPV感染及疫苗接种的认知、信念和经历。基于这些数据，作者描述了参与者对HPV的认知，并使用开放式编码最终提炼出与HPV感染及疫苗接种的信念和经历相关的主题。
虽然所有45名参与者都报告在过去五年内经历过巴氏试验异常事件，但只有三分之二的参与者（n = 30）报告听说过HPV感染。数据分析得出了几个主题：女性对HPV病因和严重程度的信念；对疫苗年龄要求的不满；她们自身及子女接种疫苗的不同经历；媒体曝光对知识的影响；以及对更多HPV感染和疫苗信息的渴望。
原创性/价值：被监禁女性对HPV感染及疫苗接种的认知和有限经历可能成为充分筛查和预防宫颈癌的障碍。这项研究对为这一高危女性群体开展宫颈健康教育具有启示意义，她们患宫颈癌的可能性是非被监禁女性的四到五倍。
