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犹他州逾期未进行推荐癌症筛查的拉丁裔女性对人乳头瘤病毒(HPV)疫苗相关的认知和了解不足。

Poor HPV vaccine-related awareness and knowledge among Utah Latinas overdue for recommended cancer screenings.

作者信息

Fowler Brynn, Bodson Julia, Warner Echo L, Dyer Jane, Kepka Deanna

机构信息

Huntsman Cancer Institute, 2000 Circle of Hope Drive, Room 4125, Salt Lake City, UT, 84112, USA.

College of Nursing, University of Utah, Salt Lake City, UT, 84112, USA.

出版信息

J Community Health. 2016 Aug;41(4):825-37. doi: 10.1007/s10900-016-0160-3.

Abstract

Individuals overdue for recommended cancer screenings may not be receiving adequate cancer prevention education. Since Latinas have the highest incidence of cervical cancer among all racial/ethnic groups, human papillomavirus (HPV) vaccination education is especially important for this population. The correlates of HPV vaccine-related awareness and knowledge were assessed among Latinas who were overdue for recommended cancer screenings. N = 206 Latinas who were overdue for recommended cancer screenings were recruited by health educators from local community groups. Bivariate analyses and multivariable regression models were used to investigate factors associated with HPV vaccine-related awareness and knowledge among participants as well as to assess correlates of HPV vaccine receipt for eligible children of participants. In multivariable regression analyses, years living in the U.S. (p = 0.05) and health insurance status (p = 0.03) were significantly related to HPV vaccine-related knowledge measures. Age (p < 0.01), birthplace (p = 0.02), years living in the U.S. (p = 0.05), annual household income (p = 0.05), cervical cancer screening status (p = 0.03), and HPV vaccine-related knowledge measures (p < 0.01) were significantly associated with HPV vaccination outcomes for eligible daughters of participants. Cervical cancer screening status (p = 0.02) and HPV vaccine-related knowledge measures (p = 0.01) were significantly associated with HPV vaccination outcomes for eligible sons of participants. Results indicate poor HPV vaccine-related awareness and knowledge among Latinas. Interventions to improve HPV vaccine-related awareness and knowledge in Utah's growing Latino population should target vulnerable individuals (e.g., not employed outside the home, less educated, less acculturated, poor, uninsured, overdue for cervical cancer screening) by using materials that are culturally sensitive, linguistically appropriate, and easily accessible.

摘要

逾期未进行推荐癌症筛查的个体可能未接受足够的癌症预防教育。由于拉丁裔在所有种族/族裔群体中宫颈癌发病率最高,因此人乳头瘤病毒(HPV)疫苗接种教育对该人群尤为重要。对逾期未进行推荐癌症筛查的拉丁裔人群中与HPV疫苗相关的知晓率和知识水平的相关因素进行了评估。206名逾期未进行推荐癌症筛查的拉丁裔由健康教育工作者从当地社区团体中招募而来。采用双变量分析和多变量回归模型来研究参与者中与HPV疫苗相关的知晓率和知识水平的相关因素,以及评估参与者符合条件的子女接种HPV疫苗的相关因素。在多变量回归分析中,在美国居住的年限(p = 0.05)和健康保险状况(p = 0.03)与HPV疫苗相关知识指标显著相关。年龄(p < 0.01)、出生地(p = 0.02)、在美国居住的年限(p = 0.05)、家庭年收入(p = 0.05)、宫颈癌筛查状况(p = 0.03)以及HPV疫苗相关知识指标(p < 0.01)与参与者符合条件的女儿的HPV疫苗接种结果显著相关。宫颈癌筛查状况(p = 0.02)和HPV疫苗相关知识指标(p = 0.01)与参与者符合条件的儿子的HPV疫苗接种结果显著相关。结果表明拉丁裔人群中HPV疫苗相关的知晓率和知识水平较差。在犹他州不断增长的拉丁裔人口中,改善HPV疫苗相关知晓率和知识水平的干预措施应针对弱势群体(例如,不在家工作、受教育程度较低、文化适应程度较低、贫困、未参保、逾期未进行宫颈癌筛查),使用具有文化敏感性、语言适宜且易于获取的材料。

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