Maertens Julie A, Jimenez-Zambrano Andrea M, Albright Karen, Dempsey Amanda F
a Adult and Child Consortium for Health Outcomes Research and Delivery Science , University of Colorado Denver , Denver , Colorado , USA.
b Department of Sociology and Criminology , University of Denver , Denver , Colorado , USA.
J Health Commun. 2017 Apr;22(4):285-293. doi: 10.1080/10810730.2016.1275890. Epub 2017 Feb 22.
Human papillomavirus (HPV) infection is pervasive among sexually active women and men, and Hispanic women are at particularly high risk as they have higher rates of invasive cervical cancer compared to other racial or ethnic groups in the United States. There is a need for interventions to increase HPV vaccination among this high-risk population. This study investigated how to modify a previously developed web-based intervention that provided individually tailored information about HPV to improve its use among the Latino population. A community-oriented modification approach incorporated feedback from a community advisory committee, and focus groups among the Latino population, to modify the intervention. Several themes emerged including a need for basic information about HPV and HPV vaccination, changes to make the intervention appear less clinical, and incorporation of information addressing barriers specific to the Latino community. This work was done in preparation for a randomized trial to assess the impact of this modified intervention on HPV vaccination attitudes and uptake among Latino young adults and parents of adolescents. If effective, our intervention could be a resource for reducing HPV vaccination concerns, improving immunization rates, and educating Latinos about HPV and the HPV vaccine outside of the time boundaries of the traditional clinical encounter.
人乳头瘤病毒(HPV)感染在有性生活的女性和男性中普遍存在,西班牙裔女性的风险尤其高,因为与美国其他种族或族裔群体相比,她们患浸润性宫颈癌的比例更高。有必要采取干预措施,以提高这一高危人群的HPV疫苗接种率。本研究调查了如何修改先前开发的基于网络的干预措施,该措施提供有关HPV的个性化信息,以提高其在拉丁裔人群中的使用率。一种以社区为导向的修改方法纳入了社区咨询委员会的反馈意见,以及拉丁裔人群中的焦点小组意见,以修改干预措施。出现了几个主题,包括需要有关HPV和HPV疫苗接种的基本信息、使干预措施看起来不那么临床化的改变,以及纳入解决拉丁裔社区特有障碍的信息。这项工作是为一项随机试验做准备,以评估这种修改后的干预措施对拉丁裔年轻人和青少年父母的HPV疫苗接种态度和接种率的影响。如果有效,我们的干预措施可能成为一种资源,用于减少对HPV疫苗接种的担忧、提高免疫接种率,并在传统临床接触的时间范围之外,对拉丁裔人群进行HPV和HPV疫苗的教育。