Division of Health Equities, Department of Population Sciences, City of Hope Medical Center, Duarte, CA, 91010, USA.
Institute of Translational Medicine, University of Chicago, Chicago, IL, 60637, USA.
J Community Health. 2019 Jun;44(3):492-499. doi: 10.1007/s10900-019-00665-2.
Cervical cancer adversely impacts African American communities. While disparities in incidence remain unclear, communities continue to use forums to increase cervical cancer education. The purpose of this paper is to examine the efficacy of using community forums to increase human papillomavirus vaccine (HPVV) and cervical cancer knowledge in African American communities. This study is a one-group pretest-posttest study design using a 17-item questionnaire to collect data from 412 participants in diverse communities. Our analyses revealed perceived knowledge increased significantly after the forums for African American participants. For African Americans, perceived knowledge prior to the forums was explained by gender, access to care, and trust in clinical trials. After the forum, perceived knowledge was associated with access to care and trust in vaccines. Participants who had health insurance reported higher perceived HPV and cervical cancer knowledge and greater trust in vaccines. This study found community forums that address the cultural and historical context of research mistreatment related to HPVV development and include diverse racial/ethnic representation of stakeholders may be a useful strategy to increase HPVV, and cervical cancer knowledge in African American communities.
宫颈癌对非裔美国人社区有不利影响。虽然发病率方面的差异仍不清楚,但各社区仍在利用各种论坛来增加宫颈癌教育。本文旨在探讨利用社区论坛来提高非裔美国人社区对人乳头瘤病毒疫苗(HPV 疫苗)和宫颈癌知识的效果。这项研究采用单组前后测设计,使用 17 项问卷对来自不同社区的 412 名参与者收集数据。我们的分析表明,论坛结束后,参与者对 HPV 疫苗和宫颈癌的认知显著提高。对于非裔美国人来说,在论坛之前,他们对 HPV 疫苗和宫颈癌的认知与性别、获得医疗服务的机会以及对临床试验的信任有关。在论坛之后,对 HPV 疫苗和宫颈癌的认知与获得医疗服务的机会和对疫苗的信任有关。有医疗保险的参与者报告称,他们对 HPV 和宫颈癌的认知更高,对疫苗的信任度也更高。本研究发现,解决与 HPV 疫苗开发相关的研究虐待的文化和历史背景,并纳入利益相关者的多样化种族/民族代表性的社区论坛可能是提高非裔美国人社区 HPV 疫苗和宫颈癌知识的有效策略。