Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Support Care Cancer. 2020 May;28(5):2407-2413. doi: 10.1007/s00520-019-05035-1. Epub 2019 Sep 6.
To describe knowledge about human papillomavirus (HPV), HPV-related care behavior, and advocacy intent (e.g., vaccine recommendation and willingness to become an advocate for vaccination) and to investigate associations between knowledge, HPV-related care behavior, and advocacy intent among HPV-related cancer survivors.
A cross-sectional online survey was offered through Qualtrics to HPV-related cancer survivors who were either volunteers at a cancer center or patients of survivorship clinics.
A total of 200 survivors responded. Only 33.2% of respondents reported knowing their cancer was HPV-related and 56.8% reported HPV vaccine is safe. Participants who knew that their cancer was caused by HPV were more likely to have vaccinated their children (p < .001). Also, participants who knew that the vaccine is safe were more willing to recommend the vaccine (p < .001), to be a peer mentor for others with HPV-related cancers (43.2% vs. 14.0%, p < .001), and to act as an advocate for increasing vaccination rates (44.1% vs. 24.4%, p = 0.01). Finally, survivors who were aware of the vaccine's effectiveness in decreasing precancerous lesions were more likely to recommend the vaccine (45.7% vs. 12.0%, p = .002).
Raising survivor awareness of the link between HPV and cancer and HPV vaccine safety may increase their willingness to serve as powerful opinion leaders and peer mentors to promote HPV vaccination. Providers may take the simple step of informing patients that their cancer is HPV-related and HPV vaccine is safe to increase the number of informed and empowered survivors.
描述关于人乳头瘤病毒（HPV）的知识、与 HPV 相关的护理行为以及倡导意向（例如，疫苗推荐和接种疫苗的意愿），并调查 HPV 相关癌症幸存者的知识、HPV 相关护理行为和倡导意向之间的关联。
通过 Qualtrics 向癌症中心志愿者或生存诊所患者提供横断面在线调查。
共有 200 名幸存者做出回应。只有 33.2%的受访者报告知道自己的癌症与 HPV 相关，56.8%的受访者报告 HPV 疫苗是安全的。知道自己的癌症是由 HPV 引起的参与者更有可能为自己的孩子接种疫苗（p<0.001）。此外，知道疫苗安全的参与者更愿意推荐疫苗（p<0.001）、成为其他 HPV 相关癌症患者的同伴导师（43.2%比 14.0%，p<0.001），并作为提高疫苗接种率的倡导者（44.1%比 24.4%，p=0.01）。最后，意识到疫苗在减少癌前病变方面有效性的幸存者更有可能推荐疫苗（45.7%比 12.0%，p=0.002）。
提高幸存者对 HPV 与癌症之间联系以及 HPV 疫苗安全性的认识，可能会增加他们作为有力的意见领袖和同伴导师，促进 HPV 疫苗接种的意愿。提供者可以采取简单的步骤告知患者他们的癌症与 HPV 相关且 HPV 疫苗是安全的，以增加知情和有能力的幸存者人数。
Zotero 插件