Lee Naomi R, Noonan Carolyn J, Nelson Lonnie, Umans Jason G
Department of Molecular Genetics and Microbiology, University of New Mexico, Albuquerque, NM, USA. Department of Chemistry and Biochemistry, Northern Arizona University, Flagstaff, AZ, USA.
Partnerships for Native Health, Initiative for Research and Education to Advance Community Health, College of Nursing, Washington State University, Seattle, WA, USA.
Int J Indig Health. 2019 Oct 31;14(2):205-221. doi: 10.32799/ijih.v14i2.31920. Epub 2019 Aug 13.
American Indian and Alaska Native women had approximately twice the incidence of cervical cancer as white women. Preventive measures for cervical cancer rely on screening and HPV vaccination. However, vaccine series completion and catch-up vaccinations for eligible adults are low across all racial/ethnic groups. Therefore, the aim of this study was to identify gaps in knowledge and evaluate the attitudes toward HPV and the vaccine among AIANs with various levels of training in the STEM and health-related fields. A survey was used to collect data from audience members at two national conferences geared towards American Indian and Alaska Natives in health and STEM fields in September 2017. A vignette study was administered via a live electronic poll to test knowledge (true/false questions), attitudes, and to collect demographic information. Respondents self-identified as primarily American Indian and Alaska Native (74%), pursuing or completed a graduate degree (67%), and female (85%). Most respondents (86%) were aware of HPV-associated cancer in men. However, most (48-90%) answered incorrectly to detailed true/false statements about HPV and available vaccines. After educational information was provided, opinions collected via vignettes highlighted mainly positive attitudes toward vaccination; specifically, that vaccines are safe and all eligible community members should be vaccinated (75% and 84%, respectively). We observed that our respondents with higher educational attainment still lacked accurate knowledge pertaining to HPV and the vaccine. Overall, continued education about HPV and the vaccine is needed across all levels of education including American Indian and Alaska Native community members and health professionals.
美国印第安人和阿拉斯加原住民女性患宫颈癌的发病率约为白人女性的两倍。宫颈癌的预防措施依赖于筛查和人乳头瘤病毒（HPV）疫苗接种。然而，所有种族/族裔群体中符合条件的成年人完成疫苗接种系列和补种疫苗的比例都很低。因此，本研究的目的是找出知识差距，并评估在科学、技术、工程和数学（STEM）及健康相关领域接受不同程度培训的美国印第安人和阿拉斯加原住民（AIANs）对HPV和疫苗的态度。通过一项调查收集了2017年9月面向健康和STEM领域的美国印第安人和阿拉斯加原住民的两次全国会议的与会者的数据。通过现场电子投票进行了一项情景研究，以测试知识（是非题）、态度并收集人口统计学信息。受访者自我认定主要为美国印第安人和阿拉斯加原住民（74%），正在攻读或已完成研究生学位（67%），女性（85%）。大多数受访者（86%）知晓男性HPV相关癌症。然而，大多数人（48 - 90%）对关于HPV和现有疫苗的详细是非题回答错误。在提供教育信息后，通过情景研究收集的意见主要突出了对疫苗接种的积极态度；具体而言，即疫苗是安全的，所有符合条件的社区成员都应接种疫苗（分别为75%和84%）。我们观察到，我们那些受教育程度较高的受访者仍然缺乏关于HPV和疫苗的准确知识。总体而言，包括美国印第安人和阿拉斯加原住民社区成员以及卫生专业人员在内的所有教育水平的人都需要持续接受关于HPV和疫苗的教育。
