School of Nursing, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, United States.
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States.
Int Q Community Health Educ. 2021 Apr;41(3):315-323. doi: 10.1177/0272684X20942071. Epub 2020 Jul 14.
We explored the perspectives of program coordinators and community leaders from Community-based-organizations (CBOs) and Faith-based-organizations (FBOs) to determine how information on human papillomavirus (HPV) vaccination and biobanking is understood and supported within medically underserved communities, and identified strategies for introducing evidence-based programs (EBP) on HPV vaccination and biobanking within underserved communities.
The EPIS framework guided discussions in four focus groups with program coordinators ( = 27) and one-on-one interviews with community leaders ( = 15) from CBOs and FBOs.
Participants reported that community members were aware of HPV vaccination but did not know of the link between HPV infection and cancers. Awareness for biobanking was low. HPV vaccination and biobanking were not priority health concerns among community members due to other health issues. However, HPV vaccination and biobanking were considered sensitive health topics. For HPV vaccination, sensitivity was due to concerns that HPV vaccination promoted sex among adolescents, while for biobanking, sensitivity was due to historical abuses of people of color by the medical community. Participants reported that program coordinators' awareness of HPV vaccination and biobanking depended on their organizations' mission. Neither were considered a priority health concern due to lack of funding. Few EBP were available on HPV vaccination and biobanking. Recommendations on culturally-appropriate strategies for engaging community members on HPV vaccination and biobanking EBP are discussed.
Given the promise of HPV vaccination and the Precision Medicine Initiative to reduce cancer disparities, findings elucidate factors to be considered when implementing EBP on HPV vaccination and biobanking into medically underserved communities.
我们探讨了社区组织（CBO）和信仰组织（FBO）的项目协调员和社区领袖的观点，以确定在医疗服务不足的社区中，人们对人乳头瘤病毒（HPV）疫苗接种和生物库的信息是如何理解和支持的，并确定在服务不足的社区中引入 HPV 疫苗接种和生物库循证方案（EBP）的策略。
EPIS 框架指导了来自 CBO 和 FBO 的 27 名项目协调员和 15 名社区领袖的四次焦点小组讨论和一对一访谈。
参与者报告说，社区成员已经了解 HPV 疫苗接种，但不知道 HPV 感染和癌症之间的联系。生物库的意识很低。由于其他健康问题，HPV 疫苗接种和生物库并不是社区成员的优先健康关注点。然而，HPV 疫苗接种和生物库被认为是敏感的健康话题。对于 HPV 疫苗接种，敏感性是因为担心 HPV 疫苗接种会促进青少年发生性行为，而对于生物库，敏感性是因为医疗界对有色人种的历史虐待。参与者报告说，项目协调员对 HPV 疫苗接种和生物库的认识取决于他们组织的使命。由于缺乏资金，两者都不是优先的健康关注点。关于 HPV 疫苗接种和生物库的循证方案几乎没有。讨论了关于以文化适宜的方式让社区成员参与 HPV 疫苗接种和生物库循证方案的建议。
鉴于 HPV 疫苗接种的前景和精准医学倡议，以减少癌症的差异，研究结果阐明了在医疗服务不足的社区中实施 HPV 疫苗接种和生物库循证方案时需要考虑的因素。
