School of Social Work, The University of Alabama, Tuscaloosa, AL, USA.
USA Mitchell Cancer Institute, University of South Alabama, Mobile, AL, USA.
Ethn Health. 2022 Jul;27(5):1166-1177. doi: 10.1080/13557858.2020.1850648. Epub 2020 Dec 12.
Human papillomavirus (HPV) is recognized as a leading cause of multiple types of cancer. The current study examined HPV knowledge level and its associated factors, especially its relationship with HPV vaccine awareness, across race/ethnicity, including non-Hispanic White, non-Hispanic African American, and Hispanic.
Cross-sectional data were merged from Cycles 1 (2017) and Cycle 2 (2018) of the National Cancer Institute (NCI) Health Information National Trends Survey 5 (HINTS5, total = 3648), which was collected in the United States. A multiple linear regression was performed across the three race/ethnicity groups to determine potential associated factors with level of HPV knowledge.
Overall HPV knowledge level among participants was low (Mean = 1.68; SD = 1.44; range 0-4). Among three racial/ethnic groups, non-Hispanic African American had the lowest level of HPV knowledge (Mean = 1.51). Less than 30% answered correctly to each of the three items assessing knowledge of HPV-associated (HPVa) cancers other than cervical (e.g. if HPV can cause penile, anal, and/or oral cancer). The HPV vaccine awareness was significantly associated with HPV knowledge across all three racial/ethnic groups.
The lowest level of HPV knowledge among non-Hispanic African American suggests that HPV education is urgently needed for this population. Specific interventions should emphasize information regarding HPVa cancers other than cervical cancer. Additionally, promoting awareness of the HPV vaccine will help to improve HPV knowledge among general population. Lastly, various factors associated with HPV knowledge across different racial/ethnic groups need to be addressed when implementing HPV education programs.
人乳头瘤病毒（HPV）被认为是多种癌症的主要病因。本研究检查了 HPV 知识水平及其相关因素，特别是其与 HPV 疫苗认知的关系，涵盖了非西班牙裔白人、非西班牙裔非裔美国人和西班牙裔。
从美国国家癌症研究所（NCI）健康信息国家趋势调查 5 期（HINTS5，总计 3648 人）的第 1 期（2017 年）和第 2 期（2018 年）合并了横断面数据。在三个种族/族裔群体中进行了多元线性回归，以确定与 HPV 知识水平相关的潜在因素。
参与者的总体 HPV 知识水平较低（均值=1.68；标准差=1.44；范围 0-4）。在三个种族/族裔群体中，非西班牙裔非裔美国人的 HPV 知识水平最低（均值=1.51）。在评估 HPV 相关癌症（除宫颈癌外）的三个项目中，不到 30%的人回答正确（例如，HPV 是否会导致阴茎癌、肛门癌和/或口腔癌）。HPV 疫苗认知与所有三个种族/族裔群体的 HPV 知识显著相关。
非西班牙裔非裔美国人的 HPV 知识水平最低，这表明该人群急需 HPV 教育。具体干预措施应强调有关宫颈癌以外的 HPV 相关癌症的信息。此外，提高对 HPV 疫苗的认识将有助于提高普通人群对 HPV 知识的认识。最后，在实施 HPV 教育计划时，需要解决与不同种族/族裔群体的 HPV 知识相关的各种因素。
