Department of Public Health, California State University, Fullerton, CA, USA.
Department of Epidemiology, University of California, Irvine, CA, USA.
J Cancer Educ. 2022 Oct;37(5):1372-1377. doi: 10.1007/s13187-021-01965-9. Epub 2021 Feb 4.
Pacific Islander (PI) women experience disproportionately high rates of cervical cancer and mortality and have lower rates of Pap testing. Since up to 70% of cervical cancers could be prevented by being vaccinated for human papilloma virus (HPV), this cross-sectional study explored the predictors of HPV and vaccine awareness, receipt of the vaccine, and attitudes toward vaccinating children among adult PI women in southern California, who historically have low rates of HPV vaccination and high rates of cervical cancer that could be prevented with HPV vaccination. Participants (n=148) consist a subsample of Chamorro, Samoan, and Tongan women, ages 21 to 65 years, who were in a larger randomized community study to promote Pap testing. Overall, younger age and higher American acculturation were significantly associated with ever hearing about HPV and the vaccine. However, American acculturation was also associated with negative attitudes toward vaccinating their children for HPV. This paper provides preliminary insights into barriers and facilitators to HPV vaccination among PIs in the USA and also informs the development of educational programs to reduce cervical cancer incidence and mortality in this underserved population.
太平洋岛民（PI）女性的宫颈癌发病率和死亡率极高，而巴氏涂片检查率较低。由于高达 70%的宫颈癌可以通过接种人乳头瘤病毒（HPV）疫苗来预防，因此这项横断面研究探讨了影响 HPV 及疫苗认知、疫苗接种率以及对为儿童接种疫苗的态度的因素，研究对象为加利福尼亚州南部的成年 PI 女性，她们历史上 HPV 疫苗接种率较低，但宫颈癌发病率较高，如果接种 HPV 疫苗，可以预防这些宫颈癌。参与者（n=148）由查莫罗人、萨摩亚人和汤加人组成，年龄在 21 至 65 岁之间，她们是一项旨在促进巴氏涂片检查的更大规模随机社区研究的子样本。总体而言，年龄较小和美国文化同化程度较高与听说过 HPV 和疫苗之间存在显著关联。然而，美国文化同化程度也与对为孩子接种 HPV 疫苗的负面态度有关。本文初步探讨了美国太平洋岛民 HPV 疫苗接种的障碍和促进因素，并为制定教育计划提供了信息，以降低这一服务不足人群的宫颈癌发病率和死亡率。
