School of Nursing, Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA.
Department of Media and Communication, Konkuk University, Seoul, Republic of Korea.
Cancer Causes Control. 2021 Sep;32(9):923-933. doi: 10.1007/s10552-021-01445-x. Epub 2021 May 17.
To examine the differences in HPV and HPV vaccine awareness, knowledge, and beliefs by race/ethnicity and socioeconomic position (SEP) among a national sample of non-Hispanic whites (NH-Whites), non-Hispanic Blacks (NH-Blacks), and Hispanics in the United States. We also examine differences in trusted health information sources by race/ethnicity and SEP.
Data were obtained from the Health Information National Trends Survey, Cycle 1, conducted from January to April 2017. Descriptive statistics, bivariate analyses, multivariate logistic regression, and listwise deletion were used to examine HPV and HPV vaccine awareness and knowledge-related items, and trust in health information sources among NH-Whites, NH-Blacks, and Hispanics 18-49 years old.
HPV vaccine awareness was moderate with no significant differences across racial/ethnic groups. NH-Whites had significantly higher knowledge that HPV causes cervical cancer than NH-Blacks and Hispanics (p < 0.001). High SEP NH-Blacks (OR = 0.42, 95% CI = [0.24-0.73], p = 0.002]) and Hispanics (OR = 0.49, 95% CI = [0.31-0.79, p = 0.003]) had lower odds of knowing HPV causes a sexually transmitted disease than their white counterparts. Low SEP NH-Blacks (OR = 11.03, 95% CI = [3.05-39.86, p < 0.001]) had 11 times the odds of ever hearing about the HPV vaccine than low SEP NH-Whites. NH-Blacks had twice the odds of trusting health information from television (OR = 2.39, 95% CI = [1.52-3.78]. p < 0.001), and almost six times the odds of trusting health information from religious organizations than low SEP NH-Whites (OR = 5.76, 95% CI = [2.02-16.44, p < 0.001]).
Tailored communication strategies may address the low HPV knowledge among NH-Blacks and Hispanics from high and low SEP.
在美国的非西班牙裔白人（NH-白人）、非西班牙裔黑人（NH-黑人）和西班牙裔人群中，按种族/族裔和社会经济地位（SEP），研究 HPV 和 HPV 疫苗的认识、知识和信念的差异。我们还研究了种族/族裔和 SEP 之间可信健康信息来源的差异。
数据来自于 2017 年 1 月至 4 月进行的健康信息国家趋势调查第 1 周期。使用描述性统计、双变量分析、多变量逻辑回归和逐项删除法，检查了 18-49 岁的 NH-白人、NH-黑人、西班牙裔人群中 HPV 和 HPV 疫苗意识及相关知识项目，以及对健康信息来源的信任。
HPV 疫苗意识处于中等水平，不同种族/族裔群体之间没有显著差异。NH-白人对 HPV 会导致宫颈癌的认知显著高于 NH-黑人及西班牙裔人群（p<0.001）。高 SEP 的 NH-黑人（OR=0.42，95%CI=[0.24-0.73]，p=0.002）和西班牙裔人群（OR=0.49，95%CI=[0.31-0.79，p=0.003]），他们认为 HPV 是一种性传播疾病的可能性低于其白人对应人群。低 SEP 的 NH-黑人（OR=11.03，95%CI=[3.05-39.86，p<0.001]）比低 SEP 的 NH-白人听说过 HPV 疫苗的可能性高 11 倍。NH-黑人从电视（OR=2.39，95%CI=[1.52-3.78]，p<0.001）获取健康信息的可信度是低 SEP 的 NH-白人的两倍，而从宗教组织获取健康信息的可信度则近乎是低 SEP 的 NH-白人的六倍（OR=5.76，95%CI=[2.02-16.44，p<0.001）。
针对高、低 SEP 的 NH-黑人及西班牙裔人群，制定有针对性的沟通策略可能会提高他们对 HPV 的认知。
