Health Educ Res. 2022 Jan 27;36(5):479-493. doi: 10.1093/her/cyab034.
Racial and ethnic minorities in the United States face higher risks of human papillomavirus (HPV) and are less likely to benefit from HPV vaccines. Effective HPV vaccine promotion efforts need to acknowledge and adapt to the cultural characteristics of these minority groups. This systematic review examines and evaluates the cultural adaptations in the HPV vaccine intervention studies conducted in racial and ethnic minority communities in the United States. We searched five databases and identified 26 peer-reviewed English-language journal articles published between 2010 and 2019. These articles were analyzed using Healey et al.'s (2017) cultural adaptation framework for community health interventions. Almost all of these interventions involved some cultural adaptation. However, there is a lack of use of theories in guiding intervention design, lack of systematic, planned cultural adaptations and insufficient in-depth understanding of the targeted population's cultural characteristics associated with their HPV-related attitudes, beliefs and behaviors. Future intervention studies should identify specific cultural characteristics related to vaccine attitudes and behaviors to create more targeted cultural adaptations in HPV vaccine promotion.
美国的少数族裔面临更高的人乳头瘤病毒（HPV）风险，并且不太可能从 HPV 疫苗中受益。有效的 HPV 疫苗推广工作需要认识和适应这些少数群体的文化特征。本系统评价考察和评估了在美国少数族裔社区进行的 HPV 疫苗干预研究中的文化适应性。我们在五个数据库中进行了检索，共确定了 26 篇发表于 2010 年至 2019 年的同行评审英文期刊文章。我们使用 Healey 等人（2017）的社区卫生干预文化适应框架对这些文章进行了分析。这些干预措施几乎都涉及一些文化适应性。但是，在指导干预设计方面缺乏理论的应用，缺乏系统的、有计划的文化适应性，并且对与 HPV 相关的态度、信仰和行为相关的目标人群的文化特征缺乏深入了解。未来的干预研究应确定与疫苗态度和行为相关的具体文化特征，以在 HPV 疫苗推广中进行更有针对性的文化适应性调整。
