Health Soc Work. 2022 Apr 13;47(2):102-112. doi: 10.1093/hsw/hlac009.
Women who experience intimate partner violence are an underserved population at risk for cervical cancer, precipitated by their heightened risk for human papilloma virus (HPV) and underutilization of gynecological care. This pilot study describes the self-reported behaviors, levels of knowledge, and perceived self-efficacy with cervical cancer screening (i.e., Pap testing) and prevention (i.e., HPV vaccination) among survivors (N = 30) recruited from two domestic violence shelter organizations in the midwestern United States. Survey results indicate a need for increased knowledge and awareness about cervical cancer and prevention strategies among this population; only 23 percent (n = 7) participants reported an up-to-date Pap test and 17 percent (n = 5) participants reported HPV vaccination. Findings also indicate how theoretical constructs from the health belief model, together with feminist understandings of coercive control and empowerment, might explain survivors' proactive cervical health behaviors and offer insights for intervention.
经历亲密伴侣暴力的女性是宫颈癌高危人群，但她们在获得医疗服务方面得不到充分的支持，这主要是由于她们感染人乳头瘤病毒（HPV）的风险增加，以及对妇科保健的利用不足。这项初步研究描述了来自美国中西部的两个家庭暴力收容所组织的 30 名幸存者（N=30）自我报告的行为、对宫颈癌筛查（即巴氏涂片检查）和预防（即 HPV 疫苗接种）的知识水平和自我效能感。调查结果表明，该人群需要增加对宫颈癌和预防策略的了解和认识；只有 23%（n=7）的参与者报告了最近的巴氏涂片检查，17%（n=5）的参与者报告了 HPV 疫苗接种。研究结果还表明，健康信念模型的理论概念，以及对强制性控制和赋权的女权主义理解，如何解释幸存者的积极主动的宫颈癌健康行为，并为干预措施提供了见解。
