School of Nursing, University of Washington, Seattle, WA, USA.
Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, USA.
J Immigr Minor Health. 2022 Dec;24(6):1489-1500. doi: 10.1007/s10903-022-01359-z. Epub 2022 Mar 31.
HPV vaccine uptake is low among East African-American (EAA) adolescents. We developed a comic book and evaluated the impact on HPV/HPV-vaccine knowledge, beliefs and vaccine intentions. The intervention was delivered to HPV-unvaccinated EAA adolescents attending educational dinners with their mothers. Adolescents aged 14-17 were sequentially assigned alternately to a pre- or post-test. Results were compared with chi-squared tests and generalized estimating equation models adjusted for age, gender, and mother's language. Among 136 (pre-test = 64, post-test = 72) participants (90% Somali), pre/post differences were observed for proportions of correct responses to questions on HPV (44.0% vs. 82.9%, RR:1.87[95%CI 1.54-2.27]), HPV-vaccine knowledge (42.8% vs. 75.4%, RR:1.74[95%CI 1.46-2.07]), comfort discussing HPV/HPV vaccine with parents (57.8% vs. 90.3% somewhat/very comfortable, RR:1.55[95%CI 1.24-1.94]), and willingness (37.5% vs. 83.3% probably/definitely willing, RR:2.16[95%CI 1.55-3.01]) and intention (34.4% vs. 86.1% somewhat/very likely, RR:2.38[95%CI:1.69-3.37]) to get vaccinated. The intervention improved participants' HPV/HPV-vaccine knowledge, beliefs and vaccine intentions. Similar interventions could be adapted for other racial/ethnic minorities.
HPV 疫苗在东非裔美国人（EAA）青少年中的接种率较低。我们开发了一本漫画书，并评估了其对 HPV/HPV 疫苗知识、信念和疫苗接种意愿的影响。该干预措施针对未接种 HPV 疫苗的 EAA 青少年，在与母亲一起参加教育晚宴时提供。14-17 岁的青少年按顺序交替进行预测试或后测试。结果通过卡方检验和广义估计方程模型进行比较，模型调整了年龄、性别和母亲的语言。在 136 名（预测试=64 名，后测试=72 名）参与者（90%为索马里人）中，观察到对 HPV 相关问题的正确回答比例存在前后差异：HPV（44.0%对 82.9%，RR：1.87[95%CI 1.54-2.27]）、HPV 疫苗知识（42.8%对 75.4%，RR：1.74[95%CI 1.46-2.07]）、与父母讨论 HPV/HPV 疫苗的舒适度（57.8%对 90.3%有点/非常舒适，RR：1.55[95%CI 1.24-1.94]）、接种意愿（37.5%对 83.3%很可能/肯定愿意，RR：2.16[95%CI 1.55-3.01]）和接种意向（34.4%对 86.1%有点/非常可能，RR：2.38[95%CI：1.69-3.37]）。干预措施提高了参与者对 HPV/HPV 疫苗的知识、信念和疫苗接种意愿。类似的干预措施可以适用于其他种族/民族少数群体。
