Warner Zachary Claude, Reid Brandon, Auguste Priscilla, Joseph Winnie, Kepka Deanna, Warner Echo Lyn
Department of Internal Medicine, University of Arizona, 1501 N Campbell Avenue, Tucson, AZ 85724, USA.
Department of Family Medicine, University of Kansas, 138 N Santa Fe Ave, Salina, KS 67401, USA.
Int J Environ Res Public Health. 2022 May 7;19(9):5694. doi: 10.3390/ijerph19095694.
Caribbean women experience a cervical cancer incidence rate that is three times higher than that among their North American counterparts. In this study, we performed a needs assessment of the knowledge and awareness of HPV, HPV vaccination, and cervical cancer and receipt of cervical cancer screening among an indigenous Caribbean community. We purposively recruited individuals aged ≥18 from a community health care clinic ( = 58) to complete a 57-item structured interview including items on demographics, cancer history, knowledge and awareness of HPV, HPV vaccines, cervical cancer, and cervical cancer screening. Participants' mean age was 47.1 years (SD: 14.4). Most were female (74.1%), were married/partnered (51.7%), had primary education (63.8%), and identified as Kalinago (72.4%). Whereas 79.5% had heard of cervical cancer, few had heard of HPV (19.6%) or the HPV vaccine (21.8%). Among those who knew someone with cancer, 90.9% had heard of the HPV vaccine, compared with only 9.1% of those who did not know anyone with cancer ( = 0.02). Access to HPV vaccination is an immediate, cost-effective cancer prevention priority for reducing the disproportionate burden of HPV-related cancers, particularly cervical cancer, in the Caribbean. We recommend culturally targeted education interventions to improve knowledge about HPV vaccination and the link between HPV and cervical cancer.
加勒比地区女性的宫颈癌发病率是北美女性的三倍。在本研究中，我们对加勒比地区一个原住民社区的人乳头瘤病毒（HPV）、HPV疫苗接种、宫颈癌的知识和认知情况以及宫颈癌筛查接受情况进行了需求评估。我们从一家社区医疗诊所中特意招募了58名年龄≥18岁的个体，让他们完成一份包含57个条目的结构化访谈，内容包括人口统计学、癌症病史、对HPV、HPV疫苗、宫颈癌以及宫颈癌筛查的知识和认知。参与者的平均年龄为47.1岁（标准差：14.4）。大多数为女性（74.1%），已婚/有伴侣（51.7%），接受过小学教育（63.8%），并自认为是卡里纳戈人（72.4%）。虽然79.5%的人听说过宫颈癌，但很少有人听说过HPV（19.6%）或HPV疫苗（21.8%）。在那些认识患癌者的人中，90.9%听说过HPV疫苗，而在那些不认识任何患癌者的人中这一比例仅为9.1%（P = 0.02）。获得HPV疫苗接种是一项直接且具有成本效益的癌症预防优先事项，对于减轻加勒比地区HPV相关癌症，尤其是宫颈癌的不成比例负担而言。我们建议开展针对特定文化的教育干预措施，以提高对HPV疫苗接种以及HPV与宫颈癌之间联系的认识。
