College of Nursing, University of Kentucky, Lexington, KY, USA.
Faculty of Public Health, University of Ibadan, Ibadan, Nigeria.
Ethn Health. 2023 Oct;28(7):1026-1040. doi: 10.1080/13557858.2023.2193360. Epub 2023 Mar 27.
Rates of HPV infection and HPV-related cancers are elevated in the Black population of the US. Efforts to promote HPV vaccination and cervical cancer screening are important to reducing the cancer burden among Black populations. The purpose of this qualitative descriptive study guided by social ecological model (SEM) was to describe from the perspective of key informants, the challenges and opportunities for HPV vaccination and cervical cancer screening promotion among Black adults.
Twenty-three key informants participated in individual interviews over zoom video conferencing. The sessions were audio-recorded, transcribed verbatim, and checked for accuracy prior to data analysis. Two qualitatively trained researchers analyzed the data using content analysis.
Participants were aged 50 ± 4.1 years, 12 were females, and 18 identified as Black. Participants included health care providers, teachers, church and community leaders. Themes included HPV and cancer literacy, influence of religion, health care provider recommendations, social and cultural influences, accessibility and availability of services, economic constraints, limited community resources, and HPV vaccine mandates.
SEM factors contribute to low HPV vaccine uptake and cervical cancer screening and these factors need to be addressed. Interventions addressing SEM factors peculiar to Black populations may promote HPV vaccination and cancer screening in this population.
美国黑人群体的 HPV 感染率和 HPV 相关癌症发病率较高。努力促进 HPV 疫苗接种和宫颈癌筛查对于减轻黑人群体的癌症负担非常重要。本研究采用社会生态学模型 (SEM) 进行定性描述，旨在从关键知情人的角度描述促进黑人群体 HPV 疫苗接种和宫颈癌筛查的挑战和机遇。
23 名关键知情人通过 zoom 视频会议参加了个人访谈。会话被录音、逐字转录，并在数据分析之前检查准确性。两名经过定性培训的研究人员使用内容分析对数据进行分析。
参与者年龄为 50±4.1 岁，其中 12 名女性，18 名自认为是黑人。参与者包括医疗保健提供者、教师、教会和社区领袖。主题包括 HPV 和癌症知识、宗教影响、医疗保健提供者建议、社会和文化影响、服务的可及性和可用性、经济限制、有限的社区资源以及 HPV 疫苗授权。
SEM 因素导致 HPV 疫苗接种率和宫颈癌筛查率较低，需要解决这些因素。针对黑人群体特有的 SEM 因素的干预措施可能会促进该人群的 HPV 疫苗接种和癌症筛查。
