School of Social Work, The University of Alabama, Tuscaloosa, AL, 35487, USA.
Social Science Research Institute, College of Social Science, University of Hawaii at Manoa, Sunders Hall 206, Honolulu, HI, 96822, USA.
J Racial Ethn Health Disparities. 2024 Apr;11(2):808-814. doi: 10.1007/s40615-023-01562-0. Epub 2023 Apr 11.
This study aims to examine the factors associated with the level of HPV infection and HPV vaccine awareness among rural African Americans living in the Black Belt region of Alabama. A cross-sectional survey on cancer screening and health behaviors was conducted in the Black Belt region of Alabama. Adults (18 years or older) recruited through convenience sampling completed the self-administered survey. Binary logistic regressions were conducted to identify factors associated with HPV infection and HPV vaccine awareness among African American participants. Slightly more than half of the participants were aware of HPV (62.5%) and HPV vaccine (62.1%). Married or partnered participants had lower awareness of HPV or HPV vaccine. Family cancer history and self-reported health status were positively associated with both HPV and HPV vaccine awareness. In addition, employment was positively associated with HPV awareness, and participation in social groups was positively associated with HPV vaccine awareness. Tailored educational interventions that consider our findings might increase HPV and HPV vaccine awareness and contribute to better vaccine uptakes.
本研究旨在探讨与居住在阿拉巴马州黑人区的农村非裔美国人的 HPV 感染水平和 HPV 疫苗认知相关的因素。在阿拉巴马州黑人区进行了一项关于癌症筛查和健康行为的横断面调查。通过便利抽样招募的成年人（18 岁或以上）完成了自我管理的调查。采用二项逻辑回归分析确定与非裔美国参与者的 HPV 感染和 HPV 疫苗认知相关的因素。略多于一半的参与者意识到 HPV（62.5%）和 HPV 疫苗（62.1%）。已婚或伴侣关系的参与者对 HPV 或 HPV 疫苗的认知较低。家族癌症史和自我报告的健康状况与 HPV 和 HPV 疫苗的认知呈正相关。此外，就业与 HPV 认知呈正相关，参加社会团体与 HPV 疫苗认知呈正相关。考虑到我们的发现，有针对性的教育干预措施可能会提高 HPV 和 HPV 疫苗的认知度，并有助于提高疫苗接种率。
