Department of Social Work, College of Health Sciences, The University of Texas at El Paso, El Paso, TX, United States.
Border Biomedical Research Center, The University of Texas at El Paso, El Paso, TX, United States.
Front Public Health. 2023 Sep 27;11:1243539. doi: 10.3389/fpubh.2023.1243539. eCollection 2023.
The Human Papillomavirus (HPV) is the most common sexually transmitted infection and nearly every person who is sexually active will get HPV at some point in their lifetime without having the HPV vaccine. Healthcare Providers (HCPs) and Community Health Workers (CHWs) play an essential role in promoting the HPV vaccine and providing education about HPV in communities. Three focus groups with CHWs ( = 17) and HCPs ( = 7) were conducted and led by trained facilitators. In addition to participating in the focus group, CHWs and HCPs completed a brief questionnaire. Focus groups were voice recorded and transcribed for qualitative analysis. Independent coders conducted content analysis to identify the salient themes of the focus groups. Several important findings emerged from this study highlighting the barriers to HPV knowledge, gaps in the self-perceived role of HPV cancer prevention, and opportunities to action. Financial, knowledge, patriarchy, behaviors, attitudes, and fears were identified as the perceived patient-related barriers to promoting HPV cancer prevention. Both CHWs and HCPs explained that their female patients are often discouraged by their husbands from seeking out sexual health-related healthcare. Finding suggest the need for community tailored education on HPV and "best practice" trainings for HPV prevention that is applicable to both CHWs and HCPs.
人乳头瘤病毒（HPV）是最常见的性传播感染，几乎每个有性生活的人在一生中的某个时候都会感染 HPV，而没有接种 HPV 疫苗。医疗保健提供者（HCPs）和社区卫生工作者（CHWs）在推广 HPV 疫苗和在社区提供 HPV 教育方面发挥着重要作用。我们对 17 名 CHWs 和 7 名 HCPs 进行了三次焦点小组讨论，由经过培训的主持人主持。除了参加焦点小组讨论外，CHWs 和 HCPs 还完成了一份简短的问卷。焦点小组的讨论进行了录音并转录，以便进行定性分析。独立的编码员进行了内容分析，以确定焦点小组的突出主题。这项研究有几个重要发现，突出了 HPV 知识的障碍、HPV 癌症预防自我认知角色的差距以及采取行动的机会。经济、知识、父权制、行为、态度和恐惧被认为是促进 HPV 癌症预防的与患者相关的障碍。CHWs 和 HCPs 都解释说，他们的女性患者经常因为丈夫的劝阻而不愿寻求与性健康相关的医疗保健。这些发现表明，需要针对 HPV 进行社区定制的教育，以及针对 CHWs 和 HCPs 适用的 HPV 预防“最佳实践”培训。
