College of Nursing, University of Cincinnati, Cincinnati, OH, USA.
Center for Research on Violence Against Women, Department of Biostatistics, College of Public Health, University of Kentucky, Lexington, KY, USA.
Ethn Health. 2024 Feb;29(2):179-198. doi: 10.1080/13557858.2023.2279933. Epub 2024 Jan 24.
Approximately 42.5% of adults aged 18-59 in the United States is estimated to be affected by human papillomavirus (HPV) infection. However, Asian Americans have the lowest HPV vaccination initiation rate compared to other racial groups. This study aims to explore the experiences of HPV and the HPV vaccination among ethnic Korean women and men in the United States.
A total of 33 ethnic Korean and Korean Americans aged 27-45 years living in the U.S. were recruited via word-of-mouth and social media using a purposive sampling strategy. They participated in an online survey. Of the 33 participants, 29 (14 females and 15 males) participated in in-depth interviews via password-protected Zoom. A content analysis approach was used to analyze the interviews.
Only 32% of participants had received the HPV vaccine at least once (female: 35.3%, male: 12.5%). Six major themes emerged from data analysis: (1) awareness of HPV, HPV vaccine, and HPV-associated cancers; (2) attitudes toward the HPV vaccine; (3) barriers to HPV vaccination; (4) women's experiences and preferences for pap smear testing; (5) experiences with HPV diagnosis; and (6) HPV and HPV vaccination education preferences.
The findings highlight cultural factors that may impede the discussion about and uptake of HPV vaccination and HPV-associated cancer screening, which emphasize the need for culturally appropriate interventions to overcome stigma around HPV and enhance vaccination rates. Healthcare providers should consider ethnic and cross-cultural differences perceptions to effectively HPV-related health information. This study provides insight into the experiences and understanding of HPV and vaccination among ethnic Korean men and women, laying the groundwork for developing culturally-tailored programs that sim to increase HPV vaccination rates and mitigate the stigma and impact of HPV-related disease in this community.
据估计，美国 18-59 岁的成年人中约有 42.5%感染了人乳头瘤病毒（HPV）。然而，与其他种族群体相比，亚裔美国人的 HPV 疫苗接种起始率最低。本研究旨在探讨 HPV 及 HPV 疫苗在美籍韩裔女性和男性中的经历。
通过口碑和社交媒体，采用目的性抽样策略，共招募了 33 名年龄在 27-45 岁之间的美籍韩裔和韩裔美国人参与这项研究。他们参加了一项在线调查。在 33 名参与者中，有 29 名（14 名女性和 15 名男性）通过密码保护的 Zoom 进行了深入访谈。采用内容分析法对访谈进行分析。
只有 32%的参与者至少接种过一次 HPV 疫苗（女性：35.3%，男性：12.5%）。从数据分析中得出了六个主要主题：（1）对 HPV、HPV 疫苗和 HPV 相关癌症的认识；（2）对 HPV 疫苗的态度；（3）HPV 疫苗接种障碍；（4）女性对巴氏涂片检查的体验和偏好；（5）HPV 诊断的经历；（6）HPV 和 HPV 疫苗接种教育偏好。
研究结果强调了文化因素可能会阻碍有关 HPV 疫苗接种和 HPV 相关癌症筛查的讨论和接受，这强调了需要采取文化适宜的干预措施来消除 HPV 相关的污名，提高疫苗接种率。医疗保健提供者应考虑到种族和跨文化差异的认知，以有效地提供 HPV 相关健康信息。本研究深入了解了美籍韩裔女性和男性对 HPV 和疫苗接种的看法和理解，为制定针对特定文化的计划奠定了基础，旨在提高 HPV 疫苗接种率，减轻该社区 HPV 相关疾病的污名和影响。
