呼吁加强针对城市安全网医院人群中常见人乳头瘤病毒相关癌症的社区教育。

Call for Increased Community Education Regarding Common HPV-Associated Cancers Within the Urban Safety-Net Hospital Population.

作者信息

Rai Ishita, Karkala Ekta, Borgaonkar Ruchita, Seide Johane, Mokhtar Rana, Pierre-Joseph Natalie

机构信息

Chobanian and Avedisian School of Medicine, Boston University, Boston, MA, 02215, USA.

Boston Medical Center, Boston, MA, 02118, USA.

出版信息

J Cancer Educ. 2025 Sep 1. doi: 10.1007/s13187-025-02722-y.

Abstract

While oropharyngeal and cervical cancer rates declined in the 1980s, incidence and mortality rates from both cancers have increased annually in the last two decades. The incidence of oropharyngeal cancer has now surpassed that of cervical cancer. A lack of knowledge about preventative measures and risk factors, including human papillomavirus [HPV] infection, may contribute to rising oropharyngeal cancer rates. This study examines patients' knowledge of oropharyngeal cancer and its relation to cervical cancer and HPV to identify the need for education surrounding HPV-related cancers. We analyzed self-reported baseline survey data from 347 women aged 16-45 participating in an open-label, randomized clinical trial comparing the efficacy of two versus three doses of the HPV vaccine. The survey evaluated participants' knowledge of HPV, transmission and prevention, and the vaccine. Descriptive statistics and contingency tables were utilized to evaluate associations between oropharyngeal and cervical cancer questions. There is a knowledge gap regarding HPV and its association with cervical and oropharyngeal cancer. Notably, 53.6% were unsure or did not have the knowledge that most oropharyngeal cancers are caused by infection, only 34.0% knew of a vaccine for oropharyngeal cancer prevention and 44.8% were unsure about a vaccine for oropharyngeal cancer but knew one for cervical cancer. Additionally, there are inconsistencies in patient knowledge regarding the availability and efficacy of an HPV vaccine to target secondary oropharyngeal cancer and cervical cancer. These findings suggest that addressing the knowledge gap with education about HPV and cancer may increase HPV vaccination rates and combat rising rates of oropharyngeal and cervical cancer.

摘要

虽然口咽癌和宫颈癌的发病率在20世纪80年代有所下降,但在过去二十年中,这两种癌症的发病率和死亡率每年都在上升。口咽癌的发病率现已超过宫颈癌。对预防措施和风险因素(包括人乳头瘤病毒[HPV]感染)缺乏了解,可能导致口咽癌发病率上升。本研究调查了患者对口咽癌的了解及其与宫颈癌和HPV的关系,以确定围绕HPV相关癌症开展教育的必要性。我们分析了347名年龄在16至45岁之间的女性的自我报告基线调查数据,这些女性参与了一项开放标签的随机临床试验,比较两剂与三剂HPV疫苗的疗效。该调查评估了参与者对HPV、传播与预防以及疫苗的了解。使用描述性统计和列联表来评估口咽癌和宫颈癌问题之间的关联。在HPV及其与宫颈癌和口咽癌的关联方面存在知识差距。值得注意的是,53.6%的人不确定或不知道大多数口咽癌是由感染引起的,只有34.0%的人知道预防口咽癌的疫苗,44.8%的人不确定口咽癌疫苗,但知道宫颈癌疫苗。此外,患者在关于针对继发性口咽癌和宫颈癌的HPV疫苗的可获得性和疗效方面的知识也存在不一致。这些发现表明,通过开展关于HPV和癌症的教育来填补知识差距,可能会提高HPV疫苗接种率,并应对口咽癌和宫颈癌发病率的上升。

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