PDF(Pubmed)
Abstract：
Human papillomavirus (HPV) is the most common sexually transmitted infection and is associated with many types of cancers that disproportionately impact Hispanics. An HPV vaccine is available for individuals ages 9-45 that can prevent up to 90% of HPV-associated cancers. The current study investigates factors associated with accepting the HPV vaccine in a predominately Hispanic community.
A cross-sectional study design with an online questionnaire was used to collect data from a community sample of adults between the ages 18-65 residing in a U.S./Mexico border city, El Paso, Texas. Theory-based factors (e.g., the Health Belief Model), culture-based factors (e.g., familism), and trusted sources of information were examined as predictors of HPV-vaccine acceptance (HPV-VA) and HPV-vaccine uptake (HPV-VU).
Community members (N = 602, Mage = 34.65, SD = 9.79) who were predominately Hispanic (89.4%) and female (79.6%) participated in the study. Linear regression models revealed that HPV-VA was associated with household size, primary language, engagement in organizational activities, health-related community stigma, government trust, and the HBM theory-based factors: perceived benefits, perceived harm, and perceived severity. Logistic regression analyses revealed that HPV-VU was associated with household size, engagement in non-organizational activities, HPV trusted sources of information, and perceived safety.
Adequate HPV vaccination uptake among all vaccine-eligible Hispanics is an important step to lessen the HPV-attributed cancer burden. Our hypothesis that theory-based factors would be associated with HPV-VA and HPV-VU was supported. Our findings have implications for designing trusted, theory-based, and culturally sensitive health communications and interventions to promote vaccines in minority underrepresented communities.
A cross-sectional study design with an online questionnaire was used to collect data from a community sample of adults between the ages 18-65 residing in a U.S./Mexico border city, El Paso, Texas. Theory-based factors (e.g., the Health Belief Model), culture-based factors (e.g., familism), and trusted sources of information were examined as predictors of HPV-vaccine acceptance (HPV-VA) and HPV-vaccine uptake (HPV-VU).
Community members (N = 602, Mage = 34.65, SD = 9.79) who were predominately Hispanic (89.4%) and female (79.6%) participated in the study. Linear regression models revealed that HPV-VA was associated with household size, primary language, engagement in organizational activities, health-related community stigma, government trust, and the HBM theory-based factors: perceived benefits, perceived harm, and perceived severity. Logistic regression analyses revealed that HPV-VU was associated with household size, engagement in non-organizational activities, HPV trusted sources of information, and perceived safety.
Adequate HPV vaccination uptake among all vaccine-eligible Hispanics is an important step to lessen the HPV-attributed cancer burden. Our hypothesis that theory-based factors would be associated with HPV-VA and HPV-VU was supported. Our findings have implications for designing trusted, theory-based, and culturally sensitive health communications and interventions to promote vaccines in minority underrepresented communities.
摘要：
背景：人乳头瘤病毒（HPV）是最常见的性传播感染，并且与许多类型的癌症有关，这些癌症对西班牙裔人的影响不成比例。HPV疫苗可用于9-45岁的个体，可以预防高达90％的HPV相关癌症。目前的研究调查了在西班牙裔社区中接受HPV疫苗的相关因素。
方法：使用带有在线问卷的横断面研究设计，从居住在美国/墨西哥边境城市的18-65岁成年人的社区样本中收集数据，埃尔帕索,德克萨斯州。基于理论的因素(例如，健康信念模型)，基于文化的因素(例如，家族主义)，和可信的信息来源被检查作为HPV疫苗接受(HPV-VA)和HPV疫苗摄取(HPV-VU)的预测因子.
结果：社区成员（N=602，Mage=34.65，SD=9.79）主要是西班牙裔（89.4％）和女性（79.6％）参加了研究。线性回归模型显示HPV-VA与家庭大小有关，主要语言,参与组织活动，与健康相关的社区耻辱，政府信任,以及基于HBM理论的因素：感知收益，感知到的伤害，和感知的严重性。Logistic回归分析显示，HPV-VU与家庭规模有关，参与非组织活动，HPV可信的信息来源，和感知的安全。
结论：在所有符合疫苗资格的西班牙裔中，充分的HPV疫苗接种是减轻HPV归因于癌症负担的重要步骤。我们的假设是基于理论的因素将与HPV-VA和HPV-VU相关。我们的发现对设计可信，基于理论，以及对文化敏感的健康传播和干预措施，以在少数族裔代表性不足的社区推广疫苗。
方法：使用带有在线问卷的横断面研究设计，从居住在美国/墨西哥边境城市的18-65岁成年人的社区样本中收集数据，埃尔帕索,德克萨斯州。基于理论的因素(例如，健康信念模型)，基于文化的因素(例如，家族主义)，和可信的信息来源被检查作为HPV疫苗接受(HPV-VA)和HPV疫苗摄取(HPV-VU)的预测因子.
结果：社区成员（N=602，Mage=34.65，SD=9.79）主要是西班牙裔（89.4％）和女性（79.6％）参加了研究。线性回归模型显示HPV-VA与家庭大小有关，主要语言,参与组织活动，与健康相关的社区耻辱，政府信任,以及基于HBM理论的因素：感知收益，感知到的伤害，和感知的严重性。Logistic回归分析显示，HPV-VU与家庭规模有关，参与非组织活动，HPV可信的信息来源，和感知的安全。
结论：在所有符合疫苗资格的西班牙裔中，充分的HPV疫苗接种是减轻HPV归因于癌症负担的重要步骤。我们的假设是基于理论的因素将与HPV-VA和HPV-VU相关。我们的发现对设计可信，基于理论，以及对文化敏感的健康传播和干预措施，以在少数族裔代表性不足的社区推广疫苗。
