Abstract：
One subgroup of Latinos whose healthcare needs must be more thoroughly addressed is the roughly three million farmworkers pursuing seasonal agricultural work within the United States (U.S.). Latino migrant and seasonal farmworkers (MSFW) face compounded political, social, and personal contexts that complicate healthcare access. Although the human papillomavirus (HPV) vaccine prevents HPV infections and cancers, uptake among Hispanic adolescents remains suboptimal. Therefore, it is important to understand Latino MSFW\'s HPV knowledge, as well as barriers to and facilitators of vaccination so culturally appropriate measures can bolster vaccination. An integrative review was conducted in PubMed, Scopus, and Web of Science using key search terms. Results were evaluated for compatibility with inclusion/exclusion criteria, and selected articles were coded and evaluated via thematic analysis. Six studies of various designs were ultimately included in the review. While some Latino MSFW have baseline knowledge about HPV and the vaccine, knowledge gaps remain. Participants expressed curiosity about how the vaccine works, contents, side effects, dosing, recommended age, and information about prevented diseases. Although additional education and MSFW\'s receptiveness to provider\'s recommendations were cited as major facilitators, many barriers also need addressed. Providers must leverage MSFW\'s existing knowledge, provide education, and facilitate vaccination to protect farmworker families from HPV and related cancers. It must become standard practice for providers to recommend the HPV vaccine to MSFW, who are receptive to this conversation. Increasing vaccination can decrease the disproportionate burden of HPV-related cancers on patients and facilitate access to healthcare services.
摘要：
必须更彻底地解决其医疗保健需求的拉丁美洲人的一个子群体是在美国（U.S.）从事季节性农业工作的大约300万农场工人。拉丁裔移民和季节性农场工人（MSFW）面临复杂的政治问题，社会,以及使医疗服务复杂化的个人环境。尽管人乳头瘤病毒（HPV）疫苗可以预防HPV感染和癌症，西班牙裔青少年的摄取仍然欠佳。因此,了解拉丁裔MSFW的HPV知识很重要，以及疫苗接种的障碍和促进者，因此文化上适当的措施可以加强疫苗接种。在PubMed进行了综合审查，Scopus,和WebofScience使用关键搜索词。评估结果是否符合纳入/排除标准，并通过主题分析对选定的文章进行编码和评估。六项各种设计的研究最终被纳入审查。虽然一些拉丁裔MSFW对HPV和疫苗有基线知识，知识差距依然存在。参与者对疫苗的工作原理表示好奇，内容,副作用,给药,推荐年龄,以及预防疾病的信息。尽管额外的教育和MSFW对提供者建议的接受度被认为是主要的促进者，许多障碍也需要解决。提供商必须利用MSFW的现有知识，提供教育,并促进疫苗接种，以保护农场工人家庭免受HPV和相关癌症的侵害。提供者向MSFW推荐HPV疫苗必须成为标准做法，接受这次谈话的人。增加疫苗接种可以减少HPV相关癌症对患者的不成比例的负担，并促进获得医疗保健服务。
