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Knowledge of HPV Among United States Hispanic Women: Opportunities and Challenges for Cancer Prevention

机译:美国西班牙裔女性对HPV的了解:癌症预防的机遇与挑战

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In the United States, Hispanic women contribute disproportionately to cervical cancer incidence and mortality. This disparity, which primarily reflects lack of access to, and underutilization of, routine Pap smear screening may improve with increased availability of vaccines to prevent Human Papillomavirus (HPV) infection, the principal cause of cervical cancer. However, limited research has explored known determinants of HPV vaccine acceptability among Hispanic women. The current study examines two such determinants, HPV awareness and knowledge, using data from the 2007 Health Interview National Trends Survey (HINTS) and a cross-section of callers to the National Cancer Institute's (NCI) Cancer Information Service (CIS). Study data indicate that HPV awareness was high in both samples (69.5% and 63.8% had heard of the virus) but that knowledge of the virus and its association with cervical cancer varied between the two groups of women. The CIS sample, which was more impoverished and less acculturated than their HINTS counterparts, were less able to correctly identify that HPV causes cervical cancer (67.1% vs. 78.7%) and that it is a prevalent sexually transmitted infection (STI; 66.8% vs. 70.4%). Such findings imply that future research may benefit from disaggregating data collected with Hispanics to reflect important heterogeneity in this population subgroup's ancestries, levels of income, educational attainment, and acculturation. Failing to do so may preclude opportunity to understand, as well as to attenuate, cancer disparity.
机译:在美国,西班牙裔妇女对子宫颈癌的发病率和死亡率的贡献不成比例。这种差异主要反映出常规宫颈涂片检查的缺乏和未得到充分利用,可能会通过预防宫颈癌的主要病因-人乳头瘤病毒(HPV)感染的疫苗增加而得到改善。但是,有限的研究已经探索了西班牙裔女性中HPV疫苗可接受性的已知决定因素。本研究使用2007年健康采访国家趋势调查(HINTS)的数据以及国家癌症研究所(NCI)癌症信息服务(CIS)的多个呼叫者,研究了两个决定因素,即HPV意识和知识。研究数据表明,在两个样本中,HPV的知晓率都很高(听说过该病毒的占69.5%和63.8%),但是两组女性对该病毒的了解及其与宫颈癌的关系有所不同。 CIS样本比HINTS样本更贫穷,更不易被感染,因此无法正确识别HPV引起子宫颈癌(67.1%对78.7%),并且它是一种普遍的性传播感染(STI; 66.8%对70.4%)。这样的发现暗示着未来的研究可能会受益于拉美裔人收集的数据分类,以反映出该人群亚族的祖先,收入水平,受教育程度和适应程度的重要异质性。否则,可能无法理解和减轻癌症差异的机会。

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