Human papillomavirus awareness among foreign- and US-born Hispanics, United States, 2017-2018.
Human papillomavirus awareness among foreign- and US-born Hispanics, United States, 2017-2018.
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DOI：
10.1016/j.pmedr.2021.101379
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发表时间：
2021-06
影响因子：
2.8
通讯作者：
Montealegre JR
中科院分区：
文献类型：
--
作者：
Escobar B;Amboree TL;Sonawane K;Deshmukh AA;McGee LU;Rodriguez AM;Jibaja-Weiss ML;Montealegre JR
在美国，拉美裔美国人是一个非同质群体，他们有特殊的健康教育需求。在美国和外国出生的拉美裔美国人对HPV和HPV疫苗的认识不同。在外国出生的拉美裔美国人中，对HPV和HPV疫苗的认识尤其低。众所周知，与非拉美裔白人相比，拉美裔美国人对人类乳头瘤病毒(HPV)和HPV疫苗的知识和认识较低。然而，在美国，拉美裔美国人是一个非同质的群体，在出生方面存在显著差异，特别是在美国出生的人和在外国出生的人之间。我们调查了在外国出生的拉美裔、在美国出生的拉美裔和在美国出生的非拉美裔白人对HPV和HPV疫苗的认识。我们分析了来自健康信息全国趋势调查(HINTS)5，周期1(2017)和2(2018)的数据，这是包括出生信息在内的最新HINTS数据集。我们使用描述性统计和多变量回归来比较种族/出生亚组之间对HPV和HPV疫苗的知晓率。超过50%的外国出生的拉美裔美国人从未听说过HPV，相比之下，32%的美国出生的拉美裔美国人(P<；(0.01))和33%的非西班牙裔白人(P&L<；；(0.01))没有听说过HPV。在外国出生的拉美裔美国人中，缺乏HPV疫苗意识与在美国出生的拉美裔美国人没有显著差异(52%对44%，p=0.12)，但与非西班牙裔白人相比显著低(52%对32%，p<0.01)。在多变量分析中，非西班牙裔白人听说过HPV的几率是在外国出生的拉美裔的两倍多(p<；P<；(0.05)，而在美国出生的拉美裔美国人听说过HPV的几率高出75%(p&t；p<；；(0.05))。在HPV意识方面，非西班牙裔白人听说过HPV疫苗的几率比外国出生的西班牙裔高95%(p<；P<；005)，而美国和外国出生的西班牙裔之间的差异并不显著。在美国出生的拉美裔美国人中，HPV和HPV疫苗的意识和知识存在着与出生相关的显著差异。超过50%的在外国出生的西班牙裔成年人不知道HPV和HPV疫苗。
Hispanics in the U.S. are a non-homogenous population, with specific health education needs. HPV and HPV vaccine awareness differs among US- and foreign-born Hispanics. Awareness of HPV and the HPV vaccine is particularly low among foreign-born Hispanics. Human papillomavirus (HPV) and HPV vaccine knowledge and awareness are known to be lower among Hispanics compared to non-Hispanic whites. However, Hispanics in the US are a non-homogenous population, with significant differences by nativity, particularly between the US-and foreign-born individuals. We examined HPV and HPV vaccine awareness among foreign-born Hispanics, US-born Hispanics, and US-born non-Hispanic whites. We analyzed data from the Health Information National Trends Survey (HINTS) 5, cycles 1 (2017) and 2 (2018), the most recent HINTS datasets including nativity information. We used descriptive statistics and multivariable regression to compare awareness of HPV and the HPV vaccine among ethnicity/nativity subgroups. Over 50% of foreign-born Hispanics had not heard of HPV, compared to 32% of US-born Hispanics (P < 0.01) and 33% of non-Hispanic whites (p < 0.01). Lack of HPV vaccine awareness among foreign-born Hispanics was not significantly different from US-born Hispanics (52% vs. 44%, p = 0.12), but was significantly lower compared to non-Hispanic whites (52% vs. 32%, p < 0.01). In multivariable analyses, non-Hispanic whites had over twice the odds of having heard of HPV than foreign-born Hispanics (p < 0.05), while US-born Hispanics had 75% higher odds (p < 0.05). Regarding HPV awareness, non-Hispanic whites had 95% higher odds of having heard of the HPV vaccine than foreign-born Hispanics (p < 0.05), while differences between US and foreign-born Hispanics were not significant. There are significant nativity-related differences in HPV and HPV vaccine awareness and knowledge among US-born Hispanics. Over 50% of foreign-born Hispanic adults are unaware of HPV and the HPV vaccine.
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