Men & Women's Social-Cultural Factors Assoc w/Cervical Cancer Prevention in Panam

描述(申请人提供)：宫颈癌在拉丁美洲仍然是一个重要的公共卫生问题。在中美洲进行的研究很少，比如在巴拿马。拟议研究的总体目标是确定居住在巴拿马的男性和女性对HPV和宫颈癌的知识、态度、信念和行为，以及与巴氏涂片筛查和HPV疫苗可接受性相关的社区和环境因素。目前拟议的FIRCA应用程序将收集在巴拿马城San Miguelito区的男子和妇女中制定和实施预防和免疫战略所需的信息，这些地区的HPV报告流行率最高。以前的研究和初步数据表明，男性在宫颈癌和HPV传播中所起的作用，以及在预防这两种疾病方面的作用往往被忽视。这项研究将采用基于社区的参与过程和社会认知理论进行。-在父母赠款的基础上，我们建议建立一个以社区为基础的咨询委员会(CAB)，由HPV感染率最高的San Miguelito区的主要社区领导人组成，以参与规划、研究设计和工具开发；使用聚类分析技术在随机家庭样本中开发和实施基于社区的问卷；评估宫颈癌和HPV的知识、男性和女性的筛查意识和态度、男性和女性目前的筛查和性行为、男性、女性及其子女对HPV疫苗的可接受性；并且，了解与宫颈癌筛查和疫苗可接受性策略的知识、态度、信念和行为相关的社会认知因素。我们没有把重点放在结构性因素(例如，接入、交通、成本)上，而是假设社会网络(例如，男性和其他女性)和规范是影响男性和女性筛查和性行为的重要因素。我们还假设，巴拿马的男性和女性普遍缺乏对HPV及其与宫颈癌的关联的知识和认识，男性在女性的筛查寻求行为中扮演着重要角色。这项拟议的研究汇集了一个国际多学科研究小组，研究与宫颈癌预防和疫苗可接受性相关的社会文化和行为因素。这项拟议的研究将通过在以往经验、当前研究的基础上，并将社会和行为原则应用于与宫颈癌和HPV控制相关的知识、态度、信念和行为的研究，来填补这一空白。

DESCRIPTION (provided by applicant): Cervical cancer continues to be an important public health problem in Latin America. Few studies have been conducted in Central America, such as in Panama. The overall goal of the proposed study is to determine HPV and cervical cancer knowledge, attitudes, beliefs, and behaviors as well as community and environmental factors related to Pap smear screening and HPV vaccine acceptability among men and women residing in Panama. The currently proposed FIRCA application will collect information needed to develop and implement prevention and immunization strategies in both men and women living in the San Miguelito district of Panama City with the highest reported prevalence of HPV. Previous studies and preliminary data suggest that the role men play in cervical cancer and HPV transmission, and also in the prevention of the two is often ignored. A community-based participatory process and Social Cognitive Theory will be used to conduct the proposed study. Building-on the infrastructure of the parent grant we propose to develop a community-based advisory board (CAB) comprised of key community leaders in the district of San Miguelito district with highest prevalence of HPV to participate in planning, study design, and instrument development; develop and implement a community-based questionnaire among a random household sample using cluster analysis techniques; assess knowledge of cervical cancer and HPV, and screening awareness and attitudes among men and women, current screening and sexual behaviors among men and women, HPV vaccine acceptability for men, women, and their children; and, understand the social cognitive factors associated with knowledge, attitudes, beliefs, and behaviors toward cervical cancer screening and vaccine acceptability strategies. Rather than focus on structural factors (e.g., access, transportation, cost), we hypothesize that social networks (e.g., men and other women) and norms are important factors that influence screening and sexual behavior among men and women. We also hypothesize that men and women in Panama generally lack knowledge and awareness on HPV and its association with cervical cancer and that men play an important role in women's screening seeking behavior. The proposed study brings together an international multidisciplinary group of researchers to study socio- cultural and behavioral factors associated with cervical cancer prevention and vaccine acceptability. The proposed study will fill this gap by building-on previous experience, current studies, and applying social and behavioral principles in the study of knowledge, attitudes, beliefs and behaviors associated to cervical cancer and HPV control.