Evaluating the Influence of Culture and Risk Perception on HPV Vaccination Intention among Haitian Immigrant Women Living with HIV

评估文化和风险认知对感染 HIV 的海地移民妇女 HPV 疫苗接种意愿的影响

• 批准号: 10700372
• 负责人: Dominique Guillaume
• 金额: $ 5.02万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-23 至 2025-05-22
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10700372
• 关键词: Acculturation; Address; Affect; Affective; Behavior; Behavior Therapy; Cancer Etiology; Cessation of life; Cognitive; Communication Programs; Communities; Community Health; Data; Decision Making; Development; Dimensions; Disease; Disparity; Emotional; Emotions; Ethnic Population; Evaluation; Feeling; Female; Florida; Formulation; Geographic Locations; HIV; HIV Infections; Haitian; Health; Health Promotion; Health Status; Health behavior; Human Papilloma Virus Vaccination; Human Papilloma Virus Vaccine; Human Papilloma Virus-Related Malignant Neoplasm; Human Papillomavirus; Immigrant; Immunization; Incidence; Individual; Intention; Intervention; Intuition; Knowledge; Link; Literature; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Measures; Mentors; Methods; Minority; Modeling; Perception; Planning Theory; Population; Population Heterogeneity; Prevalence; Prevention Measures; Preventive; Procedures; Process; Race; Reporting; Research; Risk; Role; Sampling; Sexism; Sexual Transmission; Shapes; Shoulder; Social Environment; Societies; Strategic Planning; Thinking; Treatment Cost; Uncertainty; United States; Variant; Woman; black women; burden of illness; cancer prevention; cancer risk; cervical cancer prevention; cognitive process; disorder risk; ethnic minority; experience; health communication; health disparity; high risk; population health; prevent; psychosocial; racial disparity; racial minority; racial population; racism; risk perception; social stigma; socioeconomics; uptake; vaccine acceptance

Evaluating the Influence of Culture and Risk Perception on HPV Vaccination Intention among Haitian Immigrant Women Living with HIV PROJECT SUMMARY Cervical cancer is the primary cause of cancer-related deaths among women living with HIV. Haitian immigrant women have one of the highest incidence rates of cervical cancer in the nation and are disproportionately affected by HIV. The dual disease burden of HIV and cervical cancer that Haitian immigrant women experience is critical to note as HIV significantly increases the risk of developing cervical cancer. Cervical cancer can be prevented through immunization with the human papillomavirus (HPV) vaccine, however HPV vaccine uptake in this community is excessively low despite their high risk. Research has noted a link between individuals’ perceived risk of cancer, and their intention of undergoing cancer prevention behaviors. Recent studies have highlighted a key role of affect (i.e. emotions), feelings, and thoughts, which are influenced by cultural worldviews, in the rapid, automatic formulation of cancer risk perceptions and cancer prevention behaviors. Studies have continuously highlighted the disparities in cervical cancer incidence rates among Haitian immigrant women, along with Haitian immigrant women’s low uptake of cervical cancer prevention measures. However, literature has been limited to date in evaluating the psychosocial and cultural factors that influence Haitian immigrant women’s intention of undergoing HPV vaccination. More specifically, cultural worldviews and affective risk perceptions towards HPV and cervical cancer, and the influence these factors have on HPV vaccination intention, are largely unexplored among Haitian immigrant women living with HIV. The aims of this study are: 1) To qualitatively explore cultural worldviews and affective risk perception on HPV vaccination intention. Cultural worldview items will be developed from qualitative data. 2) To examine whether predictors of HPV vaccination intention (e.g. cultural worldviews, affective risk perception, individual level factors) will differ among Haitian immigrant women based on HIV status 3) To converge qualitative and quantitative findings to understand how affective risk perceptions and cultural worldviews influence HPV vaccination intention among Haitian immigrant women. The contributions of the present proposal are significant as this study will be one of the first to comprehensively assess the role of risk perception as a motivator of health behaviors related to HPV vaccination in this high-risk community.

文化程度和风险认知对海地人乳头瘤病毒疫苗接种意向的影响 感染艾滋病毒的移民妇女 项目摘要 宫颈癌是感染艾滋病毒的妇女因癌症死亡的主要原因。海地移民 女性是全国宫颈癌发病率最高的人群之一， 受艾滋病毒感染。海地移民妇女经历的艾滋病毒和宫颈癌双重疾病负担 这一点非常重要，因为艾滋病毒会显著增加患宫颈癌的风险。宫颈癌可以是 通过接种人乳头瘤病毒（HPV）疫苗预防，但HPV疫苗摄取 在这个社区中的比例非常低，尽管他们的风险很高。研究表明，个人的行为与 癌症风险感知，以及他们进行癌症预防行为的意图。最近的研究 强调了情感（即情绪），感觉和思想的关键作用，这些都受到文化的影响。 世界观，在快速，自动制定癌症风险的看法和癌症预防行为。 研究不断强调海地妇女宫颈癌发病率的差异， 沿着的是海地移民妇女对宫颈癌预防措施的接受程度较低。 然而，迄今为止，文献在评估影响儿童健康的社会心理和文化因素方面受到限制。 海地移民妇女打算接受HPV疫苗接种。更具体地说，文化世界观和 对HPV和宫颈癌的情感风险认知，以及这些因素对HPV的影响 在感染艾滋病毒的海地移民妇女中，基本上没有探讨过接种疫苗的意图。其目的是 研究内容包括：1）定性探讨文化世界观和HPV疫苗接种的情感风险认知 意图文化世界观项目将从定性数据中发展出来。2)检查预测因子是否 HPV疫苗接种意向（如文化世界观，情感风险认知，个人水平因素）将 3）在质量和数量上统一 了解情感风险认知和文化世界观如何影响HPV疫苗接种的研究结果 海地移民妇女的意愿。本建议的贡献是重要的，因为这一点 这项研究将是第一个全面评估风险感知作为健康动力的作用的研究之一 在这个高危社区与HPV疫苗接种相关的行为。