Vaccine-Preventable Cancer Behavior Measurement among Southeast Asian Americans

描述（由申请人提供）：虽然B肝炎病毒（HBV）和人乳头瘤病毒（HPV）感染以及肝癌和宫颈癌的发病率在亚裔美国太平洋岛民（AAPI）中高于美国任何其他种族/民族，与健康行为相关的信息有限。特别是，HBV和HPV的社会和文化方面及其预防在很大程度上仍未得到探索。任何旨在提高对HBV和HPV风险行为以及疫苗接种和癌症筛查预防的认识的公共卫生教育都需要了解目标人群的行为和文化。因此，我们建议在此开发一种特定人群的工具，以反映目标人群的文化和健康行为的理论框架为基础，为HBV和HPV预防教育和干预提供信息。以社区为基础的参与性研究的原则将指导拟议文书的制定和评价。该设计将包括六个标准化阶段：1）开发理论框架以指导工具开发; 2）进行定性访谈以指导定量工具的开发; 3）选择项目; 4）翻译工具; 5）进行认知测试;以及6）进行全面调查。该工具旨在提供有关未得到充分服务的人群AAPI的科学和文化相关数据，更具体地说，是柬埔寨裔美国人，并帮助医疗保健提供者和目标人群了解他们（我们）做什么以及他们（我们）为什么这样做。向亚裔美国人和其他移民人口提供循证健康教育和健康服务。 公共卫生相关性：这项研究的目的是开发和测试一种工具，以衡量健康行为相关的HPV和HBV感染的柬埔寨裔美国人。本研究以社区为基础，共分六个阶段：1）建立理论框架，指导工具的开发; 2）进行定性访谈，为定量工具的开发提供信息; 3）选择项目; 4）翻译工具; 5）进行认知测试; 6）进行全面调查。该工具旨在提供与科学和文化相关的数据，帮助卫生保健提供者和柬埔寨裔美国人了解他们（我们）做什么以及为什么这样做，长期目标是帮助卫生保健提供者向柬埔寨裔美国人和其他移民人口提供文化上适当的、基于证据的健康教育和健康服务。

DESCRIPTION (provided by applicant): Although the incidence of hepatitis B virus (HBV) and human papillomavirus (HPV) infection and liver and cervical cancers are higher among Asian American Pacific Islanders (AAPI)s, than any other racial/ethnic group in the U.S., there is limited information related health behaviors. In particular, the social and cultural aspects of HBV and HPV and their prevention remain largely unexplored. Any public health education designed to increase awareness of HBV and HPV risk behaviors and vaccination and cancer screening prevention will require knowledge of the behavior and culture of the targeted population. Therefore, we propose here to develop a population specific instrument to inform HBV and HPV prevention education and intervention based on a theoretical framework reflecting the culture and health behaviors of the targeted population. The principles of community-based participatory research will guide the development and evaluation of the proposed instrument. The design will involve six standardized stages: 1) develop a theoretical framework to guide instrument development; 2) conduct qualitative interviews to guide development of a quantitative instrument; 3) select items; 4) translate the instrument; 5) conduct cognitive tests; and 6) conduct a full scale survey. The instrument is intended to provide scientifically and culturally relevant data on the underserved population AAPIs, and more specifically Cambodian Americans and to help both health care providers and the targeted population understand what they (we) do and why they (we) do it. The long term goal is to assist health care providers to deliver culturally appropriate, evidence-based health education and health services to AAPIs and other immigrant populations. PUBLIC HEALTH RELEVANCE: The purpose of this proposed study is to develop and test an instrument to measure health behaviors related to HPV and HBV infection among Cambodian Americans. This community- based participatory research will involve six s stages: 1) develop a theoretical framework to guide instrument development; 2) conduct qualitative interviews to inform development of a quantitative instrument; 3) select items; 4) translate the instrument; 5) conduct cognitive tests; and 6) conduct full scale survey. The instrument is intended to provide scientifically and culturally relevant data that will help both health care providers and Cambodian Americans understand what they (we) do and why they (we) do it. The long term goal is to assist health care providers to deliver culturally appropriate, evidence-based health education and health services to AAPIs and other immigrant populations.