HPV knowledge, attitudes, and cultural beliefs among Hispanic men and women living on the Texas-Mexico border
HPV knowledge, attitudes, and cultural beliefs among Hispanic men and women living on the Texas-Mexico border
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DOI：
10.1080/13557850903248621
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发表时间：
2009-01-01
影响因子：
3.1
通讯作者：
Sanderson, Maureen
中科院分区：
文献类型：
--
作者：
Fernandez, Maria E.;McCurdy, Sheryl A.;Sanderson, Maureen
背景美国西班牙裔妇女的宫颈癌发病率高于非西班牙裔白色和非洲裔美国妇女，宫颈癌筛查率较低。知识，态度和文化信仰可能在人乳头瘤病毒（HPV）感染率较高以及决定随后的宫颈癌诊断和治疗方面发挥作用。研究目的。探讨得克萨斯州-墨西哥边境的西班牙裔男性和女性的HPV知识，态度和文化信仰水平。方法论方针。在女性主义民族志的指导下，作者采用了一种解释性的方法来了解当地受访者的关注和兴趣。焦点小组会议进行了分析，使用主题内容分析。招募和取样。Promotoras（非专业卫生工作者）使用方便抽样方法招募参与者。小组会议在布朗斯维尔的公共服务中心举行。参与者的年龄从19岁到76岁不等。方法分析。重点小组的讨论用西班牙语录音和转录。研究人员阅读并讨论了所有的记录，并生成了一个编码列表。使用ATLAS.ti 5.0对转录本进行编码。主要调查结果。参与者对HPV及其在宫颈癌病因学中的作用了解甚少。态度和关切因性别而异。女性将HPV的诊断解释为癌症的诊断，并对其治疗表达了宿命论的信念。男性最初将HPV的诊断解释为伴侣不忠的迹象，但在反思HPV传播的模糊性后，将他们最初的反应归因于大男子主义的文化理想。男性最终有兴趣帮助他们的伴侣在诊断为阳性的情况下寻求护理。对实践的影响。结果表明，了解西班牙裔的文化规范和价值观有关疾病，性和性别的干预措施，以预防和治疗HPV和宫颈癌的设计和实施是必不可少的。
Background. US Hispanic women have higher cervical cancer incidence rates than non-Hispanic White and African-American women and lower rates of cervical cancer screening. Knowledge, attitudes, and cultural beliefs may play a role in higher rates of infection of human papillomavirus (HPV) and decisions about subsequent diagnosis and treatment of cervical cancer. Study aim. To explore the level of HPV knowledge, attitudes, and cultural beliefs among Hispanic men and women on the Texas-Mexico border. Methodological approach. Informed by feminist ethnography, the authors used an interpretive approach to understand local respondents' concerns and interests. Focus group sessions were analyzed using thematic content analysis. Recruitment and sample. Promotoras (lay health workers) recruited participants using convenience sampling methods. Group sessions were held in public service centers in Brownsville. Participants' ages ranged from 19 to 76 years. Methods analysis. Focus group discussions were audio-recorded and transcribed in Spanish. Researchers read and discussed all the transcripts and generated a coding list. Transcripts were coded using ATLAS.ti 5.0. Key findings. Participants had little understanding about HPV and its role in the etiology of cervical cancer. Attitudes and concerns differed by gender. Women interpreted a diagnosis of HPV as a diagnosis of cancer and expressed fatalistic beliefs about its treatment. Men initially interpreted a diagnosis of HPV as an indication of their partners' infidelity, but after reflecting upon the ambiguity of HPV transmission, attributed their initial reaction to cultural ideals of machismo. Men ultimately were interested in helping their partners seek care in the event of a positive diagnosis. Implications for practice. Results suggest that understanding Hispanics' cultural norms and values concerning disease, sexuality, and gender is essential to the design and implementation of interventions to prevent and treat HPV and cervical cancer.