Low Human Papillomavirus Literacy Among Asian-American Women in California: an Analysis of the California Health Interview Survey
Low Human Papillomavirus Literacy Among Asian-American Women in California: an Analysis of the California Health Interview Survey
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DOI：
10.1007/s40615-020-00698-7
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发表时间：
2020-08-01
影响因子：
3.9
通讯作者：
Becerra, Benjamin J.
中科院分区：
文献类型：
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作者：
Becerra, Monideepa B.;Avina, Robert M.;Becerra, Benjamin J.
亚裔美国人是美国人口增长最快的少数群体之一，文献中也提到了人乳头瘤病毒（HPV）的高发率。在这项研究中，我们旨在探讨健康的关键社会决定因素，特别是健康素养，结合英语语言能力和移民身份，是否是影响亚裔美国人HPV知识和意识的关键因素。方法采用加州健康访谈调查（CHIS）。研究人群由18至65岁的亚洲成年女性组成，样本量为2050，代表人口1,552,710。调查加权描述性、双变量和多变量泊松回归均以alpha小于进行。5表示重要性。结果近45%的人表示从未听说过HPV， 14%的人认为HPV会导致艾滋病，13%的人认为HPV会自行消失。然而，对HPV的了解因亚裔美国人和外国出生的人而异。调查加权的多变量稳健泊松回归结果显示，与日本亚组相比，中国人、南亚人和韩国人听说过HPV的可能性较小。与在美国出生的亚裔美国人相比，在外国出生的亚裔美国人听说过HPV的比例低31%。外国出生的亚裔美国人认为HPV会导致艾滋病的可能性要高出196%。听说过HPV也与英语水平低（低70%）、健康素养低（低45%）以及两者兼而有之（55%）有关。虽然那些英语水平较低的人知道HPV是一种性传播感染，但相当多的人将其与艾滋病联系起来。结论提高亚裔美国人健康素养的干预措施势在必行，以提高HPV疫苗接种率，降低宫颈癌发病率/死亡率。
Background Asian-Americans are one of the fastest growing minority groups in the USA, and the literature notes high rates of human papillomavirus (HPV). In this study, we aimed to address whether key social determinants of health, especially health literacy, in combination with English language proficiency, and immigration status, were key factors in HPV knowledge and awareness among Asian-Americans. Methods The data was collected from the California Health Interview Survey (CHIS). The study population consisted of Asian adult females from 18 to 65 years of age, with a sample size of 2050 representing a population of 1,552,710. Survey-weighted descriptive, bivariate, and multivariable Poisson regression were conducted with alpha less than .05 to denote significance. Results Nearly 45% of the population reported that they never heard of HPV, while 14% reported thinking HPV can cause AIDS, and 13% reported that HPV can go away on its own. HPV knowledge, however, was varied by Asian-American ethnicity as well as being foreign-born. Survey-weighted multivariable robust Poisson regression results show that, when compared with Japanese subgroup, Chinese, South Asians, and Koreans were less likely to have heard of HPV. Having heard of HPV was 31% lower among Asian-Americans who were foreign-born, as compared with those who were US-born. Foreign-born Asian-Americans were 196% more likely to think HPV causes AIDS. Ever having heard of HPV was also associated with low English language proficiency (70% lower), low health literacy (45% lower), and a combination of both (55%). While, those with low English language proficiency understood HPV is a sexually transmitted infection, a substantially high number associated it with AIDS. Conclusion Interventions towards increasing health literacy among Asian Americans are imperative in order increase HPV vaccination rates to reduce cervical cancer rates/deaths.