Vaccine-Preventable Cancer Behavior Measurement among Southeast Asian Americans

描述（由申请人提供）：尽管亚太裔美国人（AAPI）的乙型肝炎病毒（HBV）和人乳头瘤病毒（HPV）感染以及肝癌和宫颈癌的发病率高于美国其他任何种族/族裔群体，但有关健康行为的信息有限。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危险行为、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，我们建议基于反映目标人群文化和健康行为的理论框架，开发一种针对人群的工具，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拟订和评价。设计将包括六个标准化阶段：1)建立一个理论框架来指导仪器的开发；2)进行定性访谈，以指导定量工具的开发；3)选择项目；4)翻译文书；5)进行认知测试；6)进行全面调查。该工具旨在提供有关服务不足的亚太裔人口，特别是柬埔寨裔美国人的科学和文化相关数据，并帮助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。长期目标是协助保健提供者向亚太裔和其他移民人口提供文化上适当的循证保健教育和保健服务。

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.