Perceptions and Barriers to Human Papillomavirus Vaccination and Cervical Cancer Screenings: A Survey Study of Underserved Populations in North Texas.

Public health challenges Pub Date : 2024-12-18 eCollection Date: 2024-12-01 DOI:10.1002/puh2.70018
Sofia Eva Olsson, Sameep Shah, Erin Haase, Kelly Pagidas
{"title":"Perceptions and Barriers to Human Papillomavirus Vaccination and Cervical Cancer Screenings: A Survey Study of Underserved Populations in North Texas.","authors":"Sofia Eva Olsson, Sameep Shah, Erin Haase, Kelly Pagidas","doi":"10.1002/puh2.70018","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Human papillomavirus (HPV) is a common cause of cervical cancer along with several other neoplasms. With the availability of HPV vaccination and cervical cancer screenings, it is more likely for cervical cancers to be prevented or caught early in their course. However, there are disparities and barriers preventing all individuals from obtaining proper preventative care.</p><p><strong>Methods: </strong>An online survey analyzing compliance, barriers, and subjective perceptions of HPV vaccination and cervical cancer screening was distributed via flyers. These were placed in the half of zip codes with lowest median income in Fort Worth, Texas.</p><p><strong>Results: </strong>Respondents with non-White race, income of $40,000 or less, and a maximum education of high school or less were 4.24, 3.2, and 1.2 times more likely to have incomplete HPV vaccination, respectively. Respondents with an income of $40,000 or less and a maximum education of high school were 3.2 and 2.6 times more likely to be overdue for cervical cancer screening, respectively. The most common barrier for HPV vaccination was lack of knowledge, and for cervical cancer screening, it was cost. Most respondents felt as though cervical cancer screening allows for early cancer detection and decreased mortality but also endorsed feelings of pain, embarrassment, and fear of the test.</p><p><strong>Conclusions: </strong>HPV vaccine and cervical cancer screening non-compliance is likely multifactorial, including lack of knowledge and cost. Interventions such as increased access to pediatric care and increased opportunities for free preventative healthcare may be helpful in both reducing stigma and improving access to care.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"3 4","pages":"e70018"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039564/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public health challenges","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/puh2.70018","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/12/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Human papillomavirus (HPV) is a common cause of cervical cancer along with several other neoplasms. With the availability of HPV vaccination and cervical cancer screenings, it is more likely for cervical cancers to be prevented or caught early in their course. However, there are disparities and barriers preventing all individuals from obtaining proper preventative care.

Methods: An online survey analyzing compliance, barriers, and subjective perceptions of HPV vaccination and cervical cancer screening was distributed via flyers. These were placed in the half of zip codes with lowest median income in Fort Worth, Texas.

Results: Respondents with non-White race, income of $40,000 or less, and a maximum education of high school or less were 4.24, 3.2, and 1.2 times more likely to have incomplete HPV vaccination, respectively. Respondents with an income of $40,000 or less and a maximum education of high school were 3.2 and 2.6 times more likely to be overdue for cervical cancer screening, respectively. The most common barrier for HPV vaccination was lack of knowledge, and for cervical cancer screening, it was cost. Most respondents felt as though cervical cancer screening allows for early cancer detection and decreased mortality but also endorsed feelings of pain, embarrassment, and fear of the test.

Conclusions: HPV vaccine and cervical cancer screening non-compliance is likely multifactorial, including lack of knowledge and cost. Interventions such as increased access to pediatric care and increased opportunities for free preventative healthcare may be helpful in both reducing stigma and improving access to care.

人类乳头瘤病毒疫苗接种和宫颈癌筛查的认知和障碍:对北德克萨斯州服务不足人群的调查研究。
背景:人乳头瘤病毒(HPV)是宫颈癌和其他几种肿瘤的常见病因。随着人乳头瘤病毒疫苗接种和宫颈癌筛查的普及,宫颈癌更有可能得到预防或及早发现。然而,存在差异和障碍,使所有人无法获得适当的预防保健。方法:在线调查,分析HPV疫苗接种和宫颈癌筛查的依从性、障碍和主观看法,并通过传单分发。这些被放置在德克萨斯州沃斯堡收入中位数最低的邮政编码的一半。结果:非白人种族、收入40,000美元或以下、最高受教育程度为高中或以下的受访者接种不完全HPV疫苗的可能性分别是4.24倍、3.2倍和1.2倍。收入在4万美元或以下、最高学历为高中的受访者逾期接受子宫颈癌筛查的可能性分别高出3.2倍和2.6倍。HPV疫苗接种最常见的障碍是缺乏知识,而宫颈癌筛查最常见的障碍是费用。大多数受访者认为,虽然宫颈癌筛查可以早期发现癌症并降低死亡率,但也赞同疼痛、尴尬和害怕检查的感觉。结论:HPV疫苗和宫颈癌筛查的不依从性可能是多因素的,包括缺乏知识和成本。诸如增加获得儿科护理的机会和增加获得免费预防性保健的机会等干预措施可能有助于减少耻辱感和改善获得护理的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信