Community Stakeholders' Perspectives on Introducing Human Papillomavirus Vaccination and Biobanking Evidence-Based Programs Within Medically Underserved Communities: A Community-Engaged Approach.

IF 1.3 Q2 Social Sciences
Kayoll V Galbraith-Gyan, Shoba Ramanadhan, Kasisomayajula Viswanath
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引用次数: 0

Abstract

Purpose: We explored the perspectives of program coordinators and community leaders from Community-based-organizations (CBOs) and Faith-based-organizations (FBOs) to determine how information on human papillomavirus (HPV) vaccination and biobanking is understood and supported within medically underserved communities, and identified strategies for introducing evidence-based programs (EBP) on HPV vaccination and biobanking within underserved communities.

Methods: The EPIS framework guided discussions in four focus groups with program coordinators (n = 27) and one-on-one interviews with community leaders (n = 15) from CBOs and FBOs.

Results: Participants reported that community members were aware of HPV vaccination but did not know of the link between HPV infection and cancers. Awareness for biobanking was low. HPV vaccination and biobanking were not priority health concerns among community members due to other health issues. However, HPV vaccination and biobanking were considered sensitive health topics. For HPV vaccination, sensitivity was due to concerns that HPV vaccination promoted sex among adolescents, while for biobanking, sensitivity was due to historical abuses of people of color by the medical community. Participants reported that program coordinators' awareness of HPV vaccination and biobanking depended on their organizations' mission. Neither were considered a priority health concern due to lack of funding. Few EBP were available on HPV vaccination and biobanking. Recommendations on culturally-appropriate strategies for engaging community members on HPV vaccination and biobanking EBP are discussed.

Conclusion: Given the promise of HPV vaccination and the Precision Medicine Initiative to reduce cancer disparities, findings elucidate factors to be considered when implementing EBP on HPV vaccination and biobanking into medically underserved communities.

社区利益相关者对在医疗服务不足社区引入人类乳头瘤病毒疫苗接种和生物库循证计划的看法:社区参与式方法。
目的:我们探讨了来自社区组织(CBOs)和信仰组织(FBOs)的项目协调员和社区领袖的观点,以确定在医疗服务不足的社区中,人们是如何理解和支持人类乳头瘤病毒(HPV)疫苗接种和生物银行信息的,并确定了在医疗服务不足的社区中引入HPV疫苗接种和生物银行循证项目(EBP)的策略:EPIS框架指导了四个焦点小组与项目协调员(n = 27)的讨论,以及与来自社区组织和家庭组织的社区领袖(n = 15)的一对一访谈:结果:参与者表示,社区成员了解 HPV 疫苗接种,但不知道 HPV 感染与癌症之间的联系。对生物银行的认识程度较低。由于存在其他健康问题,HPV 疫苗接种和生物银行并不是社区成员优先关注的健康问题。然而,HPV 疫苗接种和生物库被认为是敏感的健康话题。对于 HPV 疫苗接种,敏感性是由于担心 HPV 疫苗接种会促进青少年的性行为,而对于生物银行,敏感性则是由于医学界对有色人种的历史虐待。与会者报告称,项目协调员对 HPV 疫苗接种和生物库的认识取决于其组织的使命。由于缺乏资金,这两项工作都不被视为优先关注的健康问题。有关 HPV 疫苗接种和生物库的 EBP 很少。本文讨论了关于让社区成员参与 HPV 疫苗接种和生物库 EBP 的文化适宜策略的建议:鉴于 HPV 疫苗接种和精准医疗计划有望减少癌症差异,研究结果阐明了在医疗服务不足的社区实施 HPV 疫苗接种和生物库 EBP 时应考虑的因素。
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来源期刊
International Quarterly of Community Health Education
International Quarterly of Community Health Education PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
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期刊介绍: The International Quarterly of Community Health Education is committed to publishing applied research, policy and case studies dealing with community health education and its relationship to social change. Since 1981, this rigorously peer-referred Journal has contained a wide selection of material in readable style and format by contributors who are not only authorities in their field, but can also write with vigor, clarity, and occasionally with humor. Since its introduction the Journal has considered all manuscripts, especially encouraging stimulating articles which manage to combine maximum readability with scholarly standards.
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