Tailoring an Intervention with Parents in Rural Areas to Reduce HPV Transmission

与农村地区的家长一起制定干预措施以减少 HPV 传播

基本信息

批准号：
8284539
负责人：
Tami Lynn Thomas
金额：
$ 8.04万
依托单位：
EMORY UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-05-01 至 2013-04-30
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): Tailoring an Intervention with Parents in Rural Areas to Reduce HPV Transmission Women who live in rural areas are dying at higher rates from cervical cancer related to Human Papillomavirus (HPV) Infection than their urban counterparts, and yet 3.7 billion healthcare dollars are spent each year for the treatment of HPV infection, genital warts, and cervical cancer.1-4 These human and fiscal costs could be markedly reduced if the HPV vaccine, a series of three shots over six months, is given prior to first sexual contact.4-6 However, for children to be protected against HPV infection, parents must give consent.6 Unfortunately in rural areas, rates of HPV vaccination are very low, less than 20% in some counties.4 The HPV vaccine was approved in 2006 for girls and in December 2009 for males ages 9 to 26 though there are no statistics available for male vaccination yet.7-10 National incidence rates of cervical cancer and other HPV related cancers are disproportionately higher for women living in the rural areas where geographic disparities emerge from large distances traveled to access healthcare resources.9-11 The health disparities affecting families living in rural areas of Georgia are well documented, providing a compelling reason to choose this population for study.11-15 Past research studies have focused on parents and HPV vaccination but many of these were completed prior to vaccine availability, relied on self-report, and focused predominantly on women living in urban areas seeking clinical services.16-23 These studies provided valuable information though they cannot be generalized to parents living in rural areas. In addition, there are no qualitative studies that address low HP vaccination rates in rural areas of Georgia. Any intervention developed to reduce HPV transmission and HPV-related cancers, such as cervical cancer, must include parental input as only the parent/caregiver (P/C) can provide consent for HPV vaccination.24-26 Since there is evidence that mistrust of healthcare interventions persists, particularly among African Americans, the proposed study will use an anonymous focus group approach to provide narrative data to explicate a better understanding of why parents choose to vaccinate their children ages 9 to 13 with the HPV vaccine.27-29 Results from a completed quantitative pilot form the basis of the questions to be asked in this proposed focus group study; these questions will be posed by focus group leaders who are trained by the Principal Investigator (PI). We expect to collect greater amounts of in-depth, culturally rich information using this qualitative method and then develop a tailored intervention that will emerge from the focus group data to increase HPV vaccine rates thereby reducing HPV transmission. PUBLIC HEALTH RELEVANCE: Project Narrative Almost 4 billion healthcare dollars are spent each year for the treatment of HPV infection including genital warts, cervical cancer and other HPV-related cancers. These human and fiscal costs can be reduced if the HPV vaccine is given prior to first sexual contact. However, for children to be protected against HPV infection, parents must give consent. This study will collect focus group data from parents with children ages 9 to 13 who reside in rural Georgia to identify the reasons why they do or do not vaccinate their children with the HPV Vaccine.

DESCRIPTION (provided by applicant): Tailoring an Intervention with Parents in Rural Areas to Reduce HPV Transmission Women who live in rural areas are dying at higher rates from cervical cancer related to Human Papillomavirus (HPV) Infection than their urban counterparts, and yet 3.7 billion healthcare dollars are spent each year for the treatment of HPV infection, genital warts, and cervical cancer.1-4 These human and fiscal costs could be如果在第一次性接触之前给出了HPV疫苗，这是在六个月内进行的三枪疫苗。4-6然而，为了保护儿童免受HPV感染的保护，父母必须给予同意。6不幸的是，在农村地区，HPV疫苗的发生率很低，在某些县中，HPV疫苗不到20％。4HPV疫苗在2009年批准了2009年，在2009年，在2009年批准了2006年，在2009年，在2009年，在2009年，在2009年，在2009年中，在2009年，在2009年中，在12月2009年，在2009年中，在12月份批准了2006年。 7-10在农村地区出现的妇女，宫颈癌和其他与HPV相关的癌症的国家发病率不成比例地较高HPV疫苗接种，但其中许多是在疫苗可用性之前完成的，依靠自我报告，主要集中于居住在城市地区寻求临床服务的妇女。16-23这些研究提供了有价值的信息，尽管不能将其推广到居住在农村地区的父母。此外，没有定性研究可以解决佐治亚州农村地区的HP疫苗接种率低。为了减少HPV传播和与HPV相关的癌症（例如宫颈癌）所开发的任何干预措施，必须包括父母的输入，因为只有父母/照料者（P/C）才能为HPV疫苗接种提供同意。24-26。24-26。由于有证据表明，有证据表明，在非洲人中，探讨了一个详细范围，因此可以更好地理解一定人心的详细范围，以便在非洲人中使用任何narry的详细信息，因此，narrion的详细范围是narrion的方法，因此，narry的详细措施是narry的宣传范围。用HPV疫苗接种9至13岁的儿童。27-29由完整的定量试点造成的结果构成了该提议的焦点小组研究中要提出的问题的基础；这些问题将由受主要研究人员（PI）培训的焦点小组领导者提出。我们希望使用这种定性方法收集更多的深入，文化丰富的信息，然后开发量身定制的干预措施，从焦点组数据中出现，以提高HPV疫苗率，从而降低HPV的传播。公共卫生相关性：项目叙事每年花费近40亿款医疗保健费用用于治疗HPV感染，包括生殖器疣，宫颈癌和其他与HPV相关的癌症。如果在第一次性接触之前给予HPV疫苗，则可以降低这些人类和财政成本。但是，要保护儿童免受HPV感染，父母必须同意。这项研究将从居住在佐治亚州农村的9至13岁的父母那里收集焦点小组数据，以确定他们这样做或不以HPV疫苗接种孩子的原因。