Evaluating the Influence of Culture and Risk Perception on HPV Vaccination Intention among Haitian Immigrant Women Living with HIV

评估文化和风险认知对感染 HIV 的海地移民妇女 HPV 疫苗接种意愿的影响

• 批准号: 10700372
• 负责人: Dominique Guillaume
• 金额: $ 5.02万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-23 至 2025-05-22
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10700372
• 关键词: Acculturation; Address; Affect; Affective; Behavior; Behavior Therapy; Cancer Etiology; Cessation of life; Cognitive; Communication Programs; Communities; Community Health; Data; Decision Making; Development; Dimensions; Disease; Disparity; Emotional; Emotions; Ethnic Population; Evaluation; Feeling; Female; Florida; Formulation; Geographic Locations; HIV; HIV Infections; Haitian; Health; Health Promotion; Health Status; Health behavior; Human Papilloma Virus Vaccination; Human Papilloma Virus Vaccine; Human Papilloma Virus-Related Malignant Neoplasm; Human Papillomavirus; Immigrant; Immunization; Incidence; Individual; Intention; Intervention; Intuition; Knowledge; Link; Literature; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Measures; Mentors; Methods; Minority; Modeling; Perception; Planning Theory; Population; Population Heterogeneity; Prevalence; Prevention Measures; Preventive; Procedures; Process; Race; Reporting; Research; Risk; Role; Sampling; Sexism; Sexual Transmission; Shapes; Shoulder; Social Environment; Societies; Strategic Planning; Thinking; Treatment Cost; Uncertainty; United States; Variant; Woman; black women; burden of illness; cancer prevention; cancer risk; cervical cancer prevention; cognitive process; disorder risk; ethnic minority; experience; health communication; health disparity; high risk; population health; prevent; psychosocial; racial disparity; racial minority; racial population; racism; risk perception; social stigma; socioeconomics; uptake; vaccine acceptance

Evaluating the Influence of Culture and Risk Perception on HPV Vaccination Intention among Haitian Immigrant Women Living with HIV PROJECT SUMMARY Cervical cancer is the primary cause of cancer-related deaths among women living with HIV. Haitian immigrant women have one of the highest incidence rates of cervical cancer in the nation and are disproportionately affected by HIV. The dual disease burden of HIV and cervical cancer that Haitian immigrant women experience is critical to note as HIV significantly increases the risk of developing cervical cancer. Cervical cancer can be prevented through immunization with the human papillomavirus (HPV) vaccine, however HPV vaccine uptake in this community is excessively low despite their high risk. Research has noted a link between individuals’ perceived risk of cancer, and their intention of undergoing cancer prevention behaviors. Recent studies have highlighted a key role of affect (i.e. emotions), feelings, and thoughts, which are influenced by cultural worldviews, in the rapid, automatic formulation of cancer risk perceptions and cancer prevention behaviors. Studies have continuously highlighted the disparities in cervical cancer incidence rates among Haitian immigrant women, along with Haitian immigrant women’s low uptake of cervical cancer prevention measures. However, literature has been limited to date in evaluating the psychosocial and cultural factors that influence Haitian immigrant women’s intention of undergoing HPV vaccination. More specifically, cultural worldviews and affective risk perceptions towards HPV and cervical cancer, and the influence these factors have on HPV vaccination intention, are largely unexplored among Haitian immigrant women living with HIV. The aims of this study are: 1) To qualitatively explore cultural worldviews and affective risk perception on HPV vaccination intention. Cultural worldview items will be developed from qualitative data. 2) To examine whether predictors of HPV vaccination intention (e.g. cultural worldviews, affective risk perception, individual level factors) will differ among Haitian immigrant women based on HIV status 3) To converge qualitative and quantitative findings to understand how affective risk perceptions and cultural worldviews influence HPV vaccination intention among Haitian immigrant women. The contributions of the present proposal are significant as this study will be one of the first to comprehensively assess the role of risk perception as a motivator of health behaviors related to HPV vaccination in this high-risk community.

评估文化和风险认知对海地人 HPV 疫苗接种意愿的影响 感染艾滋病毒的移民妇女 项目概要 宫颈癌是海地移民艾滋病毒携带者癌症相关死亡的主要原因。 女性是全国宫颈癌发病率最高的国家之一，而且女性的宫颈癌发病率不成比例。 海地移民妇女遭受艾滋病毒和宫颈癌的双重疾病负担。 值得注意的是，艾滋病毒会显着增加患宫颈癌的风险。 通过接种人乳头瘤病毒 (HPV) 疫苗可以预防，但是 HPV 疫苗的摄入 尽管风险很高，但该社区的风险仍然很低。研究指出，个人的风险之间存在联系。 最近的研究表明，他们感知到的癌症风险以及他们进行癌症预防行为的意图。 强调了情感（即情感）、感觉和思想的关键作用，这些都受到文化的影响 世界观，快速、自动地形成癌症风险认知和癌症预防行为。 研究不断凸显海地人宫颈癌发病率的差异 移民妇女，以及海地移民妇女对宫颈癌预防措施的采用率较低。 然而，迄今为止，文献在评估影响社会心理和文化因素方面还很有限。 海地移民妇女接受 HPV 疫苗接种的意愿更具体地说，是文化世界观和文化观念。 对 HPV 和宫颈癌的情感风险认知，以及这些因素对 HPV 的影响 感染艾滋病毒的海地移民妇女的疫苗接种意愿在很大程度上尚未得到探索。 研究内容是： 1) 定性探讨 HPV 疫苗接种的文化世界观和情感风险认知 文化世界观项目将从定性数据中发展 2) 检查预测因素。 HPV 疫苗接种意愿（例如文化世界观、情感风险感知、个人水平因素）将 海地移民妇女因艾滋病毒感染状况而存在差异 3) 定性和定量的趋同 研究结果旨在了解情感风险认知和文化世界观如何影响 HPV 疫苗接种 本提案的贡献意义重大。 该研究将是第一个全面评估风险认知作为健康激励因素的作用的研究之一 该高危社区中与 HPV 疫苗接种相关的行为。