Effect of Educational Intervention on Cervical Cancer Prevention and Screening in Hispanic Women

Foley, Olivia W.; Birrer, Nicole; Rauh‐Hain, J. Alejandro; Clark, Rachel M.; DiTavi, Elizabeth; Carmen, Marcela G. del

doi:10.1007/s10900-015-0045-x

Cited by 17 publications

(11 citation statements)

References 23 publications

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“…One pamphlet or educational material may not be sufficient, and education may need to be delivered over a longer period of time, as opposed to a one-time exposure. Results from this study make it clear that effective cervical cancer screening interventions are needed to not only increase screening uptake, 17 but to increase awareness and knowledge, address perceptions, and promote adherence to screening guidelines, 18 and additional research is needed to understand the essential core components of educational interventions 19,20 targeting screening attitudes and beliefs among low-income and medically underserved women.…”

Section: Discussionmentioning

confidence: 99%

Changes in Knowledge and Beliefs About Human Papillomavirus and Cervical Cancer Screening Intervals in Low-Income Women After an Educational Intervention

Roland

Benard

Greek

et al. 2016

J Prim Care Community Health

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Introduction Women have been reluctant to adopt longer than annual intervals for cervical cancer screening, despite guidelines recommending screening every 3 to 5 years. Our study assessed patient knowledge and beliefs about human papillomavirus (HPV) and cervical cancer screening after exposure to an educational intervention, and whether there was a change in time regarding knowledge and beliefs among all study participants in an underserved population. Method The study was conducted in 15 clinics associated with 6 Federally Qualified Health Centers in Illinois, USA. Cervical cancer screening patients (n = 644) completed a baseline and postintervention follow-up survey. The intervention included an HPV test and an educational pamphlet. Significance testing of changes in knowledge and beliefs was conducted with multilevel, mixed-effects models adjusting for repeated measures of patients and clustering within clinics. Results No significant differences in study outcomes were found between the intervention and control groups. Among all women, knowledge of HPV significantly improved over time. At follow-up, fewer women reported that having a co-test is good, wise, will give you peace of mind, will tell you whether you need to worry if Pap is abnormal, is something your doctor thinks you should have, and will give you the best care available. More women said it would be bad, useless, or worrying to wait 3 years for a Pap test at follow-up. Conclusion HPV knowledge improved over time, but the educational intervention utilized in this study was not successful in improving attitudes and beliefs about co-testing and longer screening intervals, and beliefs about HPV co-testing and 3-year screening intervals were less favorable. Having health care providers discuss the consequences of overscreening and the natural history of HPV and cervical cancer with their patients may help increase adherence to longer screening intervals. Further examination of the essential components for educational intervention in this population is warranted.

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Section: Discussionmentioning

confidence: 99%

Changes in Knowledge and Beliefs About Human Papillomavirus and Cervical Cancer Screening Intervals in Low-Income Women After an Educational Intervention

Roland

Benard

Greek

et al. 2016

J Prim Care Community Health

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“…By engaging the target community, they were able to significantly increase middle and high school students’ interest in vaccination through education ( 52 ). A study targeting Hispanic women first administered a survey to ensure the educational material was tailored toward the target population’s baseline knowledge and was able to demonstrate significant increase in intention to vaccinate ( 53 ). While these two studies were successful in increasing interest in vaccination and willingness to vaccinate, other attempts have been less successful.…”

Section: Interventions To Improve Delivery Of the Hpv Vaccinementioning

confidence: 99%

Preventing Cervical Cancer in the United States: Barriers and Resolutions for HPV Vaccination

Beavis

Levinson

2016

Front. Oncol.

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Human papillomavirus (HPV) vaccination rates for preadolescent and adolescent girls in the United States are far behind those of other developed nations. These rates differ substantially by region and state, socioeconomic status, and insurance status. In parents and young women, a lack of awareness and a misperception of the risk of this vaccine drive low vaccination rates. In physicians, lack of comfort with discussion of sexuality and the perception that the vaccine should be delayed to a later age contribute to low vaccination rates. Patient- and physician-targeted educational campaigns, systems-based interventions, and school-based vaccine clinics offer a variety of ways to address the barriers to HPV vaccination. A diverse and culturally appropriate approach to promoting vaccine uptake has the potential to significantly improve vaccination rates in order to reach the Healthy People 2020 goal of over 80% vaccination in adolescent girls. This article reviews the disparities in HPV vaccination rates in girls in the United States, the influences of patients’, physicians’, and parents’ attitudes on vaccine uptake, and the proposed interventions that may help the United States reach its goal for vaccine coverage.

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“…Public health research suggests that awareness and knowledge of HPV are important to vaccine acceptance and uptake (Beavis & Levinson, 2016; Foley et al, 2015; Galbraith et al, 2016; Kessels et al, 2012). However, systematic investigation has documented highly variable levels of knowledge and awareness (Beshers, Murphy, Fix, & Mahoney, 2015; Blake et al, 2015; Daley et al, 2011; Pierre et al, 2014; Reimer, Schommer, Houlihan, & Gerrard, 2014), and recently published research found that only 68% of respondents from a nationally representative sample of U.S. adults had heard of HPV and the HPV vaccine (Blake et al, 2015).…”

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confidence: 99%

Predictors of Adults’ Knowledge and Awareness of HPV, HPV-Associated Cancers, and the HPV Vaccine: Implications for Health Education

2017

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High human papillomavirus (HPV) prevalence and low HPV vaccine uptake are significant public health concerns. Disparities in HPV-associated cancers and HPV vaccine uptake rates suggest the need for additional research examining factors associated with vaccine acceptance. This study assessed HPV awareness and knowledge and identified sociodemographic characteristics associated with HPV knowledge at the population level. Data from adult men ( n = 1,197) and women ( n = 1,906) who participated in the National Cancer Institute's 2014 Health Information National Trends Survey were analyzed. Multivariable regression was used to identify predictors of four HPV knowledge categories: (1) general knowledge, (2) cervical cancer knowledge, (3) "other" cancer knowledge (i.e., anal, oral, penile), and (4) vaccine knowledge. Significant gender differences in awareness and knowledge of HPV and the HPV vaccine were revealed. Most participants (>70%) knew that HPV could cause cervical cancer, but fewer (14.9% to 31.5%) knew of the association between HPV and "other" cancers. Women were more likely to report that a health care provider recommended vaccination. Significant predictors of general HPV and HPV vaccine knowledge included gender, education, income, race, and other sociodemographic characteristics. Age and income predicted cervical cancer knowledge. Knowledge of "other" HPV-associated cancers was predicted by having a child under 18 years in the household and relationship status. HPV knowledge appears to be socially patterned. Low HPV knowledge among men and some racial minorities suggests a need for further intervention. Health education should emphasize risks of noncervical HPV-associated cancers. Patient-provider communication that includes education, counseling, and clear recommendations favoring vaccination may improve uptake.

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Effect of Educational Intervention on Cervical Cancer Prevention and Screening in Hispanic Women

Cited by 17 publications

References 23 publications

Changes in Knowledge and Beliefs About Human Papillomavirus and Cervical Cancer Screening Intervals in Low-Income Women After an Educational Intervention

Changes in Knowledge and Beliefs About Human Papillomavirus and Cervical Cancer Screening Intervals in Low-Income Women After an Educational Intervention

Preventing Cervical Cancer in the United States: Barriers and Resolutions for HPV Vaccination

Predictors of Adults’ Knowledge and Awareness of HPV, HPV-Associated Cancers, and the HPV Vaccine: Implications for Health Education

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