4.3 Article

Empowering Low-Income Asian American Women to Conduct Human Papillomavirus Self-Sampling Test: A Community-Engaged and Culturally Tailored Intervention

期刊

CANCER CONTROL
卷 29, 期 -, 页码 -

出版社

SAGE PUBLICATIONS INC
DOI: 10.1177/10732748221076813

关键词

human papillomavirus self-test; cervical cancer prevention; women's health; Asian American women; human papilloma virus; community-based participatory research

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资金

  1. faculty research funds under the Center for Asian Health, Temple University
  2. TUFCCC/HC Regional Comprehensive Cancer Health Disparity Partnership from the National Cancer Institute of National Institutes of Health (NCI/NIH) [U54 CA221704(5)]

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This study assessed the feasibility and impact of a culturally tailored intervention to promote HPV self-sampling test among hard-to-reach Asian American women. The intervention significantly increased participants' knowledge on HPV, social support, self-efficacy, and comfort with the self-sampling test.
Background Asian American women face disproportionate burden of cervical cancer (CC) than non-Hispanic white women in the U.S. The goal of this study was to assess the feasibility and impact of a culturally tailored intervention to promote Human papillomavirus (HPV) self-sampling test among hard-to-reach Asian American women. Methods We adopted the community-based participatory research (CBPR) approach to conduct this efficacy study. A total of 156 female participants (56 Chinese, 50 Korean, and 50 Vietnamese) were recruited from community-based organizations (CBOs) in the greater Philadelphia metropolitan area. The intervention components included HPV-related education, HPV self-sampling test kit and instructions, group discussions, and patient navigations, all available in Asian languages. We examined several outcomes, including the completion of HPV self-sampling, HPV-related knowledge, perceived social support, self-efficacy, and comfort with the self-sampling test at post-intervention assessment. Results The majority of Asian American women had low annual household income (62.3% earned less than $20,000) and low educational attainment (61.3% without a college degree). We found significant increase in participants' knowledge on HPV (baseline: 2.83, post: 4.89, P <.001), social support (baseline: 3.91, post: 4.09, P < .001), self-efficacy (baseline: 3.05, post: 3.59, P < .001), and comfortable with HPV self-sample test (baseline: 3.62, post: 4.06, P < .001). Conclusion To the best of our knowledge, this is the first intervention study that promoted HPV self-sampling test among Asian American women. Our findings showed that CBPR culturally tailored intervention of self-sampling was highly effective in empowering low-income Asian American women to conduct HPV self-sampling tests.

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