宫癌知识和对信息来源的信任差异在不同美国女性中
Payton J Smith1, Sherrie Flynt Wallington2,3
1George Washington University School of Nursing, 1919 Pennsylvania AvenueSuite 500, Washington, NW, 20006, USA.
概括
人类乳头瘤病毒 (HPV) 意识的差异在少数族裔女性,老年人和受教育程度较低的人群中仍然存在. 对医疗保健提供者和首选信息来源的信任显著影响HPV知识和宫癌预防行为.
科学领域:
- 公共卫生 公共卫生
- 健康差距 研究 研究 研究 研究
- 卫生沟通健康沟通
背景情况:
- 由于预防和查方面的进步,子宫癌的发病率有所下降.
- 然而,在各种人口群体中,宫癌知识和结果的健康差异仍然存在.
- 了解影响健康知识的因素对于解决这些差异至关重要.
研究的目的:
- 检查对健康信息来源的信任和偏好如何影响与宫癌相关的知识和行为.
- 确定导致人类乳头瘤病毒 (HPV) 意识和信仰健康差异的人口差异.
- 为减少宫癌差异提供有针对性的干预信息.
主要方法:
- 利用了来自健康信息国家趋势调查 (HINTS) 的数据.
- 采用加权奇平方测试和多变量逻辑回归分析.
- 评估了人口因素,信息来源偏好,信任,HPV意识和宫癌信仰之间的关联.
主要成果:
- 观察到HPV意识的显著差异,与白人女性相比,黑人,西班牙裔和亚洲女性的意识较低.
- 年龄较大和教育程度较低与HPV知识的减少有关.
- 对医生的低信任 (aOR,0.499) 和对书面材料的偏好 (aOR,0.312) 与较低的HPV意识相关.
- 对慈善组织的信任度低 (aOR,0.647) 与HPV导致子宫癌的信念较低有关.
- 与偏爱医生相比,对互联网来源的偏好 (aOR,1.544) 与HPV意识的更高几率有关.
结论:
- 少数群体,老年妇女和教育程度较低的人群的HPV知识明显较低.
- 需要量身定制的沟通策略,文化敏感的方法和数字健康干预措施.
- 促进患者与医疗服务提供者之间的信任和解决信息来源偏好对于减少宫癌差异至关重要.
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