TY - JOUR
T1 - Empowering Low-Income Asian American Women to Conduct Human Papillomavirus Self-Sampling Test
T2 - A Community-Engaged and Culturally Tailored Intervention
AU - Ma, Grace X.
AU - Zhu, Lin
AU - Zhai, Shumenghui
AU - Lin, Timmy R.
AU - Tan, Yin
AU - Johnson, Cicely
AU - Fang, Carolyn Y.
AU - Belinson, Jerome L.
AU - Wang, Min Qi
N1 - Publisher Copyright:
© The Author(s) 2022.
PY - 2022/2/19
Y1 - 2022/2/19
N2 - 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.
AB - 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.
KW - Asian American women
KW - cervical cancer prevention
KW - community-based participatory research
KW - human papilloma virus
KW - human papillomavirus self-test
KW - women’s health
KW - Early Detection of Cancer
KW - Humans
KW - Health Knowledge, Attitudes, Practice
KW - Asian
KW - Alphapapillomavirus
KW - Female
KW - Papillomaviridae
KW - Papillomavirus Infections/diagnosis
KW - Power, Psychological
UR - http://www.scopus.com/inward/record.url?scp=85125156575&partnerID=8YFLogxK
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=purepublist2023&SrcAuth=WosAPI&KeyUT=WOS:000765313800001&DestLinkType=FullRecord&DestApp=WOS
U2 - 10.1177/10732748221076813
DO - 10.1177/10732748221076813
M3 - Article
C2 - 35193408
SN - 1073-2748
VL - 29
JO - Cancer Control
JF - Cancer Control
ER -