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

Grace X. Ma, Lin Zhu, Shumenghui Zhai, Timmy R. Lin, Yin Tan, Cicely Johnson, Carolyn Y. Fang, Jerome L. Belinson, Min Qi Wang

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

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.

Original languageEnglish
JournalCancer Control
Volume29
DOIs
StatePublished - Feb 19 2022
Externally publishedYes

Keywords

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

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