gloria manuel, marlene marquez, and jennifer nguyen university of colorado denver fall 2013
TRANSCRIPT
Barriers and Intervention Methods for Preventing Human
Papillomavirus in the Latino Hispanic Community
Gloria Manuel, Marlene Marquez, and Jennifer NguyenUniversity of Colorado Denver
Fall 2013
HPV is the most common and most costly sexually transmitted disease worldwide
Nearly all cervical cancers are caused by the Human papillomavirus (HPV) strains 16 & 18◦ About12,000 cervical cancer cases per
year◦ About 4,000 cervical cancer deaths per
year
Approximately 42.5% of U.S. women are infected with HPV at some point in their lives
HPV and Cervical Cancer
(National Cancer Institute, SEER Data, 2013)
(American Cancer Society, 2012)
Incidence and Mortality Rates1999-2007
HPV-Related Cancers in Women
(JNCI, 2012 )
Annual Report to the Nation on the Status of Cancer, 1975-2009.
HPV Vaccine Recommendations:◦ Gardasil and Cervarix◦ Females ages 11-26: 11-17 and 18-26 years old◦ Males ages 11-21◦ 3 doses over 6 months
Reducing Behavioral Risks◦ Regular use of condoms◦ Limiting the number of partners
Cervical Cancer Prevention
(ACS, 2012)
HPV Testing Recommendations◦ Age 30 or older ◦ Abnormal Pap smears
Cervical Cancer Screening Recommendations◦ Beginning at age 21◦ Ages 21 to 29 - Pap test every 3 years◦ Ages 30 to 65 - Pap test and HPV test every 5
years; OR a Pap test alone every 3 years.
Cervical Cancer Early Detection
(ACS, 2012; CDC, 2013)
HPV infection Diet Smoking Poverty Oral Contraceptives Family History
Cervical Cancer Risk Factors
(ACS, 2012)
Healthy People 2020’s objective for cervical cancer is to reduce the mortality rate by 10%
Objective for Cervical Cancer
Baseline: 2.4 uterine cervix cancer deaths per 100,000 females occurred in 2007 (age adjusted to the year 200 standard population
Target: 2.2 deaths per 100,000 females
Target-Setting Method: 10 percent improvement
Cost and Access to Care Cultural Beliefs/Language Lack of Knowledge/Literacy
Misconceptions Psychological Factors Patient/Parents Factors/
Acceptance
Factors Affecting Cervical Cancer Prevention and
Treatment
Parental consent/acceptance Barriers for parents Physicians/pediatricians beliefs and
attitudes
Parent & Health Care Provider Factors in Acceptance of Vaccine
Addressing cost issue Education Engaging health care workers Culturally-tailored interventions Engage friends and family Empowering Latinas
Interventions to Reduce Health Disparity
Discuss cost issue with patients Financial assistance (e.g., cover cost, co-
pays) Work with the Vaccines for Children program
Addressing Cost
Culturally tailored educational materials to increase HPV and vaccines knowledge◦ Use different methods to educate
Radionovelas Pamphlets in Spanish Magazines/Newspapers in Spanish Focus groups – both adolescents and parents
Provide pediatricians with resources and trainings on how to approach parents
Increasing Knowledge
Engaging health care workers◦ Using Promotoras
Culturally tailored interventions◦ Address barriers to community (i.e. transportation
problems), use community-based methods, include schools, churches, etc.
Culturally-Tailored Interventions
Engaging friends and family◦ Educating parents, peers, siblings◦ Having informative sessions for parents-only
Empowering women to advocate for themselves and their children
Increase Social Network
HPV in boys and men Life of HPV vaccine Continue building
culturally-tailored research and interventions for Latinas
Future Directions
NBCLatino.com