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. 2022 Dec 1;17(12):e0278538.
doi: 10.1371/journal.pone.0278538.
eCollection 2022.
Affiliations
Affiliations
- 1 Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, United States of America.
- 2 College of Medicine, University of Illinois at Chicago, Chicago, Illinois, United States of America.
- 3 Mile Square Health Center, UI Health, Chicago, Illinois, United States of America.
- 4 University of Illinois at Chicago, Chicago, Illinois, United States of America.
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Caryn E Peterson et al.
PLoS One.
.
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. 2022 Dec 1;17(12):e0278538.
doi: 10.1371/journal.pone.0278538.
eCollection 2022.
Authors
Affiliations
- 1 Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, United States of America.
- 2 College of Medicine, University of Illinois at Chicago, Chicago, Illinois, United States of America.
- 3 Mile Square Health Center, UI Health, Chicago, Illinois, United States of America.
- 4 University of Illinois at Chicago, Chicago, Illinois, United States of America.
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Abstract
In the US, incidence and mortality from cervical cancer disproportionately affects racial/ethnic minorities and low-income women. Despite affordable access to primary and secondary prevention measures at Federally Qualified Health Centers (FQHCs), Human Papillomavirus (HPV) vaccination and screening rates are low, suggesting the presence of non-financial barriers to uptake in this population. This explanatory sequential mixed-methods study sought to explore factors that influence the acceptability of cervical cancer prevention services among parents and legal guardians of vaccine-eligible girls attending an urban FQHC and to assess social influences related to cervical cancer prevention. Participants included eight mothers, one father, and two grandparents/legal guardians. Nine participants self-identified as Black/Afro-Caribbean, or African American, two as Latinx, and one as Native American. The quantitative data suggested discordance between participants’ cervical cancer prevention knowledge and their practices. Most indicated that their daughters had received the HPV vaccine but were unsure about HPV transmission modes. Qualitative data revealed that participants were comfortable disclosing information on HPV infection and vaccination status, and most women were likely to share information related to cervical cancer testing and diagnosis. Few comments indicated personal stigma on the part of participants, but there was frequent expression of perceived public stigma (shaming and blaming women), gender differences (men are indifferent to risk), and distrust of the healthcare system. Findings highlight several concepts including the disharmony between knowledge and practice, prevalent perceived public stigma, cumbersome attitudes on the part of men regarding HPV and cervical cancer, and distrust of the healthcare system.
Copyright: © 2022 Peterson et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Conflict of interest statement
The authors have declared that no competing interests exist.
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