Women's Health Issues
Volume 25, Issue 3, 2015, Pages 262-266

Human Papilloma Virus and Cervical Cancer Education Needs among HIV-Positive Haitian Women in Miami (Article)

Kenya S.* , Carrasquillo O. , Fatil M. , Jones J. , Jean C. , Huff I. , Kobetz E.
  • a Division of General Medicine, University of Miami Miller School of Medicine, Miami, FL, United States
  • b Division of General Medicine, University of Miami Miller School of Medicine, Miami, FL, United States
  • c Division of General Medicine, Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, FL, United States
  • d Division of General Medicine, University of Miami Miller School of Medicine, Miami, FL, United States
  • e Division of General Medicine, Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, FL, United States
  • f Division of General Medicine, University of Miami Miller School of Medicine, Miami, FL, United States
  • g Division of General Medicine, Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, FL, United States

Abstract

Background: Haitian immigrant women, the largest growing Black ethnic group in Miami, experience the highest rates of cervical cancer and account for one of the largest populations diagnosed with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) in South Florida. Using community-based participatory research methods, we conducted a pilot study to examine human papilloma virus (HPV)/cervical cancer knowledge and identify intervention preferences among HIV positive Haitian women. Methods: Community health workers conducted three focus groups with 21 HIV-positive Haitian women. All sessions were conducted in Haitian Kreyol, digitally recorded, and subsequently interpreted and transcribed into English. The first focus group assessed HPV/cervical cancer knowledge, the second session explored HPV/cervical cancer considerations specific to HIV-positive women, and the third focus group discussed HPV/cervical cancer screening and intervention preferences. Data analysis was guided by a grounded theory approach. Findings: Our sample had limited HPV/cervical cancer knowledge. Misconceptions about screening, transmission, and treatment were common. Participants felt that stigma by providers impacted negatively the care they received and that stigma by the community diminished social support. Strong support for culturally tailored interventions to improve HPV/cervical cancer knowledge was expressed. Although no participants had participated in research previously, all were willing to participate in future trials. Conclusions: There is critical need for culturally relevant interventions to improve HPV/cervical cancer knowledge among HIV-positive Haitian women. © 2015 Jacobs Institute of Women's Health.

Author Keywords

[No Keywords available]

Index Keywords

information processing Needs Assessment health promotion Human immunodeficiency virus infection health disparity Health Status Disparities human middle aged Human immunodeficiency virus infected patient Aged cancer screening social support health auxiliary HIV Seropositivity ethnology qualitative research Haitian Haiti Wart virus United States Florida migrant psychology Humans Adolescent Emigrants and Immigrants female pilot study clinical article Social Stigma stigma cultural factor Health Knowledge, Attitudes, Practice patient education Article adult grounded theory health education uterine cervix cancer Papillomavirus Infections Uterine Cervical Neoplasms patient attitude virus transmission participatory research Community-Based Participatory Research Health Services Accessibility Patient Acceptance of Health Care community sample attitude to health Pilot Projects Focus Groups health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84929134286&doi=10.1016%2fj.whi.2014.12.007&partnerID=40&md5=781e74e1b59b4722e4566b56f9430427
DOI: 10.1016/j.whi.2014.12.007
ISSN: 10493867
Cited by: 7
Original Language: English