Abstract
Study Objective
To describe knowledge and risk perception of human papillomavirus (HPV) among deaf
adults who use American sign language (ASL) comparison with hearing adults in the
United States.
Design
Secondary HPV knowledge data for the deaf subset sample were drawn from the Health
Information National Trends survey in ASL that was administered between 2015 and 2018.
HPV knowledge data for the hearing subset sample were drawn from cycle 5 of the Health
Information National Trends survey in English that was administered in 2017.
Setting
Surveys are a nationally based survey of deaf ASL users in the United States and a
nationally based survey of hearing non-ASL users in the United States.
Participants
The age of the deaf and hearing subset samples was determined on the basis of catchup
vaccine eligibility criteria as outlined by the Centers for Disease Control and Prevention
that recommends catchup vaccination in women, men who have sex with men, immunocompromised
individuals, and those who identify as transgender.
Interventions and Main Outcome Measures
We examined HPV, HPV vaccine, and HPV-related cancer knowledge in deaf and hearing
subsets.
Results
Our sample consisted of 235 deaf and 115 hearing adults aged 18-26 years. Of the deaf
participants 58% (136/235) reported knowledge of HPV compared with 84% (97/115) of
hearing participants (P < .001). Hearing participants showed higher accuracy in risk perception of HPV relation
to cervical cancer compared with deaf participants (P < .001). Hearing participants were more likely to have heard of the HPV vaccine as
well as believe it is successful in preventing cervical cancer compared with deaf
participants (P < .001).
Conclusion
Deaf ASL users are less likely to have knowledge of HPV, virus-related cancer risk,
and preventative vaccination compared with hearing peers.
Key Words
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Article info
Publication history
Published online: December 07, 2018
Footnotes
The authors indicate no conflicts of interest.
Identification
Copyright
Published by Elsevier Inc. on behalf of North American Society for Pediatric and Adolescent Gynecology.
