One size does not fit all: differences in HPV knowledge between Haitian and African American women.
BACKGROUND
Historically, all black persons, regardless of ancestry or country of origin, have been categorized as one group for cancer research and control efforts. This practice likely masks variability in exposure to determinants of disease, as well as in risk of cancer incidence and mortality. The current study examines potential differences in knowledge of human papilloma virus (HPV) between Haitian women living in Little Haiti, Miami, Florida, and a national sample of predominately African American women.


METHODS
Data for Haitian women were collected in 2007 as part of an ongoing community-based participatory research initiative in Little Haiti. For purposes of comparison, we used data from a largely African American subsample of the 2007 Health Information National Trends Survey (HINTS). These data sources used identical items to assess HPV knowledge, providing a unique opportunity to examine how this outcome may vary between two very distinct populations who are often grouped together for research and disease surveillance.


RESULTS
Relative to the HINTS sample, Haitian women were far less likely to have heard about HPV.


CONCLUSIONS
Study data highlight important differences in Haitian and African American women's knowledge of HPV, a known determinant of cervical cancer risk. Such findings suggest that continuing to classify persons of similar phenotype but different cultural backgrounds and lifetime exposures as one group may preclude opportunity to understand, as well as attenuate, health disparity.
Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, FL 33136, USA. ekobetz@med.miami.edu
Erin
E
Kobetz
Angela
A
Dunn Mendoza
Janelle
J
Menard
Lila
L
Finney Rutten
Joshua
J
Diem
Betsy
B
Barton
Julie
J
Kornfeld
Nathalie
N
McKenzie
D001741:Black or African American; D005260:Female; D006205:Haiti; D015438:Health Behavior / Q000208:ethnology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D030361:Papillomavirus Infections