Targeted Intervention Strategies to Promote HPV-associated Cancer Equity

Objectives: Human papillomavirus (HPV) is a set of viruses that affects both men and women and is transmitted through vaginal, anal, or oral sex. Higher HPV literacy, such as knowledge about the disease and how it can be prevented, increases the likelihood of HPV vaccine uptake, thereby preventing the spread of HIV. In this study, we investigated the level of HPV literacy and the associated factors with HPV literacy among adults in Minnesota. Methods: A cross-sectional survey was completed with 733 adults aged 18 years and older. Application of Andersen's Behavioral Model of Health Services Use, along with the conduction of multiple regression analysis, helped examined the factors associated with HPV literacy. Results: The mean score of HPV literacy of participants was 6.05 (SD = 1.50) out of a total possible 8 points. This study indicated age and race/ethnicity disparities regarding HPV literacy. Education, health insurance coverage, and self-reported health status significantly predicted HPV literacy. Conclusion: Future efforts are needed to improve HPV literacy among those who have lower education levels and lack insurance coverage. Additionally, lower scores on specific HPV literacy items suggest that health education should target more specific knowledge aiming to improve general HPV literacy.