# Increasing HPV and Cervical Cancer Education Among Native American Communities and Healthcare Providers

## TL;DR

A culturally tailored educational program improved knowledge and attitudes about HPV and vaccination among Native American communities and healthcare providers in Northern Arizona.

## Contribution

The study introduces a culturally tailored educational intervention to address HPV-related health disparities in Native American populations.

## Key findings

- Participants showed improved knowledge about HPV, the vaccine, and its link to cancer after the intervention.
- 93% of participants recognized the importance of catching up on vaccinations, but only 64% supported vaccination after a positive Pap test.
- Vignettes revealed generally positive attitudes toward the safety and importance of HPV vaccination.

## Abstract

Human papillomavirus (HPV) is the most common sexually transmitted infection. Among Native Americans, HPV-associated cancers can lead health disparities in cervical cancer and increased rates of oral cancer in men. We designed a pilot study using a culturally tailored educational intervention aimed to improve knowledge and attitudes toward HPV and the vaccine among community members and healthcare providers in Northern Arizona. The one-hour intervention included in-person and online presentations, along with pre-and post-electronic surveys that assessed changes in knowledge and attitudes regarding HPV. The surveys featured demographic questions, true/false knowledge questions, and vignettes. Of the 67 participants in the intervention, the majority were females aged 18 to 55 years. About 32% identified as Native American, 47% as non-Hispanic White, and 8% as Hispanic. Students comprised the majority (46%) of participants, while healthcare providers, educators, staff, and social workers accounted for 25%. Attitudes towards HPV and the vaccine indicated that 93% of participants recognized the importance of catching up on vaccinations, though only 64% supported vaccination following a positive Pap test. Vignettes showed generally positive attitudes towards vaccination, with strong agreement on its importance and safety. Knowledge about HPV, the vaccine, and its association with cancer improved following the intervention. The pilot study demonstrates that culturally tailored educational interventions can effectively enhance knowledge and attitudes toward HPV and its vaccine, potentially reducing cancer-related disparities in Native American communities. Ongoing efforts are necessary to address remaining gaps in awareness and vaccine uptake.

The online version contains supplementary material available at 10.1007/s13187-025-02619-w.