Human papillomavirus knowledge among Indigenous women of the Northern Plains: Exploring psychosocial and cultural determinants
Lee, Yeon-Shim Roh, Soonhee Lee, Kyoung Hag Tietze, Johanna Prue-Owens, Kathy Warne, Donald K.
Lee, Yeon-Shim
Roh, Soonhee
Lee, Kyoung Hag
Tietze, Johanna
Prue-Owens, Kathy
Warne, Donald K.
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2025-05-04
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Article
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Cultural constructs,HPV knowledge,Indigenous women,Psychosocial factors
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Lee, Y. S., Roh, S., Lee, K. H., Tietze, J., Prue-Owens, K., & Warne, D. K. (2025). Human papillomavirus knowledge among Indigenous women of the Northern Plains: Exploring psychosocial and cultural determinants. Journal of Human Behavior in the Social Environment, 1–16. https://doi.org/10.1080/10911359.2025.2498402
Abstract
This study examined the associations of psychosocial and cultural determinants with Human Papillomavirus (HPV) knowledge among Indigenous women of the Northern Plains. We used an integrative conceptual model and expanded on the Behavioral Model of Health Services Use to include cultural constructs. The sample consisted of 286 Indigenous women living in South Dakota. Hierarchical regression analysis was performed to analyze cross-sectional data. Indigenous women in our study reported low-moderate HPV knowledge. Nearly three in four reported family cancer history. Hierarchical regression analysis revealed that three of the psychosocial factors (marital status, breast cancer knowledge, and cervical cancer knowledge) were strong correlates of HPV knowledge. Two cultural factors (family support and prevention orientation) were significant predictors of HPV knowledge. Findings convey the urgency of preventing HPV disease and its associated risks and highlight the importance of increasing HPV knowledge and awareness. Identification of unique psychosocial and cultural characteristics based on tribes, traditions, and geographic locations, and characterization of barriers/facilitators to HPV knowledge may be an important step toward developing targeted, culturally tailored HPV educational interventions. © 2025 Taylor & Francis Group, LLC.
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Routledge
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Journal of Human Behavior in the Social Environment
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10911359