不同种族和族裔群体之间的人乳头状瘤病毒（HPV）认知和疫苗接种存在不平等。我们评估了非西班牙裔黑人美国成年人对HPV和HPV疫苗的认知差异。我们分析了美国国立癌症研究所（HINTS5-Cycle 1,2,3,4）在2017-2020年间进行的针对18岁及以上美国成年人的全国代表性数据，样本量为16,092人，其中非西班牙裔黑人成年人为2,011人。我们使用加权泊松回归模型估计了非西班牙裔黑人美国成年人在HPV和HPV疫苗认知方面的差异。在美国，63.2%的非西班牙裔黑人成年人听说过HPV，57.6%的人了解HPV疫苗。与男性相比，黑人女性对HPV和HPV疫苗的认知程度分别高出1.3倍和1.5倍（PR = 1.3; 95% CI = 1.2-1.4; P ≤ 0.001）和（PR = 1.5; 95% CI = 1.4-1.6; P ≤ 0.001）。与高中以下受教育者相比，接受过大学教育的黑人对HPV和HPV疫苗的认知程度分别高出1.8倍和2.2倍（PR = 1.8; 95% CI = 1.4-2.4; P ≤ 0.001）和（PR = 2.2; 95% CI = 1.8-2.7; P ≤ 0.001）。与2017年相比，2020年收入≤ $35K的黑人成年人对HPV的认知较低。非西班牙裔黑人之间存在HPV和HPV疫苗认知的差异。为促进HPV疫苗接种率的提高并减少与HPV相关癌症的不平等，未来的干预措施必须针对男性和劣势人群，以填补现有的认知差距。© 2023年，作者，独家授权给Springer Science+Business Media, LLC的一部分，Springer Nature。

Disparities persists in HPV awareness and vaccination among different racial and ethnic groups. We assessed disparities in awareness of HPV and the HPV vaccine among non-Hispanic Black US adults. We analyzed the nationally representative data from the Health Information National Trends Survey of US adults 18 years or older (n = 16,092) administered by the National Cancer Institute (HINTS5-Cycle 1,2,3,4) for the years 2017-2020, of which 2,011 (n = 2,011) were non-Hispanic Black adults. Weighted Poisson regression models were used to estimate disparities in HPV and HPV vaccination awareness among non-Hispanic Black US adults. In the US, 63.2% of non-Hispanic Black adults had heard of HPV and 57.6% were aware of the HPV vaccine. Black females had 1.3 and 1.5 times the prevalence of HPV and the HPV vaccine awareness compared to males (PR = 1.3; 95% CI = 1.2-1.4; P ≤ 0.001) and (PR = 1.5; 95% CI = 1.4-1.6; P ≤ 0.001) respectively. Blacks with a college education had 1.8 and 2.2 times the prevalence of HPV and HPV vaccine awareness (PR = 1.8; 95% CI = 1.4-2.4; P ≤ 0.001) and (PR = 2.2; 95% CI = 1.8-2.7; P ≤ 0.001) respectively, compared to those with less than a high school education. Compared to 2017, Black adults with ≤ $35K income were less aware about HPV in 2020. There was evidence of disparities in HPV and HPV vaccine awareness among non-Hispanic Blacks. To foster improvements in HPV vaccine uptake and reduce disparities in HPV-associated cancers, future interventions must target men and disadvantaged populations, for whom awareness gaps exist.© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.