Examining HPV- and HPV vaccine-related cognitions and acceptability among US-born and immigrant hispanics and US-born and immigrant non-Hispanic Blacks: a preliminary catchment area study

Ashing, Kimlin Tam; Carrington, Agatha; Ragin, Camille; Roach, Veronica

doi:10.1007/s10552-017-0973-0

Cited by 16 publications

(10 citation statements)

References 15 publications

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“…A quantitative study conducted in Southern California compared knowledge and acceptability between US-born African Americans and African immigrants, and between US-born Latinas and Latina immigrants. African and South American immigrants were less likely to know where they can get/refer for HPV vaccine and less likely to have heard about HPV vaccine than South Americans and US-born Africans [43]. Similarly, a study in Denmark found that refugee girls, mainly from Muslim countries, had significantly lower HPV immunization uptake compared to Danish born girls, indicating that refugee girls may face challenges to access and use of immunization services [44].…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes and Perceptions of Immigrant Parents Towards Human Papillomavirus (HPV) Vaccination: A Systematic Review

et al. 2020

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Background: Our understanding about knowledge, attitudes and perceptions (KAP) of immigrants regarding human papillomavirus (HPV) vaccine is poor. We present the first systematic review on KAP of immigrant parents towards HPV vaccine offered to their children. Methods: Major bio-medical databases (Medline, Embase, Scopus and PsycINFO) were searched using a combination of keyword and database-specific terms. Following identification of studies, data were extracted, checked for accuracy, and synthesised. Quality of the studies was assessed using the Newcastle Ottawa Scale and the Joanna Briggs Institute Qualitative Assessment tool. Results: A total of 311 titles were screened against eligibility criteria; after excluding 292 titles/full texts, 19 studies were included. The included studies contained data on 2206 adults. Participants’ knowledge was explored in 16 studies and ranged from none to limited knowledge. Attitudes about HPV vaccination were assessed in 13 studies and were mixed: four reported negative attitudes fearing it would encourage sexual activity; however, this attitude often changed once parents were given vaccine information. Perceptions were reported in 10 studies; most had misconceptions and concerns regarding HPV vaccination mostly influenced by cultural values. Conclusion: The knowledge of HPV-related diseases and its vaccine among immigrant parents in this study was generally low and often had negative attitude or perception. A well-designed HPV vaccine health educational program on safety and efficacy of HPV vaccination targeting immigrant parents is recommended.

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Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes and Perceptions of Immigrant Parents Towards Human Papillomavirus (HPV) Vaccination: A Systematic Review

et al. 2020

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“…However, pockets of low HPV vaccine coverage persist, including in immigrant and racial/ethnic minority communities in Los Angeles (Los Angeles County Department of Public Health, 2018 ). Barriers to adolescent HPV vaccination previously identified by racial/ethnic minority parents include perceived high financial cost, limited access to in-language vaccine information and understanding of medical terms, lack of provider recommendation, and low HPV vaccine knowledge (Aragones et al, 2016 ; Ashing et al, 2017 ; Glenn et al, 2015a , 2015b ; Kornfeld et al, 2013 ; Roncancio et al, 2017 ; Victory et al, 2019 ; Vu et al, 2020 ; Warner et al, 2015 ). Less is understood about the role of vaccine hesitancy in racial/ethnicity communities and the impact on HPV vaccine uptake, particularly in recent years when general vaccine confidence has declined overall in the US and internationally.…”

Section: Introductionmentioning

confidence: 99%

Understanding medical mistrust and HPV vaccine hesitancy among multiethnic parents in Los Angeles

et al. 2022

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Determinants of parental HPV vaccine hesitancy, including medical mistrust and exposure to negative vaccine information, are understudied in racial/ethnic minority communities where vaccine uptake is low. We conducted a cross-sectional survey (March 2021) among parents of adolescents, ages 9–17 years, from an academic enrichment program serving low-income, first-generation, underrepresented minority families in Los Angeles to understand determinants of parental HPV vaccine hesitancy. Parents completed self-administered surveys, including a 9-item HPV vaccine hesitancy scale, in either English, Spanish, or Chinese. Logistic regression was used to identify individual and interpersonal factors associated with parental hesitancy and adolescent HPV vaccination. One-fifth of parents (n = 357) reported high HPV vaccine hesitancy and > 50% reported concerns about safety or side effects. High medical mistrust was associated with high parental HPV vaccine hesitancy (adjusted-OR 1.69, 95% CI: 1.13, 2.37). Community-tailored and multilevel strategies to increase vaccine confidence are needed to improve HPV and other adolescent vaccinations.

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“…HPV vaccine knowledge among parents continues to be an important predictor of HPV vaccine initiation [ 7 ]. Despite increasing numbers of immigrants in the U.S. [ 8 ], assessments of HPV vaccine knowledge among immigrants parents have primarily focused on Latinx/Hispanic groups, parents of low socioeconomic status, and other medically underserved populations [ 9 , 10 ]. Studies have shown that immigrant parents often have little knowledge of the HPV vaccine and vaccine decision-making is often influenced by cultural norms and sexual misconceptions [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Disparities in HPV vaccine knowledge and adolescent HPV vaccine uptake by parental nativity among diverse multiethnic parents in New Jersey

et al. 2022

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Background Suboptimal human papillomavirus (HPV) vaccination rates persist among adolescents in the United States (U.S.). New Jersey (NJ), among the top, most racially/ethnically diverse states in the U.S., had among the lowest HPV vaccine initiation rates, prior to 2018. This study examined parental HPV vaccine knowledge and adolescent HPV vaccine initiation among multiethnic parents in NJ, where access to language concordant HPV vaccine information and vaccination services may differ, for immigrant parents. Methods We surveyed parents of adolescents (ages 11–18) at community events in NJ to examine parental HPV vaccine knowledge and adolescent HPV vaccine uptake. Vaccine knowledge was assessed using an 11-item question stem that covered vaccine efficacy, gender recommendation, vaccine protection, and myths. Multivariable models assessed the association of parent nativity on HPV vaccine knowledge scores and adolescent HPV vaccine initiation, controlling for sociodemographic factors. Results Of the 77 parents, most parents (84%) were aware of the HPV vaccine. However, knowledge scores were low and differed by parent nativity. Non-U.S. born parents had significantly lower knowledge scores − 1.7 [− 3.1, − 0.4] and lower odds of adolescent children initiating the HPV vaccine 0.3 [0.1, 0.9] compared to U.S.-born parents after adjusting demographic characteristics. Conclusions Our findings reveal that parental HPV vaccine knowledge remains low among suburban dwelling, immigrant parents, even though they have higher education and access to health care. Multilevel strategies to reduce missed opportunities for HPV vaccine education among parents and HPV vaccination for adolescents are needed, including for suburban, immigrant communities.

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Examining HPV- and HPV vaccine-related cognitions and acceptability among US-born and immigrant hispanics and US-born and immigrant non-Hispanic Blacks: a preliminary catchment area study

Cited by 16 publications

References 15 publications

Knowledge, Attitudes and Perceptions of Immigrant Parents Towards Human Papillomavirus (HPV) Vaccination: A Systematic Review

Knowledge, Attitudes and Perceptions of Immigrant Parents Towards Human Papillomavirus (HPV) Vaccination: A Systematic Review

Understanding medical mistrust and HPV vaccine hesitancy among multiethnic parents in Los Angeles

Disparities in HPV vaccine knowledge and adolescent HPV vaccine uptake by parental nativity among diverse multiethnic parents in New Jersey

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