“I Thought It Was Just For Teenagers”: Knowledge, Attitudes, and Beliefs about HPV Vaccination Among Women Aged 27 to 45

Polonijo, Andrea N.; Mahapatra, Durga Madhab; Brown, Brandon

doi:10.1016/j.whi.2022.01.007

Cited by 9 publications

(17 citation statements)

References 33 publications

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“…Third, embarrassment and stigma surrounding vaccination against a sexually transmitted infection combined with beliefs that practicing “safer sex” and monogamy are preferable means of HPV prevention were additional barriers to shared clinical decision-making about HPV vaccination identified by the men in our study. Concerns about stigma identified in our sample corroborate research suggesting social norms are influential for shaping adults’ HPV vaccine uptake decisions ( Alber et al, 2021 ), while anticipated embarrassment and stigma have been identified as barriers to HPV vaccination among younger adults ( Dibble et al, 2019 ) and newly eligible mid-adult women ( Polonijo et al., 2022 ). Studies of other population groups have also reported that monogamously coupled individuals perceive lower levels of HPV-related threat which deters vaccination ( Muthukrishnan et al, 2022 ; Thompson et al, 2017 , 2019 ; Waters et al, 2021 ; Wheldon et al, 2018 ).…”

Section: Discussionsupporting

confidence: 79%

“…Similar concerns about “newness” and safety have been identified in quantitative studies of adults regarding HPV and relatively newer COVID-19 vaccines ( Momplaisir et al, 2021 ; Muthukrishnan et al, 2022 ). A study of KABs among women aged 27 to 45 conducted after FDA approval of HPV vaccination for this age group demonstrated women share similar concerns about the impact of HPV vaccination on their reproductive capacity ( Polonijo et al, 2022 ). These concerns are indicative of significant barriers to shared clinical decision-making which should be directly addressed in targeted interventions.…”

Section: Discussionmentioning

confidence: 99%

“…A research assistant was present in each focus group and monitored access to the chatroom. The study’s principal investigator moderated the focus groups using a semistructured interview guide, which has been previously published and is publicly available ( Polonijo et al, 2022 ). The interview guide covered two areas relevant to this study: (1) knowledge and beliefs about HPV and HPV vaccination and (2) attitudes toward HPV vaccination.…”

Section: Methodsmentioning

confidence: 99%

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“If People Were Told About the Cancer, They’d Want to Get Vaccinated”: Knowledge, Attitudes, and Beliefs About HPV Vaccination Among Mid-Adult Men

Alaraj¹,

Brown

Polonijo

2023

Am J Mens Health

Self Cite

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In 2018, nine-valent human papillomavirus (HPV) vaccine eligibility expanded to include adults aged 27 to 45. This study aimed to identify knowledge, attitudes, and beliefs (KABs) about HPV and HPV vaccination among newly eligible mid-adult men, for whom uptake in adolescence and younger adulthood remains suboptimal. We conducted six virtual focus groups ( N = 34 participants) with unvaccinated men aged 27 to 45 living in Southern California’s Inland Empire. Data were systematically analyzed to identify emergent themes using the rigorous and accelerated data reduction technique. The sample of men was diverse (79% Hispanic, non-Hispanic Black, Asian, or mixed race/ethnicity; 26% gay or bisexual) and captured participants from across the socioeconomic spectrum. Eighty-eight percent of participants had never received a provider recommendation to be vaccinated against HPV. Many had unanswered questions about HPV and HPV vaccination, could not recall any HPV-related cancers that affect men, and were unaware of their current eligibility for vaccination. Embarrassment and stigma surrounding vaccination against a sexually transmitted infection, concerns about vaccine side effects and safety, and preferences for preventing HPV via “safer sex” and monogamy were salient barriers to vaccination. Nevertheless, many men were eager to learn more about HPV vaccination and engage with health care providers around that topic. Interventions aimed at improving men’s knowledge, changing social norms, and supporting health providers to identify HPV vaccine-eligible patients may be especially fruitful for facilitating shared clinical decision-making between mid-adult men and their health care providers.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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“If People Were Told About the Cancer, They’d Want to Get Vaccinated”: Knowledge, Attitudes, and Beliefs About HPV Vaccination Among Mid-Adult Men

Alaraj¹,

Brown

Polonijo

2023

Am J Mens Health

Self Cite

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“…Almost all study participants know the existence of the HPV vaccine, with healthcare professionals and more particularly pediatricians, pathologists, and gynecologists as their main source of information. Additionally, the effectiveness of HPV vaccine is widely recognized for both the prevention of genital warts and cervical cancer, which is in line with the international literature ( 19 ). Regarding HPV vaccination practices, the first impression from the results of the analysis is that, according to the participating parents, almost half of the girls have been vaccinated against HPV.…”

Section: Discussionsupporting

confidence: 73%

“…However, it should be noted that a sizeable proportion of the sample (1 out of 3) have the wrong perception that Pap smear is the main preventive method against HPV transmission, while also a small proportion falsely thinks that HPV can be transmitted with common use of syringes. Furthermore, knowledge regarding the diseases that HPV is associated with can be considered adequate, as the vast majority are aware that it is associated with cervical cancer and genital and anal warts, while in contrast, other recent studies in the US and Italy have showed that, while most people are aware that HPV is sexually transmitted, many do not know that it can cause cervical cancer and even less that it is linked with genital warts ( 18 , 19 ). Based on the above, the fact that the majority of participants have knowledge of HPV and its implications highlights the improvement in raising awareness during the last decade in Greece, compared to relevant previous international research ( 20 , 21 ), while relevant studies in other countries show lower awareness, such as Poland, where only 62.5% of the participants had ever heard of HPV ( 22 ).…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Perceptions and Attitudes Toward HPV Vaccination: A Survey on Parents of Girls Aged 11–18 Years Old in Greece

Naoum

Athanasakis

Zavras

et al. 2022

Front. Glob. Womens Health

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ObjectiveTo investigate knowledge, perceptions and practices of parents of girls aged 11–18 years old in Greece toward HPV vaccination, and determine which factors are associated with parents' decision to vaccinate their daughters.MethodsA close-end questionnaire was constructed and telephone interviews were conducted upon informed consent. The sample was random, national, stratified by geographic region and representative of the general population of parents of girls aged 11–18. The data collected include: general knowledge, attitudes and perceptions concerning HPV and HPV vaccine, information regarding their daughters' HPV vaccination, and sociodemographic characteristics. Statistical analysis included descriptives and a logistic regression model to investigate which factors are associated with HPV vaccination.ResultsOverall, 1,000 parents participated in the study, 99.4% of which knew what HPV is and 98.8% knew there is a vaccine available against HPV. Furthermore, 47% of the parents stated that their daughters had been vaccinated against HPV, while further analysis revealed that only 35% had received all the recommended doses. In the logistic regression analysis, the following variables had a statistically significant association with HPV vaccination: perceived ease of contracting HPV (OR = 1.105), level of trust in medical profession regarding information on prevention (OR = 1.205), overall perception regarding importance of children's vaccination (OR = 0.618), internet/social media as a source of parent information regarding HPV (OR = 0.886), participant (parent) age (OR = 1.125), and daughter's treating physician's recommendation for HPV vaccination (OR = 7.319).ConclusionsHPV vaccination coverage is still suboptimal. Comprehension of the obstacles toward this goal is important and the role of healthcare professionals is crucial to increase acceptance.

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Human Papilloma Virus Knowledge Among University Students, Staff, and Faculty in the State of Indiana During 2016, 2019, and 2022

Nesser

Ayodele

2023

J Community Health

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Studies of Human Papillomavirus (HPV) knowledge among university students have previously been conducted, typically to the exclusion of faculty and staff. The study aim was to assess HPV knowledge among university students, staff, and faculty in the state of Indiana during 2016, 2019, and 2022. The three samples comprised a total of 1275, 1056, and 403 students, staff, and faculty respectively during 2016, 2019, and 2022. Ages ranged from 18 to 70 + each year of the study. A 27-item survey was administered including sociodemographic questions and quantitative HPV knowledge questions were modified from a previously validated instrument. Descriptive statistics characterized the study participants and differences in scores were reported. Among the overall sample who answered receiving the vaccine question (n = 1917), 39% had received the HPV vaccine. HPV knowledge significantly increased among students from 2016 to 2019 but decreased in 2022. Among staff, there was a significant knowledge difference between 2016 and 2022, but no significant knowledge difference among the faculty. About 86% of the total sample did not know that HPV usually does not need any treatment. Further, participants correct knowledge scores were less than average on the following items: HPV can cause throat cancer (49%); HPV can be transmitted by skin-to-skin contact (42%). More education and campus-wide efforts need to be implemented to increase awareness and accurate HPV-knowledge. Targeted and individual messaging for students, staff, and faculty may be a way to increase awareness of HPV and improve HPV knowledge.

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“I Thought It Was Just For Teenagers”: Knowledge, Attitudes, and Beliefs about HPV Vaccination Among Women Aged 27 to 45

Cited by 9 publications

References 33 publications

“If People Were Told About the Cancer, They’d Want to Get Vaccinated”: Knowledge, Attitudes, and Beliefs About HPV Vaccination Among Mid-Adult Men

“If People Were Told About the Cancer, They’d Want to Get Vaccinated”: Knowledge, Attitudes, and Beliefs About HPV Vaccination Among Mid-Adult Men

Knowledge, Perceptions and Attitudes Toward HPV Vaccination: A Survey on Parents of Girls Aged 11–18 Years Old in Greece

Human Papilloma Virus Knowledge Among University Students, Staff, and Faculty in the State of Indiana During 2016, 2019, and 2022

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