Is HPV vaccine awareness associated with HPV knowledge level? Findings from HINTS data across racial/ethnic groups in the US

Lee, Hee Yun; Luo, Yan; Daniel, Casey L.; Wang, Kun; Ikenberg, Carin

doi:10.1080/13557858.2020.1850648

Cited by 10 publications

(8 citation statements)

References 22 publications

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“…Specifically, Hispanic caregivers were less likely to obtain preventive cancer screening behaviors compared with their Black/ African American counterparts. Low HPV awareness and knowledge and low cervical cancer screening uptake has been previously reported among Hmong, a growing Southeast Asian American population, and Korean Asian Americans, and Hispanic women [18,19,21,22,50,51,58,59].…”

Section: Discussionmentioning

confidence: 77%

“…However, disparities in HPV awareness were found by sociodemographic characteristics (Table 3). Younger female caregivers (21-50) were nearly 2.5 times as likely to have heard of HPV compared with older caregivers [50][51][52][53][54][55][56][57][58][59][60][61][62][63][64] (OR = 2.47, 95% CI = 1.49, 4.08). Hispanic caregivers had 3.5 times the odds of having heard of HPV compared to other race/ethnic groups (OR = 0.29, 95% CI = 0.12, 0.70).…”

Section: Hpv Awareness (Heard Of Hpv) and Hpv Knowledge (Hpv Can Caus...mentioning

confidence: 99%

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Sociodemographic factors associated with HPV awareness/knowledge and cervical cancer screening behaviors among caregivers in the U.S

2022

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Background Family caregivers may be at a higher risk for several chronic diseases, including cancer. Cervical cancer is one of the most common causes of cancer death among women. Despite family caregivers’ vulnerability, the status of their HPV awareness, knowledge, and preventive health behaviors, including cervical cancer screening, has been understudied. Thus, this study aimed to examine the sociodemographic factors associated with HPV awareness and knowledge and adherence to the cervical cancer screening guidelines among caregivers in the U.S. Methods Nationally representative cross-sectional survey data were obtained from the Health Information National Trends Survey (HINTS 5, 2017–2020). Female caregivers aged 21–65 were included (N = 1190). Weighted multivariable logistic regression was performed to identify factors associated with HPV awareness (heard of HPV), knowledge (HPV can cause cervical cancer), and adherence to the United States Preventive Service Task Force 2018 cervical cancer screening guidelines by sociodemographic factors (age, race/ethnicity, education, household income, marital status,) and the intensity of caregiving. Results An estimated 79% of female caregivers were aware of HPV and 84% adhered to the cervical cancer screening guidelines. Caregivers who were older than 50 (OR = 3.62, 1.91–6.85, adherence of aged 21–50 vs. 51–65), Hispanics of race/ethnicity compared with Black/African Americans (OR = 3.14, 1.31–7.52, adherence of Black/African Americans vs. Hispanics), with a high school education or less (OR = 2.34, 1.14–4.82, adherence of Some college or more vs. High school education or less), and with intense caregiving duty (spending 35 h/week or more on caregiving) compared with light-duty (OR = 2.34, 1.10–5.00, adherence of 5–14 h vs. 35 h or more, weekly) had poor adherence to the cervical cancer screening guidelines. Caregivers who were older, racial minorities (Asian, Native Hawaiian/Pacific Islander, American Indian/Alaska Native, Multiple races), and less educated showed lower HPV awareness (Heard of HPV) than their counterparts. Conclusions There are caregiving populations whose HPV awareness and cervical cancer screening adherence are low. To improve their awareness and knowledge of HPV and support their cervical cancer screening behaviors, we need to consider interventions that target those specific populations.

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Section: Discussionmentioning

confidence: 77%

Section: Hpv Awareness (Heard Of Hpv) and Hpv Knowledge (Hpv Can Caus...mentioning

confidence: 99%

Sociodemographic factors associated with HPV awareness/knowledge and cervical cancer screening behaviors among caregivers in the U.S

2022

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“…Nevertheless, the impact of social media on indivdiuals' awareness, knowledge, attitudes and behaviors related to HPV and HPV vaccination is both positive and negative. Though other studies have used HINTS data to explore the use of the Internet and/or social media with its association to HPV awareness and knowledge [ [22] , [23] , [24] , [25] , [26] ], little information is available exploring the association of all four HPV-related cancers with YouTube use while controlling for various sociodemographic characteristics among knowledgeable respondents. The addition of YouTube use shows the highest odds of knowledge across all four HPV-related cancers.…”

Section: Discussionmentioning

confidence: 99%

The association between YouTube use and knowledge of human papillomavirus-related cancers

2023

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“…This is concerning because HPV awareness and knowledge provide ample benefits, including increased involvement in primary and secondary prevention strategies such as vaccination and screening . Socioeconomic disparities in HPV knowledge may also be linked to systemic factors that contribute to the lack of access to health care, poorer quality of life, and higher mortality among individuals with lower educational attainment and those belonging to racial and ethnic minority communities …”

Section: Introductionmentioning

confidence: 99%

Human Papillomavirus Awareness by Educational Level and by Race and Ethnicity

Stephens,

Dema,

McGee-Avila

et al. 2023

JAMA Netw Open

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ImportanceUnderstanding disparities in human papillomavirus (HPV) awareness is crucial, given its association with vaccine uptake.ObjectiveTo investigate differences in HPV awareness by educational attainment, race, ethnicity, and their intersectionality.Design, Setting, and ParticipantsThis cross-sectional study used the Health Information National Trends Survey (HINTS) 5 cycles 1 to 4 data (January 26, 2017, to June 15, 2020). The data were analyzed from December 12, 2022, to June 20, 2023. A sample of the noninstitutionalized civilian US population 18 years or older was included in the analysis.Main Outcomes and MeasuresWeighted prevalence of HPV awareness, HPV vaccine awareness, and knowledge that HPV causes cancer, stratified by educational attainment and by race and ethnicity. Interaction between educational attainment and race and ethnicity was assessed using a Wald test.ResultsA total of 15 637 participants had educational attainment data available; of these, 51.2% were women, and the median age was 58 (IQR, 44-69) years. A total of 14 444 participants had race and ethnicity information available; of these, 4.6% were Asian, 13.9% were Black, 15.3% were Hispanic, 62.6% were White, and 3.6% were of other race or ethnicity (including American Indian or Alaska Native, Native Hawaiian or Other Pacific Islander, and more than 1 race or ethnicity). Awareness of HPV by educational attainment ranged from 40.4% for less than high school to 78.2% for college or higher; awareness by race and ethnicity ranged from 46.9% among Asian individuals to 70.2% among White individuals. Awareness of HPV vaccines across educational attainment ranged from 34.7% among those with less than high school to 74.7% among those with a college degree or higher and by race and ethnicity from 48.4% among Asian individuals to 68.2% among White individuals. Among adults who were aware of HPV, knowledge that HPV causes cervical cancer differed by educational attainment, ranging from 51.7% among those with less than high school to 84.7% among those with a college degree or higher, and by race and ethnicity, ranging from 66.0% among Black individuals to 77.9% among Asian individuals. The interaction between educational attainment and race and ethnicity on HPV awareness and HPV vaccine awareness was not significant; however, within each educational attainment level, awareness differed by race and ethnicity, with the lowest awareness consistently among Asian individuals regardless of educational attainment. Within each racial and ethnic group, HPV awareness and HPV vaccine awareness significantly decreased with decreasing educational attainment.Conclusions and RelevanceDisparities in HPV awareness were evident across social factors, with the lowest awareness among Asian individuals and individuals with lower educational attainment. These results emphasize the importance of considering social factors in HPV awareness campaigns to increase HPV vaccination.

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Is HPV vaccine awareness associated with HPV knowledge level? Findings from HINTS data across racial/ethnic groups in the US

Cited by 10 publications

References 22 publications

Sociodemographic factors associated with HPV awareness/knowledge and cervical cancer screening behaviors among caregivers in the U.S

Sociodemographic factors associated with HPV awareness/knowledge and cervical cancer screening behaviors among caregivers in the U.S

The association between YouTube use and knowledge of human papillomavirus-related cancers

Human Papillomavirus Awareness by Educational Level and by Race and Ethnicity

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