Knowledge, Attitudes, and Beliefs Regarding HPV Vaccination: Ethnic and Cultural Differences Between African-American and Haitian Immigrant Women

Joseph, Natalie; Clark, Jack A.; Bauchner, Howard; Walsh, Jared P.; Mercilus, Glory; Figaro, Jean; Bibbo, Caroline; Perkins, Rebecca B.

doi:10.1016/j.whi.2012.09.003

Cited by 65 publications

(64 citation statements)

References 28 publications

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“…25,26,33 Two studies (N = 70 and 400) indicated certain religious affiliations were associated with opposition to or nonreceipt of the HPV vaccine. 31,57 However, in 2 other studies (N = 200 and 403), religiosity did not predict vaccine acceptance. 25,54 …”

Section: Resultsmentioning

confidence: 74%

Barriers to Human Papillomavirus Vaccination Among US Adolescents

et al. 2014

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IMPORTANCE Since licensure of the human papillomavirus (HPV) vaccine in 2006, HPV vaccine coverage among US adolescents has increased but remains low compared with other recommended vaccines. OBJECTIVE To systematically review the literature on barriers to HPV vaccination among US adolescents to inform future efforts to increase HPV vaccine coverage. EVIDENCE REVIEW We searched PubMed and previous review articles to identify original research articles describing barriers to HPV vaccine initiation and completion among US adolescents. Only articles reporting data collected in 2009 or later were included. Findings from 55 relevant articles were summarized by target populations: health care professionals, parents, underserved and disadvantaged populations, and males. FINDINGS Health care professionals cited financial concerns and parental attitudes and concerns as barriers to providing the HPV vaccine to patients. Parents often reported needing more information before vaccinating their children. Concerns about the vaccine’s effect on sexual behavior, low perceived risk of HPV infection, social influences, irregular preventive care, and vaccine cost were also identified as potential barriers among parents. Some parents of sons reported not vaccinating their sons because of the perceived lack of direct benefit. Parents consistently cited health care professional recommendations as one of the most important factors in their decision to vaccinate their children. CONCLUSIONS AND RELEVANCE Continued efforts are needed to ensure that health care professionals and parents understand the importance of vaccinating adolescents before they become sexually active. Health care professionals may benefit from guidance on communicating HPV recommendations to patients and parents. Further efforts are also needed to reduce missed opportunities for HPV vaccination when adolescents interface with the health care system. Efforts to increase uptake should take into account the specific needs of subgroups within the population. Efforts that address system-level barriers to vaccination may help to increase overall HPV vaccine uptake.

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Section: Resultsmentioning

confidence: 74%

Barriers to Human Papillomavirus Vaccination Among US Adolescents

et al. 2014

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“…Though many parents of Haitian American adolescents believe they should be primarily responsible for talking with their children about reproduction and contraception, this desire may be in conflict with traditional Haitian mores about not discussing sex with children; adherence to more traditional thinking may therefore result in adolescents not receiving necessary protective information or services. (17,18). In addition, Haitian and Haitian immigrant households that deviate from the two-parent household as well as those characterized by inter-parental conflict and disruption of parental monitoring were more likely to be characterized by HIV among female adolescents, higher levels of unprotected sex, marijuana use, and experimentation with alcohol (11, 19–21).…”

Section: Introductionmentioning

confidence: 99%

Predictors of Sexual Activity in Haitian-American Adolescents

Dévieux

Jean‐Gilles

Frankel

et al. 2014

J Immigrant Minority Health

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“…It has been documented that disparities in race/ethnicity and education level may explain variation in HPV awareness and that increasing access to information can mitigate this disparity in knowledge [17][18][19][20]. We accordingly designed our educational tools to make this information accessible by reflecting the education, language, and venue preference of the surveyed community.…”

Section: Discussionmentioning

confidence: 99%

Effect of Educational Intervention on Cervical Cancer Prevention and Screening in Hispanic Women

et al. 2015

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To evaluate the effect of an educational intervention on four domains of health care utilization and cervical cancer prevention and screening in a Hispanic population. Data collected from a survey were used to design education strategies focused on four domains of interest. A second survey was conducted to measure the impact of the intervention. Following the intervention, respondents were more likely to have any knowledge of human papillomavirus (HPV). Respondents living in the United States (US) for <5 years were more likely to have had a Papanicolaou smear in the preceding 3 years (p = 0.0314), to report knowledge of HPV vaccination (p = 0.0258), and to be willing to vaccinate themselves (p = 0.0124) and their children (p = 0.0341) after the intervention. Educational interventions designed to meet the needs identified by the sample group led to an increase in HPV awareness throughout the entire population surveyed and an increase in health care service utilization and HPV vaccine acceptance for women living in the US for <5 years. These tools should be promoted to reduce the cervical cancer burden on vulnerable populations.

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Knowledge, Attitudes, and Beliefs Regarding HPV Vaccination: Ethnic and Cultural Differences Between African-American and Haitian Immigrant Women

Cited by 65 publications

References 28 publications

Barriers to Human Papillomavirus Vaccination Among US Adolescents

Barriers to Human Papillomavirus Vaccination Among US Adolescents

Predictors of Sexual Activity in Haitian-American Adolescents

Effect of Educational Intervention on Cervical Cancer Prevention and Screening in Hispanic Women

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