Perceived Barriers and Trends in HPV Vaccination via Patient Survey Responses at Kalamazoo, Michigan’s Federally-Qualified Health Center

VanderVeen, Nathan; Wieneke, Arika; Tran, Samantha; Kim, Amie; Davis, Kathryn E.; Taubel, Debra

doi:10.1007/s10900-019-00719-5

Cited by 8 publications

(6 citation statements)

References 10 publications

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“…It is, therefore, understandable that some information can be highly detrimental to the acceptability of vaccines, particularly the HPV vaccine [47,48], and health professionals should play a more prominent role in this regard as they are a trusted and familiar source of information for the individuals concerned. Health professionals, as individual and group influencers [43] can, in fact, be a positive influence by supplying information and by providing vaccinations [49][50][51][52][53]. Their recommendations have been shown to be strongly positively associated with knowledge, acceptability, and uptake of vaccinations [54,55], and parents tend to express a high level of trust in doctors to do what is in the best interest of the general public [56].…”

Section: Plos Onementioning

confidence: 99%

Evaluation of the acceptability in France of the vaccine against papillomavirus (HPV) among middle and high school students and their parents

Huon

Grégoire²,

Meireles³

et al. 2020

PLoS ONE

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Background The pathogenic and oncogenic roles of papillomavirus (HPV) infections have been documented and shown to occur in women as well as in men. While other countries have already extended their vaccination guidelines to include boys, in 2019 the French National Authority for Health validated implementation of HPV vaccination in the 2020 vaccination schedule. There is, however, a climate of distrust in regard to vaccination in France, and there have been few studies to date regarding the acceptability of HPV vaccination in boys in France. The aim of this study was, therefore, to evaluate the acceptability of extending the recommendations for HPV vaccination in men, among middle and high school students and their parents. Methods Our study (HPVac) was a prospective, multicenter, departmental, and descriptive survey applied to a sample of male middle and high school students attending schools in the Loire-Atlantique department and their parents. It took place from January 2017 to January 2018. Results We analyzed the information obtained from 127 parent questionnaires and 145 children questionnaires. In terms of acceptability, 36.6% (n = 53) of the children and 37.8% (n = 48) of the parents were in favour of being vaccinated or of having their children vaccinated against HPV (51.7% (n = 75) and 50.4% (n = 64), respectively, were undecided). The perception of a risk stemming from HPV infection was positively associated with acceptability of the HPV vaccine. Being against vaccines in general, being discouraged by their parents, parents thinking that their child is not at risk, and the belief that the vaccine is not mandatory were arguments cited and significantly associated with a willingness to be vaccinated.

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Section: Plos Onementioning

confidence: 99%

Evaluation of the acceptability in France of the vaccine against papillomavirus (HPV) among middle and high school students and their parents

Huon

Grégoire²,

Meireles³

et al. 2020

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Of the barriers to HPV vaccination identified among unvaccinated women in our analysis, the majority were related to vaccine hesitancy and personal beliefs, and less due to low knowledge or healthcare access. Reasons related to vaccine hesitancy and personal beliefs have been previously linked to low HPV vaccination rates [ 18 , 38 – 40 ] and remain an issue for vaccines in general including COVID-19 [ 41 ]. These findings highlight the importance of a multidimensional approach to address vaccine hesitancy and promote HPV vaccination both within the community, family, individuals [ 42 ] as well as within healthcare systems, tailored also to each population.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitudes, and practices towards HPV vaccination among reproductive age women in a HIV hotspot in the US

et al. 2023

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Background Human papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the US, responsible for cervical cancer and increased risk of Human Immunodeficiency Virus (HIV) acquisition. Despite an effective HPV vaccine, women’s HPV vaccination coverage and rates remain far below desired levels. This study aimed to evaluate HPV knowledge, attitudes, and vaccination practices as well as factors associated with HPV vaccination among women of reproductive age living in Miami, Florida, a Southern US city with a high incidence of STIs and low HPV vaccination coverage. Methods From April to June 2022, 100 HIV-negative, cisgender, sexually active women aged 18–45 years were recruited from the Miami community. Participants completed validated questionnaires using REDCap© electronic surveys, assessing socio-demographics and sexual behaviors; HPV knowledge, screening, vaccination practices; barriers and motivators to HPV vaccination. A cumulative HPV knowledge score (HPV score) was generated. Factors associated with HPV vaccination were analyzed by Chi-square, Fisher’s exact test, studentized t-test, and multivariate logistic regression (MLR). Results A total of 100 participants were enrolled, and 84 who knew their vaccination status were included in the analysis. Of these, 43 reported receiving at least 1 HPV vaccine dose (vaccinated group) and 41 reported never being vaccinated (unvaccinated group). Mean age was 24.7 (SD 4.03) years for the vaccinated group and 31.4 (SD 8.33) for the unvaccinated group. Mean HPV score was 18.9/29 (SD 6.05) for the vaccinated group and 9.1/29 (SD 8.82) for the unvaccinated group. Amongst vaccinated participants, 76.74% reported a history of HPV/Pap smear screening vs 87.80% in the unvaccinated group. Barriers to HPV vaccination included: 14.6% low-risk perception, 29.3% healthcare barriers, and 46.3% vaccine hesitancy and personal beliefs. Motivators t HPV vaccination included: risk perception and vaccine beliefs (71.42%), healthcare-related (60.71%) and social motivators (55.95%). In the first MLR, one-point increases in HPV score were significantly associated with higher odds of HPV vaccination until an HPV score of 16, and a one-year increase in age was associated with a 16% lower odds of HPV vaccination (aOR = 0.84, 95% CI [0.72, 0.99]; p = 0.035). Contraception use was also associated with HPV vaccination (aOR 8.36 (95% CI [1.41, 49.62]; p = 0.020). Race, ethnicity, college education status, and number of sexual partners were not significant predictors of HPV vaccination. In the second MLR evaluating vaccination motivators as predictors of HPV vaccination, we found that individuals who were motivated by healthcare had 3.03 (95% CI [1.02, 9.00]; p = 0.046) times the odds of HPV vaccination compared to individuals without healthcare-related motivators. Conclusion Findings suggest suboptimal HPV knowledge and low vaccination rates among women of reproductive age. Public health efforts should focus on increasing basic HPV knowledge among women with little-to-no HPV knowledge to increase vaccine uptake.

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“…Federally Qualified Health Centers (FQHCs) can play a critical role in increasing vaccination and screening rates in uninsured and underinsured populations. However, uptake is low in these populations [6][7][8]. FQHC patients have access to programs that eliminate the cost of vaccination (i.e., the US federal government's Vaccines for Children Program) and mandated coverage for cervical cancer screening (i.e., the Affordable Care Act), suggesting the presence of other barriers to cancer prevention beyond access and affordability.…”

Section: Introductionmentioning

confidence: 99%

Assessing the interrelationship between stigma, social influence, and cervical cancer prevention in an urban underserved setting: An exploratory study

et al. 2022

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In the US, incidence and mortality from cervical cancer disproportionately affects racial/ethnic minorities and low-income women. Despite affordable access to primary and secondary prevention measures at Federally Qualified Health Centers (FQHCs), Human Papillomavirus (HPV) vaccination and screening rates are low, suggesting the presence of non-financial barriers to uptake in this population. This explanatory sequential mixed-methods study sought to explore factors that influence the acceptability of cervical cancer prevention services among parents and legal guardians of vaccine-eligible girls attending an urban FQHC and to assess social influences related to cervical cancer prevention. Participants included eight mothers, one father, and two grandparents/legal guardians. Nine participants self-identified as Black/Afro-Caribbean, or African American, two as Latinx, and one as Native American. The quantitative data suggested discordance between participants’ cervical cancer prevention knowledge and their practices. Most indicated that their daughters had received the HPV vaccine but were unsure about HPV transmission modes. Qualitative data revealed that participants were comfortable disclosing information on HPV infection and vaccination status, and most women were likely to share information related to cervical cancer testing and diagnosis. Few comments indicated personal stigma on the part of participants, but there was frequent expression of perceived public stigma (shaming and blaming women), gender differences (men are indifferent to risk), and distrust of the healthcare system. Findings highlight several concepts including the disharmony between knowledge and practice, prevalent perceived public stigma, cumbersome attitudes on the part of men regarding HPV and cervical cancer, and distrust of the healthcare system.

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Perceived Barriers and Trends in HPV Vaccination via Patient Survey Responses at Kalamazoo, Michigan’s Federally-Qualified Health Center

Cited by 8 publications

References 10 publications

Evaluation of the acceptability in France of the vaccine against papillomavirus (HPV) among middle and high school students and their parents

Evaluation of the acceptability in France of the vaccine against papillomavirus (HPV) among middle and high school students and their parents

Knowledge, attitudes, and practices towards HPV vaccination among reproductive age women in a HIV hotspot in the US

Assessing the interrelationship between stigma, social influence, and cervical cancer prevention in an urban underserved setting: An exploratory study

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