Predictors of Human Papillomavirus Vaccine Initiation and Completion Among Latino Mothers of 11- to 17-Year-Old Daughters Living Along the Texas-Mexico Border

Morales-Campos, Daisy; Parra‐Medina, Deborah

doi:10.1097/fch.0000000000000144

Cited by 13 publications

(8 citation statements)

References 47 publications

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“…Previous studies have also demonstrated income as a predictor of HPV vaccination, 20 and studies on the effects of social determinants of health on HPV vaccination found that higher vaccination uptake correlated with low worry about vaccine cost and having health insurance. 21,22 Our finding on education level as another predictor of vaccination status may reflect the fact that lower level of education is often a root cause of lower income.…”

Section: Discussionmentioning

confidence: 90%

A significant portion of college students are not aware of HPV disease and HPV vaccine recommendations

Kellogg

Shu

Arroyo

et al. 2019

Human Vaccines & Immunotherapeutics

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There is limited data on the HPV immunization status of Latino/Hispanic youth in the USA. In Los Angeles County in 2015, 54,973 (34.3%) college students were of Latino/Hispanic background. We examined Los Angeles County college students' awareness of HPV and HPV-related disease, HPV vaccine recommendations, and their vaccination status. This study surveyed 212 Los Angeles college students from January to April 2018. In a convenience sampling study, a 31-question, IRB-approved survey was administered face-to-face to college students 18 years and older at California State University settings in Los Angeles County. Almost two-thirds of the male (65%) and half of the female (51.6%) respondents did not know that the HPV vaccine is recommended through 26 years of age, and 47.6% did not know they can get the HPV vaccine at the college student health center or youth-friendly clinics. Ethnicity, family income, and the highest level of education in the family had a significant impact on immunization rates. Self-reported and actual HPV knowledge levels were significantly associated with vaccination status. Educational strategies focusing on the logistics of receiving the HPV vaccine and HPV vaccine catch-up eligibility for college students may be effective in decreasing racial disparities in vaccine receipt.

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Section: Discussionmentioning

confidence: 90%

A significant portion of college students are not aware of HPV disease and HPV vaccine recommendations

Kellogg

Shu

Arroyo

et al. 2019

Human Vaccines & Immunotherapeutics

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“…Table 1 lists the study characteristics and mean uptake of HPV vaccines. Most studies were cross-sectional in design, with seven longitudinal studies, 26 33 40 48 52 72 98 one retrospective cohort study, 29 one case–control study, 32 one quasi-experimental (single-group, pre-post design) study, 39 one clustered, non-randomised controlled pragmatic trial 62 and one cluster randomised trial. 45 Sample sizes ranged from 43 45 to 254 489 99 (median (M)=617.0), with 88.6% (n=70) ranging from 43 45 to 8652 50 (M=519.5) and 11.4% (n=9) ranging from 15 049 34 to 254 489 99 (M=65 926).…”

Section: Resultsmentioning

confidence: 99%

Parents’ uptake of human papillomavirus vaccines for their children: a systematic review and meta-analysis of observational studies

et al. 2018

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ObjectiveTo examine factors associated with parents’ uptake of human papillomavirus (HPV) vaccines for their children.DesignSystematic review and meta-analysis.Data sourcesCochrane Library, AIDSLINE, CINAHL, EMBASE, PsycINFO, Social Sciences Abstracts, Ovid MEDLINE, Scholars Portal, Social Sciences Citation Index and Dissertation Abstracts International from inception through November 2017.MethodsWe included studies that sampled parents and assessed uptake of HPV vaccines for their children (≤18 years) and/or sociodemographics, knowledge, attitudes or other factors associated with uptake. Study risk of bias was assessed using the Effective Public Health Practice Project tool. We pooled data using random-effects meta-analysis and conducted moderation analyses to examine variance in uptake by sex of child and parent.ResultsSeventy-nine studies on 840 838 parents across 15 countries were included. The pooled proportion of parents’ uptake of HPV vaccines for their children was 41.5% (range: 0.7%–92.8%), twofold higher for girls (46.5%) than for boys (20.3%). In the meta-analysis of 62 studies, physician recommendation (r=0.46 (95% CI 0.34 to 0.56)) had the greatest influence on parents’ uptake, followed by HPV vaccine safety concerns (r=−0.31 (95% CI −0.41 to −0.16)), routine child preventive check-up, past 12 months (r=0.22 (95% CI 0.11 to 0.33)) and parents’ belief in vaccines (r=0.19 (95% CI 0.08 to 0.29)). Health insurance-covered HPV vaccination (r=0.16 (95% CI 0.04 to 0.29)) and lower out-of-pocket cost (r=−0.15 (95% CI −0.22 to −0.07)) had significant effects on uptake. We found significant moderator effects for sex of child.ConclusionsFindings indicate suboptimal levels of HPV vaccine uptake, twofold lower among boys, that may be improved by increasing physician recommendations, addressing parental safety concerns and promoting parents’ positive beliefs about vaccines, in addition to expanding insurance coverage and reducing out-of-pocket costs. Limitations of this meta-analysis include the lack of intervention studies and high risk of bias in most studies reviewed. Further studies should disaggregate HPV vaccine uptake by sex of child and parent.

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“…Such information would provide a complete picture of the HPV vaccine decisions made by Latinx families (Suárez et al, 2019). Finally, we did not collect data on mothers’ cancer screening history, which has been associated with HPV vaccination among daughters and sons (Morales-Campos & Parra-Medina, 2017). Future research can build on our findings with other research designs and address these limitations by quantifying Latinx mothers’ awareness, knowledge, and acceptability of the HPV vaccine for their sons, as well as exploring and quantifying Latinx fathers’ awareness, knowledge, and acceptability of the HPV vaccine for their sons and daughters.…”

Section: Discussionmentioning

confidence: 99%

Acceptance of the HPV Vaccine in a Multiethnic Sample of Latinx Mothers

et al. 2021

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This descriptive qualitative study explored Latinx mothers’ acceptance of the human papillomavirus (HPV) vaccine for their adolescent children. Data were collected through individual, semi-structured interviews and analyzed using a hybrid method of thematic analysis that incorporated deductive and inductive approaches. Twenty-two ( n = 22), mostly foreign-born, Latinx mothers of male and female adolescents participated in the study. Three main themes and nine subthemes emerged from the analyses. Findings identified the need for increased efforts to raise awareness and knowledge among Latinx mothers of the direct benefits of the HPV vaccine for sons, including stressing prevention of HPV-associated cancers in males. Findings also underscore the need for improved health care providers’ communication and recommendation of the HPV vaccine for Latinx adolescent males. Future research should intervene upon the study’s findings to address barriers that remain and affect Latinx mothers’ acceptance and uptake of the HPV vaccine for their children, in particular their sons.

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Predictors of Human Papillomavirus Vaccine Initiation and Completion Among Latino Mothers of 11- to 17-Year-Old Daughters Living Along the Texas-Mexico Border

Cited by 13 publications

References 47 publications

A significant portion of college students are not aware of HPV disease and HPV vaccine recommendations

A significant portion of college students are not aware of HPV disease and HPV vaccine recommendations

Parents’ uptake of human papillomavirus vaccines for their children: a systematic review and meta-analysis of observational studies

Acceptance of the HPV Vaccine in a Multiethnic Sample of Latinx Mothers

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