Understanding HPV Vaccine Uptake Among Cambodian American Girls

Taylor, Victoria M.; Burke, Nancy; Ko, Linda K.; Sos, Channdara; Liu, Qi; Hoai, H.; Talbot, Jocelyn; Yasui, Yutaka; Bastani, Roshan

doi:10.1007/s10900-014-9844-8

Cited by 22 publications

(19 citation statements)

References 18 publications

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“…These findings are similar to but not higher than those of earlier studies of CA mothers conducted in Seattle, Washington in 2010 and 2013, who reported that 26% and 29% of their daughters received vaccinations. Studies conducted in Los Angeles, California, in 2009 with Chinese and Korean American mothers, indicated that 25% of Chinese American girls and 24% of Korean American girls had received vaccinations (Bastani et al., ; Taylor et al., , ). These rates are significantly lower than national average HPV vaccination rates from National Immunization Survey (NIS)‐Teen.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with HPV Vaccination among Cambodian American Teenagers

Lee

Kim

Kiang

et al. 2016

Public Health Nursing

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Background Parents have general influence over their children’s health and health behavior. However, given the dearth of specific literature regarding knowledge level and social and cultural factors influencing HPV vaccination behaviors among Cambodian American (CA) parents, it is difficult to develop an effective, evidence-based public health HPV vaccination program for this particular population without further investigation. Methods CA mothers (n=130) completed a health survey through face-to-face interviews in either English or Khmer language. Results Girls vaccination rates were 29% while that of boys was 16%. Awareness and knowledge of HPV among CA mothers was very low, and many believed that their daughters, who speak English and were educated in the U.S., had more knowledge about health than they did. Logistic regression analysis showed that Cambodian American girls had significantly higher odds of vaccination when their mothers possessed a higher level of English reading ability and had greater awareness and knowledge of HPV. Conclusions The strikingly low rates of HPV vaccination among CA girls and boys underscore the need to improve vaccination outreach, education, and uptake. The findings can be used to develop targeted public health HPV vaccination programs for CAs which will reduce cervical cancer disparities.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with HPV Vaccination among Cambodian American Teenagers

Lee

Kim

Kiang

et al. 2016

Public Health Nursing

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“…In a study in Los Angeles, California, only 64% and 44% of Chinese and Korean mothers, respectively, with HPV vaccine‐eligible daughters were aware of the vaccine . A Seattle study of Cambodian mothers also found that lack of awareness, lack of physician recommendation, and a belief that the HPV vaccine is not necessary in the absence of health problems, were primary barriers to vaccination of eligible girls . Physician education of caregivers and recommendation of the HPV vaccine are important steps that can be taken to increase vaccination uptake.…”

Section: Selected Findingsmentioning

confidence: 99%

Cancer statistics for Asian Americans, Native Hawaiians, and Pacific Islanders, 2016: Converging incidence in males and females

Torre

Sauer

Chen

et al. 2016

CA A Cancer J Clinicians

324

272

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Cancer is the leading cause of death among Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs). In this report, the American Cancer Society presents AANHPI cancer incidence from the National Cancer Institute, the Centers for Disease Control and Prevention, and the North American Association of Central Cancer Registries and mortality from the National Center for Health Statistics. Among AANHPIs in 2016, there will be an estimated 57,740 new cancer cases and 16,910 cancer deaths. While AANHPIs have 30%–40% lower incidence and mortality rates than NHWs for all cancers combined, they have higher rates for some infection-related cancers (stomach, liver, nasopharynx).The aggregation of AANHPI subgroups conceals the diversity of these heterogeneous populations. AANHPI cancer rates vary by subgroup, with the lowest rates generally in Asian Indians/Pakistanis and the highest in Native Hawaiians, Samoans, and Japanese (except for infection-related cancers). The male-to-female incidence rate ratio among AANHPIs declined from 1.43 (95% confidence interval [95% CI], 1.36-1.49) in 1992 to 1.04 (95% CI, 1.01-1.07) in 2012 due to declining prostate and lung cancer rates in males and increasing breast cancer rates in females. Liver cancer death rates among AANHPIs declined from 2003 to 2012, in contrast to increases in NHWs. Variation in cancer rates in AANHPIs are related to risk factors including lifestyle factors, use of screening and preventive services, and exposure to cancer-causing infections. Cancer control strategies include improved use of vaccination and screening; interventions to increase physical activity and reduce excess body weight, tobacco use, and alcohol consumption; and subgroup-level research on burden and risk factors.

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“…Findings of prior studies among CAs and Asian Americans also indicate low level of knowledge about HBV and HPV infection [4,11,17,26,28,41,46]. The differences in HBV and HPV vaccination rates exist by country of origin, sociocultural factors such as health insurance, English proficiency, income, education, and knowledge level [3,4,19,26,35,40].…”

Section: Discussionmentioning

confidence: 99%

Khmer American Mothers' Knowledge about HPV and HBV Infection and Their Perceptions of Parenting: My English Speaking Daughter Knows More

Lee¹,

Kiang

Tang

et al. 2015

Asian Nursing Research

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SUMMARY Purpose The purpose of this study is to explore and describe Khmer mothers’ understanding of HBV and HPV prevention as well as their perception of parenting on health and health education of their daughters in the US. Methods The qualitative pilot study guided by the revised Network Episode Model and informed by ethnographic analysis and community-based purposive sampling method were used. Face-to-face audiotaped interviews with eight Khmer mothers were conducted by bilingual female middle-aged community health leaders who spoke Khmer. Results The findings revealed that Khmer mothers clearly lacked knowledge about HBV and HPV infection prevention and had difficulty understanding and educating their daughters about health behavior, especially on sex-related topics. The findings showed that histo-sociocultural factors are integrated with the individual factor, and these factors influenced the HBV and HPV knowledge and perspective of Khmer mothers’ parenting. Conclusion The study suggests that situation-specific conceptual and methodological approaches that take into account the uniqueness of the sociocultural context of CAs is a novel method for identifying factors that are significant in shaping the perception of Khmer mothers’ health education related to HBV and HPV prevention among their daughters. The communication between mother and daughter about sex and the risk involved in contracting HBV and HPV has been limited, partly because it is seen as a “taboo subject” and partly because mothers think that schools educate their children regarding sexuality and health.

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Understanding HPV Vaccine Uptake Among Cambodian American Girls

Cited by 22 publications

References 18 publications

Factors Associated with HPV Vaccination among Cambodian American Teenagers

Factors Associated with HPV Vaccination among Cambodian American Teenagers

Cancer statistics for Asian Americans, Native Hawaiians, and Pacific Islanders, 2016: Converging incidence in males and females

Khmer American Mothers' Knowledge about HPV and HBV Infection and Their Perceptions of Parenting: My English Speaking Daughter Knows More

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