Approaching a decade since HPV vaccine licensure: Racial and gender disparities in knowledge and awareness of HPV and HPV vaccine

Boakye, Eric Adjei; Tobo, Betelihem B.; Rojek, Rebecca; Mohammed, Kahee A.; Geneus, Christian J.

doi:10.1080/21645515.2017.1363133

Cited by 110 publications

(85 citation statements)

References 48 publications

(64 reference statements)

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“…Nevertheless, this study found that awareness of HPV (62.5%) and the HPV vaccine (58.3%) was significantly lower among fathers than mothers. Prior studies conducted in the US have also found awareness of HPV and the HPV vaccine among other racial/ethnic parents to be lower than the 80% target level set by the Healthy People 2020 [38][39][40][41]. Moreover, similar to our findings, these prior studies also documented that mothers are more likely than fathers to be aware of HPV and the HPV vaccine [38][39][40][41].…”

Section: Discussionsupporting

confidence: 88%

“…Study findings found that 76.8% of parents had heard of HPV and 75% had heard of the HPV vaccine. These findings indicate that although awareness of the HPV vaccine in this group of Central American immigrant parents is lower than the target level set by the Healthy People 2020 (80%) [12], it is higher than that reported for the full US population (66%) [38]. Nevertheless, this study found that awareness of HPV (62.5%) and the HPV vaccine (58.3%) was significantly lower among fathers than mothers.…”

Section: Discussioncontrasting

confidence: 64%

“…Prior studies conducted in the US have also found awareness of HPV and the HPV vaccine among other racial/ethnic parents to be lower than the 80% target level set by the Healthy People 2020 [38][39][40][41]. Moreover, similar to our findings, these prior studies also documented that mothers are more likely than fathers to be aware of HPV and the HPV vaccine [38][39][40][41]. Additionally, our study findings are comparable to a limited number of studies conducted with other Latino groups that have found fathers are less aware of HPV and the HPV vaccine than mothers [21,26].…”

Section: Discussionmentioning

confidence: 94%

See 2 more Smart Citations

Central American Immigrant Parents’ Awareness, Acceptability, and Willingness to Vaccinate Their Adolescent Children Against Human Papillomavirus: A Pilot Cross-Sectional Study

Lindsay

Pineda

Valdez

et al. 2020

IJERPH

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Despite increasing interest in understanding the factors influencing awareness and acceptability of the human papillomavirus (HPV) vaccine among Latino parents, to date limited information is available specific to Central American parents living in the United States (US). Therefore, this pilot cross-sectional study was designed to explore and assess Central American immigrant parents’ awareness, acceptability, and willingness to vaccinate their children against HPV, and interest in participating in future HPV-associated cancer prevention study. Fifty-six Central American parents, majority immigrant (96.4%; n = 54) from four countries, El Salvador—50% (n = 27); Guatemala—25.9% (n = 14); Honduras—22.2% (n = 12); and Panama—1.9% (n = 1) participated in this study. Participants completed an interviewer-administered questionnaire survey in their preferred language (i.e., Spanish or English). A little over half of the participants were mothers (57.1%; n = 32) and parents’ mean age was 43.2 years (SD = 6.4). The majority was married or cohabitating (76.8%, n = 43), and 39.3% (n = 22) reported having two children. Seventy-five percent (n = 42) of parents reported they had heard of the HPV vaccine. Fewer fathers were aware of the HPV vaccine (58.3%; n = 14 vs.87.5%, n = 28; p = 0.01) than mothers. Among parents who had heard of the HPV vaccine (n = 42), 85.7% (n = 36) reported their children had received at least one dose of the HPV vaccine. Fewer fathers reported their child had been vaccinated against HPV (64.3%, n = 9 vs. 96.4%, n = 27; p = 0.06) than mothers. Moreover, 90% of parents (n = 18) whose children were unvaccinated reported willingness to vaccinate their adolescent children against HPV if recommended by their child’s physician. Findings indicate parents’ low to moderate awareness of the HPV vaccine, and high willingness to vaccinate their adolescent children if recommended by their child’s physician. Findings also demonstrate fathers’ lower awareness and acceptability of the HPV vaccine than mothers. Despite limitations and the need for more research, findings of this pilot study serve as a valuable first step toward building a knowledge foundation that is needed for developing future studies and interventions targeting Central American immigrant parents living in the US. Future studies can build on the findings of this exploratory study with other research designs and address its limitations by having a larger sample size and accounting for additional factors associated with Central American immigrant parents’ HPV awareness, knowledge, beliefs, attitudes, and vaccine acceptability from other communities across the US.

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Section: Discussionsupporting

confidence: 88%

Section: Discussioncontrasting

confidence: 64%

Section: Discussionmentioning

confidence: 94%

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Central American Immigrant Parents’ Awareness, Acceptability, and Willingness to Vaccinate Their Adolescent Children Against Human Papillomavirus: A Pilot Cross-Sectional Study

Lindsay

Pineda

Valdez

et al. 2020

IJERPH

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“…how providers recommend the HPV vaccine. 15,53,54 In this study, higher percentages were reported if the respondent was female and if they had a female child aged ≥15 years old. Healthcare providers may recommend HPV vaccination less frequently to parents / guardians of male children.…”

Section: Reasons For Low Vaccination Ratesmentioning

confidence: 56%

“…12,13 Although routine HPV vaccination has been recommended in the United States (US) since 2006 for females and 2011 for males ages 9-26 years, 14 disparities in knowledge and awareness about HPV and the HPV vaccine persist, and vaccination rates remain suboptimal. 15 The Healthy People 2020 goal is to have 80% HPV coverage among 13-15-year-olds. 16 In the US, HPV vaccine completion rates are low for girls and boys ages 13-17 (49.5% and 37.5%, respectively).…”

Section: Introductionmentioning

confidence: 99%

Parental knowledge gaps and barriers for children receiving human papillomavirus vaccine in the Rio Grande Valley of Texas

Victory

Kuo

et al. 2019

Human Vaccines & Immunotherapeutics

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Purpose: Despite its availability for more than a decade, the human papillomavirus (HPV) vaccine has low uptake in Texas (49%). The objective of this study was to understand parental knowledge and attitudes about HPV and the HPV vaccine as well as child experience with the HPV vaccine among a medically underserved, economically disadvantaged population. Methods: As part of a Cancer Prevention Research Institute of Texas-funded project to improve HPV vaccination rates, we surveyed parents / guardians of 4 th-12 th graders (ages 9-17) in the Rio Grande City Consolidated Independent School District (RGCCISD). Descriptive statistics were used to describe parents' knowledge and attitude and children's vaccine experience. Results: Of the 7,055 surveys distributed, 622 (8.8%) were returned. About 84% of the respondents were female. About 57.1% of the parents /guardians had female RGCCISD students with a mean age of 11.7 ± 1.8 years. Overall, 43.9% reported receiving a healthcare provider recommendation and 32.5% had their child vaccinated. Higher percentages were reported if the respondent was female and had a female child aged ≥15 years old. Among survey respondents, 28.2% reported their child initiated the HPV vaccine and 18.8% completed the series. Barriers of uptake included work / school schedule conflicts and no healthcare provider recommendation. Conclusions: There are still prominent gaps in parents' and students' complete understanding of HPV vaccination, gender preferences for vaccination, and provider recommendations. Future interventions must target men and minority populations in order to increase knowledge and awareness about HPV, the HPV vaccine, and HPV-associated cancers.

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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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Approaching a decade since HPV vaccine licensure: Racial and gender disparities in knowledge and awareness of HPV and HPV vaccine

Cited by 110 publications

References 48 publications

Central American Immigrant Parents’ Awareness, Acceptability, and Willingness to Vaccinate Their Adolescent Children Against Human Papillomavirus: A Pilot Cross-Sectional Study

Central American Immigrant Parents’ Awareness, Acceptability, and Willingness to Vaccinate Their Adolescent Children Against Human Papillomavirus: A Pilot Cross-Sectional Study

Parental knowledge gaps and barriers for children receiving human papillomavirus vaccine in the Rio Grande Valley of Texas

Human Papillomavirus Awareness by Educational Level and by Race and Ethnicity

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