Human Papillomavirus Vaccine Knowledge and Attitudes, Preventative Health Behaviors, and Medical Mistrust Among a Racially and Ethnically Diverse Sample of College Women

Kolar, Stephanie K.; Wheldon, Christopher W.; Hernandez, Natalie; Young, Lauren; Romero‐Daza, Nancy; Daley, Ellen M.

doi:10.1007/s40615-014-0050-2

Cited by 44 publications

(34 citation statements)

References 32 publications

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“…While fewer studies have focused on understanding the link between medical mistrust and prevention of STIs, recent research has shown that women with higher mistrust were less likely to have engaged in preventive health behaviors such as HPV immunization, a trend that was exacerbated when patients and providers were racially discordant [34]. This finding has significant public health implications given higher rates of HPV prevalence and cervical cancer incidence and mortality and lower rates of HPV vaccine completion in Black and Latina women, compared to White women [35–37].…”

Section: Discussionmentioning

confidence: 99%

Barriers to HPV immunization among blacks and latinos: a qualitative analysis of caregivers, adolescents, and providers

Katz

Bogart

et al. 2016

BMC Public Health

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BackgroundDespite recommendations that 11–12-year-olds receive the full three-shot Human papillomavirus (HPV) vaccine series, national HPV immunization coverage rates remain low. Disparities exist, with Blacks and Latinos being less likely than Whites to complete the series. We aimed to identify and compare barriers to HPV immunization perceived by healthcare providers, Black and Latino adolescents, and their caregivers to inform a clinic-based intervention to improve immunization rates.MethodsWe conducted semi-structured interviews between March and July 2014 with Black and Latino adolescents (n = 24), their caregivers (n = 24), and nurses (n = 18), and 2 focus groups with 18 physicians recruited from two pediatric primary care clinics. Qualitative protocol topics included: general perceptions and attitudes towards vaccines; HPV knowledge; and perceived individual and systems-level barriers affecting vaccine initiation and completion.ResultsThemes were identified and organized by individual and systems-level barriers to HPV immunization. Adolescents and their caregivers, particularly Blacks, expressed concerns about HPV being an untested, “newer” vaccine. All families felt they needed more information on HPV and found it difficult to return for multiple visits to complete the vaccine series. Providers focused on challenges related to administering multiple vaccines simultaneously, and perceptions of parental reluctance to discuss sexually transmitted infections.ConclusionsOptimizing HPV immunization rates may benefit from a multi-pronged approach to holistically address provider, structural, and individual barriers to care. Further research should examine strategies for providing multiple modalities of support for providers, including a routinized system of vaccine promotion and delivery, and for addressing families’ concerns about vaccine safety and efficacy.

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Section: Discussionmentioning

confidence: 99%

Barriers to HPV immunization among blacks and latinos: a qualitative analysis of caregivers, adolescents, and providers

Katz

Bogart

et al. 2016

BMC Public Health

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“…This secondary data analysis is part of a larger study ( Hernandez et al, 2017 ; Kolar et al, 2015 ; Wheldon, Kolar, Hernandez, & Daley, 2017 ). Data were from a non-probability based cross-sectional survey of ethno/racial minority students attending a large Southeastern university in the fall of 2011.…”

Section: Methodsmentioning

confidence: 99%

Examining HPV Awareness, Sexual Behavior, and Intent to Receive the HPV Vaccine Among Racial/Ethnic Male College Students 18–27 years

et al. 2018

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Human papillomavirus (HPV) awareness and vaccination among males in the general population is low. Men in general, but particularly racial/ethnic men, are disproportionately affected by HPV. The purpose of this article is to examine college males’ (a) HPV awareness, (b) sexual behaviors, and (c) intention to receive the HPV vaccination. A non-probability sample of all students who self-reported their race/ethnicity and were attending a university in Southeastern United States were contacted by the university registrar’s office and recruited to participate in the 15-minute survey. Males, ages 18–27 years (N = 190), were identified for this study. χ2, t-tests, and binomial logistic regression analyses assessed the relationship between knowing about HPV and HPV vaccine and the intent to receive the HPV vaccination. Findings indicated that 67.4% of the sample identified as Hispanic or Black. Among all men, 73.2% reported previous sexual experience and 49.5% were currently sexually active. There were 79.5% who had previous knowledge about HPV and 55.8% had knowledge about the HPV vaccine; 71.1% of the sample did not intend to receive the vaccine. Hispanic and Black men were less likely to identify as virgins, more likely to be sexually active, and more likely to have sexual experiences at an earlier age compared to White, Asian, and other men. Men with previous HPV vaccine knowledge (28.4%) were more likely to intend to receive the vaccine compared to men who did not have previous knowledge about the vaccine (14.9%). Providing males with information about HPV, its transmission, and possible HPV-related outcomes may increase HPV vaccine uptake.

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“…Eighteen of the quantitative studies did not contain a definition of trust or a discussion of the concepts present within the trust literature, despite explicitly mentioning trust within their aim or research question. 37 , 39 , 41-44 , 46 , 48 , 49 , 51-54 , 56 , 58 , 60 , 61 , 64 By leaving the definition of trust implicit, these papers created ambiguity around this core concept. Four studies 38 , 47 , 50 , 63 included some brief mentions of relevant trust concepts (e.g.…”

Section: Quantitative Studiesmentioning

confidence: 99%

Measuring trust in vaccination: A systematic review

Larson

Clarke

Jarrett

et al. 2018

Human Vaccines & Immunotherapeutics

480

444

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Vaccine acceptance depends on public trust and confidence in the safety and efficacy of vaccines and immunization, the health system, healthcare professionals and the wider vaccine research community. This systematic review analyses the current breadth and depth of vaccine research literature that explicitly refers to the concept of trust within their stated aims or research questions. After duplicates were removed, 19,643 articles were screened by title and abstract. Of these 2,779 were screened by full text, 35 of which were included in the final analysis. These studies examined a range of trust relationships as they pertain to vaccination, including trust in healthcare professionals, the health system, the government, and friends and family members. Three studies examined generalized trust. Findings indicated that trust is often referred to implicitly (19/35), rather than explicitly examined in the context of a formal definition or discussion of the existing literature on trust in a health context. Within the quantitative research analysed, trust was commonly measured with a single-item measure (9/25). Only two studies used validated multi-item measures of trust. Three studies examined changes in trust, either following an intervention or over the course of a pandemic. The findings of this review indicate a disconnect between the current vaccine hesitancy research and the wider health-related trust literature, a dearth in research on trust in low and middle-income settings, a need for studies on how trust levels change over time and investigations on how resilience to trust-eroding information can be built into a trustworthy health system.

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Human Papillomavirus Vaccine Knowledge and Attitudes, Preventative Health Behaviors, and Medical Mistrust Among a Racially and Ethnically Diverse Sample of College Women

Cited by 44 publications

References 32 publications

Barriers to HPV immunization among blacks and latinos: a qualitative analysis of caregivers, adolescents, and providers

Barriers to HPV immunization among blacks and latinos: a qualitative analysis of caregivers, adolescents, and providers

Examining HPV Awareness, Sexual Behavior, and Intent to Receive the HPV Vaccine Among Racial/Ethnic Male College Students 18–27 years

Measuring trust in vaccination: A systematic review

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