Influences of sociodemographic characteristics and parental HPV vaccination hesitancy on HPV vaccination coverage in five US states

Shato, Thembekile; Humble, Sarah; Anandarajah, Akila; Barnette, Alan R; Brandt, Heather M.; Garbutt, Jane; Klesges, Lisa M.; Thompson, Vetta L. Sanders; Silver, Maya R.

doi:10.1016/j.vaccine.2023.04.082

Cited by 8 publications

(5 citation statements)

References 43 publications

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“…The overall trend in parental beliefs regarding the effectiveness of the vaccine did not differ by the sex of the child in terms of significance. This is an area that warrants further exploration as there are data indicating that HPV vaccine series initiation occurs less often in male versus female children [ 29 ]. Knowledge gaps related to the risk of acquiring HPV and understanding the impact of HPV-associated cancers may influence parental gender-specific HPV vaccine beliefs and practices [ 29 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…This is an area that warrants further exploration as there are data indicating that HPV vaccine series initiation occurs less often in male versus female children [ 29 ]. Knowledge gaps related to the risk of acquiring HPV and understanding the impact of HPV-associated cancers may influence parental gender-specific HPV vaccine beliefs and practices [ 29 , 30 ]. Well-designed gender-neutral messaging may promote HPV vaccine equity [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

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Assessing Barriers to Human Papillomavirus (HPV) Vaccination in At-Risk Rural Communities of Western North Carolina, United States

McNeil,

Barr,

Munawar

et al. 2023

Vaccines

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Human papillomavirus (HPV) vaccination among adolescents in rural, western North Carolina (NC) remains suboptimal. Data are needed to understand the barriers to HPV vaccination in these communities. We conducted a cross-sectional pilot study of parental attitudes and provider practices regarding HPV vaccination in rural western NC counties with lower HPV vaccination rates. Eight health department clinics were enrolled in the study. Further, 29 provider and 32 parent surveys were analyzed along with environmental scans. Median provider comfort regarding knowledge of HPV-associated diseases was 85% (IQR = 75–95), on a scale of 0–100% (100% representing complete comfort). Median parental comfort level regarding knowledge of HPV-associated diseases and the HPV vaccine was 75% (IQR = 50–89) and 75% (IQR = 49–96), respectively. Less than 25% of parents rated the HPV vaccine as ‘extremely effective’ against genital (16.7%) and anal cancers (17.9%). Parents were more likely to rate the vaccine as ‘extremely effective’ to ‘very effective’ if their child was female. There was no significant difference between parental- and provider-reported comfort with knowledge about HPV-associated diseases (p = 0.0725) and the HPV vaccine (p = 0.167). This study identified multiple opportunities to increase HPV vaccine coverage among unvaccinated adolescents at parental, provider, and clinic levels. Health education of rural NC residents and providers in public health settings may identify future interventions to increase HPV vaccine uptake.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Assessing Barriers to Human Papillomavirus (HPV) Vaccination in At-Risk Rural Communities of Western North Carolina, United States

McNeil,

Barr,

Munawar

et al. 2023

Vaccines

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“…Shato et al includes a more detailed description of the study population and map. 16 These are all states with below average (Mississippi, Arkansas, Tennessee, Missouri) or average (Illinois) HPV vaccination coverage among teenagers between the ages of 13 and 17. 9 None of these states have schools that require girls or boys to have received the HPV vaccine.…”

Section: Methodsmentioning

confidence: 99%

“…Sociodemographic variables for the child and caregiver that were found to be significantly associated with HPV vaccine initiation in previous analyses using the survey data were included as covariates. 16 The child’s demographic characteristics included gender (male or female) and vaccination history for the meningococcal conjugate vaccine and seasonal influenza vaccine (for the most recent season), and current age (9–12 years, 13+ years). The variables for the caregivers were evaluated categorically, including age (25–34 years, 35–44 years, or 45+ years), and gender (male or female).…”

Section: Methodsmentioning

confidence: 99%

“… 13–15 A previous analysis we conducted showed that higher parental vaccine hesitancy was linked to decreased adolescent HPV vaccination uptake. 16 In addition, parents with positive attitudes about the HPV vaccine have been reported to have higher odds of vaccinating their child, whereas those with barriers or concerns about safety had lower odds. 13–15 , 17 , 18 …”

Section: Introductionmentioning

confidence: 99%

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The association of caregiver attitudes, information sources, and trust with HPV vaccine initiation among adolescents

Anandarajah,

Shato,

Humble

et al. 2024

Human Vaccines & Immunotherapeutics

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This study described caregiver attitudes and the information sources they access about HPV vaccination for adolescents and determined their influence on human papillomavirus (HPV) vaccination initiation. An online survey was administered to 1,016 adults in July 2021. Participants were eligible if they were the caregiver of a child aged 9–17 residing in Mississippi, Arkansas, Tennessee, Missouri, and select counties in Southern Illinois. Multivariate logistic regression was used to estimate the association of caregiver attitudes and information sources with HPV vaccination. Information from doctors or healthcare providers (87.4%) and internet sources other than social media (31.0%) were the most used sources for HPV vaccine information. The highest proportion of caregivers trusted their doctor or healthcare providers (92.4%) and family or friends (68.5%) as sources of information. The HPV vaccine series was more likely to be initiated in children whose caregivers agreed that the vaccine is beneficial (AOR = 4.39, 95% CI = 2.05, 9.39), but less likely with caregivers who were concerned about side effects (AOR = 0.61, 95% CI = 0.42, 0.88) and who received HPV vaccination information from family or friends (AOR = 0.57, 95% CI = 0.35, 0.93). This study found that caregivers’ attitudes, information sources, and trust in those sources were associated with their adolescent’s HPV vaccination status. These findings highlight the need to address attitudes and information sources and suggest that tailored interventions considering these factors could increase HPV vaccination rates.

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Effect of age at initiation of the human papillomavirus vaccine on the association between race/ethnicity and completion of the vaccine series

Hirth,

Ostovar-Kermani,

Gutierrez

et al. 2024

Vaccine

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Influences of sociodemographic characteristics and parental HPV vaccination hesitancy on HPV vaccination coverage in five US states

Cited by 8 publications

References 43 publications

Assessing Barriers to Human Papillomavirus (HPV) Vaccination in At-Risk Rural Communities of Western North Carolina, United States

Assessing Barriers to Human Papillomavirus (HPV) Vaccination in At-Risk Rural Communities of Western North Carolina, United States

The association of caregiver attitudes, information sources, and trust with HPV vaccine initiation among adolescents

Effect of age at initiation of the human papillomavirus vaccine on the association between race/ethnicity and completion of the vaccine series

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