Knowledge, Beliefs and Attitudes of Somali Men in Olmsted County, Minnesota, U.S., on the Human Papillomavirus Vaccine and Cervical Cancer Screening: January 17, 2015

Abakporo, Uzoma; Hussein, Abdirahman; Begun, James W.; Shippee, Tetyana

doi:10.1007/s10903-017-0642-0

Cited by 14 publications

(10 citation statements)

References 14 publications

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“…Individual-level and community-level barriers included concerns about side effects, costs, historical experiences with vaccines, parent literacy levels, and treatment (versus preventive) mindsets. These findings are consistent with other studies in minority populations [20][21][22] and demonstrate how language literacy, health literacy, and treatment mindset are challenges for delivering health care to Hmong patients. At the institutional level, adolescents and parents both faced barriers from clinics and school settings, including lack of policies to institute required HPV vaccinations, lack of support to facilitate parent-teen communications around vaccine decision-making, and provider procedural constraints.…”

Section: Discussionsupporting

confidence: 91%

“We will do whatever it takes”: Understanding Socioecological Level Influences on Hmong-American Adolescents and Parents’ Perceptions of the Human Papillomavirus Vaccine

Xiong

Kasouaher²,

Vue³

et al. 2021

J Canc Educ

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Human papillomavirus (HPV) vaccination completion rates in Asian-American populations are substantially lower than most White Americans. Our objective was to identify the knowledge, perceptions, and decision-making processes about HPV vaccinations in the Hmong population, an Asian-American group with increased risks of HPV-related cancers. We conducted eight focus groups with Hmong adolescents (n = 12) and parents (n = 13) to learn about barriers, facilitators, and decision-making processes regarding general vaccinations and the HPV vaccine. The focus group results were analyzed using thematic analysis, informed by the socioecological model and asset lens. Findings showed that at the individual level, Hmong adolescents and parents had low HPV and HPV vaccine awareness levels (barrier) and strong desires to learn about HPV and the HPV vaccine (facilitator). Community-level barriers included salient narratives about traumatic experiences with vaccines and vaccine research, while facilitators included strong community connections. At the institutional level, barriers included structural constraints in health care settings, while facilitators included ease of obtaining vaccines at school-based clinics and provider authoritative decision-making. Additionally, a range of decision-making processes between parents, adolescents, and providers were present, with parents expressing a strong appeal to engage in more shared decision-making with providers. A linguistically and culturally specific HPV educational program for Hmong adolescents and parents could address the barriers and build on facilitators and assets to promote HPV vaccine uptake in this growing Asian-American community.

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Section: Discussionsupporting

confidence: 91%

“We will do whatever it takes”: Understanding Socioecological Level Influences on Hmong-American Adolescents and Parents’ Perceptions of the Human Papillomavirus Vaccine

Xiong

Kasouaher²,

Vue³

et al. 2021

J Canc Educ

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“…Furthermore, cost is a main barrier for vaccination in this group [ 27 ]. A similar situation is described among Somali-American men [ 93 ]. Traditional patriarchal gender roles may have an impact here [ 92 ], and there may be a cultural taboo against discussing sexuality and sexual health, as well as a perception that HPV vaccination is for females and the previously mentioned belief that the vaccine is associated with promiscuity are barriers due to cultural and ethnic factors [ 53 , 92 ].…”

Section: Resultssupporting

confidence: 73%

Barriers towards HPV Vaccinations for Boys and Young Men: A Narrative Review

Grandahl

Nevéus

2021

Viruses

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Background: HPV vaccination of both girls and boys can protect against infection and eliminate the risk for HPV-associated cancer. Due to a common misconception that the virus only poses risks to women, vaccine coverage is suboptimal among men in many countries. It is urgent to identify barriers to vaccination of boys and men. Methods: We conducted a narrative review of publications examining attitudes and beliefs regarding HPV vaccination for boys and young men. The electronic databases searched were PubMed, PsychInfo and Scopus (December 2020; last update July 2021). A total of 103 original articles were included in the final analysis. Results: The central barriers against vaccination of boys and men are: (1) lack of knowledge, (2) vaccine hesitancy in general, (3) lack of recommendation from and/or discussions with healthcare providers, (4) cost and logistics, and (5) the idea that HPV vaccination may promote promiscuity. Men who have sex with men and families belonging to ethnic minorities express a need for information tailored to their situation. Conclusions: Boys should be included in national immunization programs and men should also be offered catch-up vaccinations. Future studies should focus on addressing vaccine hesitancy and developing interventions to promote pan-gender HPV vaccination.

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“…insufficient knowledge of CC beside unfamiliarity with and lack of understanding of CC prevention), has also been observed in several other studies conducted among immigrants in different western countries (e.g. USA, Australia, Canada, Europe) [14,15,[17][18][19][26][27][28][29]. In many of these studies low language skills also served as an important barrier, a finding we did not encounter due to our purposively selection of participants who spoke fluently Danish.…”

Section: Discussion Of Findingssupporting

confidence: 58%

“…These barriers include; stigma in relation to (cervical) cancer [13], women's fear, embarrassment or shame in relation to CCS [15][16][17], barriers related to female genitals or sexuality [13,15,17], barriers related to religious beliefs/fatalism [13,15] and low perceived risk [13,16]. However, only few qualitative studies have investigating the interplay between HPVV-and CCS-specific perceptions and barriers among ethnic minority women in a post HPVV era [15,[17][18][19], and among these only two conducted in European settings [15,17] and to date none have been conducted in Denmark. The aim of this study was thus to explore perceptions of and potential barriers to HPVV and CCS among a group of ethnic minority women from MENA countries and Pakistan in Denmark.…”

Section: Introductionmentioning

confidence: 99%

Perceptions of cervical cancer prevention among a group of ethnic minority women in Denmark—A qualitative study

et al. 2021

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Background Cervical cancer screening (CCS) and human papillomavirus vaccination (HPVV) are effective measures against cervical cancer (CC). Attendance in HPVV and CCS provides the greatest protection, while combined non-attendance in HPVV and CCS provides little to no protection. It is hence concerning that some large ethnic minority groups show considerably lower HPVV and CCS attendance than other women–especially women from Middle-Eastern and North African (MENA) countries and Pakistan. Little is, however, known about the reasons for this low combined attendance pattern n. Aim To explore perceptions of and barriers to HPVV and CCS, among MENA and Pakistani women in Denmark. Method Focus group interviews were conducted. Data was transcribed verbatim, and analysed using systematic text condensation. Findings Seventeen long-term resident women originating from six major MENA countries and Pakistan were included. Mean age was 36 years. We found that these women, across different age groups and descent, had sparse knowledge and understanding about CC, and their perceived relevance of disease prevention was low. Compared to HPVV, their barriers to CCS were more fixed and often linked to socio-cultural factors such as taboos related to female genitals and sexuality. Moreover, they presented unmet expectations and signs of mistrust in the healthcare system. However, at the end of the interviews, participants became more attentive toward CC prevention, particularly toward HPVV. Conclusion Elements of insufficient knowledge and understanding of CC and its prevention were found among a group of MENA and Pakistani women. Their socio-cultural background further represents a barrier particularly towards CCS. Additionally, negative experiences and unmet expectations lessen their trust in the healthcare system. All of which underlines the need for new tailored CC preventive strategies for this group. Based on our findings we suggest that future studies develop and evaluate interventions aiming to improve HPVV and CCS, including user-involvement.

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Knowledge, Beliefs and Attitudes of Somali Men in Olmsted County, Minnesota, U.S., on the Human Papillomavirus Vaccine and Cervical Cancer Screening: January 17, 2015

Cited by 14 publications

References 14 publications

“We will do whatever it takes”: Understanding Socioecological Level Influences on Hmong-American Adolescents and Parents’ Perceptions of the Human Papillomavirus Vaccine

“We will do whatever it takes”: Understanding Socioecological Level Influences on Hmong-American Adolescents and Parents’ Perceptions of the Human Papillomavirus Vaccine

Barriers towards HPV Vaccinations for Boys and Young Men: A Narrative Review

Perceptions of cervical cancer prevention among a group of ethnic minority women in Denmark—A qualitative study

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