Predictors of Human Papillomavirus Vaccination Acceptability Among Underserved Women

Gerend, Mary A.; Lee, Stephanie Cruz; Shepherd, Janet E.

doi:10.1097/01.olq.0000245915.38315.bd

Cited by 122 publications

(116 citation statements)

References 21 publications

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“…Existing studies have shown that knowledge about HPV may strongly influence vaccination acceptance (Gerend et al, 2007;Gottvall et al, 2009). In China, there have been some studies examining this topic, both in Hong Kong Kwan et al, 2008;Kwan et al, 2009) and in mainland China Zhang et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Perceptions and Acceptability of HPV Vaccination among Medical Students in Chongqing, China

Fu¹,

Zhao²,

Saheb-Kashaf³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Objectives: To evaluate medical students' knowledge of HPV and HPV related diseases and assess their attitudes towards HPV vaccination. Methods: A total of 605 medical undergraduates from Chongqing Medical University in China were surveyed using a structured and pretested questionnaire on HPV related knowledge. Results: Some 68.9% of the medical students were females, and mean age was 21.6 (±1.00) years. Only 10.6% correctly answered more than 11 out of 14 questions on HPV related knowledge, 71.8% being willing to receive/ advise on HPV vaccination. Female students (OR: 2.69; 95% CI: 1.53-4.72) and students desiring more HPV education (OR: 4.24; 95% CI: 1.67-10.8) were more willing to accept HPV vaccination. HPV vaccination acceptability was observed to show a positive association with HPV related knowledge. Conclusions: Our survey found low levels of HPV related knowledge and HPV vaccination acceptability among participating medical students. HPV education should be systematically incorporated into medical education to increase awareness of HPV vaccination.

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Section: Introductionmentioning

confidence: 99%

Knowledge, Perceptions and Acceptability of HPV Vaccination among Medical Students in Chongqing, China

Fu¹,

Zhao²,

Saheb-Kashaf³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…Although infections with "low-risk" HPV types (HPV 6,11) are generally benign, they can lead to low-grade cervical cell changes, genital warts, and respiratory papillomatosis. Persistent infection with "high-risk" oncogenic HPV types (HPV 16,18) can cause cervical, oropharyngeal, and anogenital cancers (2). Black and Hispanic women experience a disproportionate burden of cervical cancer.…”

Section: Introductionmentioning

confidence: 99%

“…The Food and Drug Administration approved a quadrivalent vaccine (covering HPV types 6,11,16,18) in June 2006 for use among girls and women 9-26 years of age and approved a second bivalent vaccine (covering HPV types 16 and 18) in October 2009. The vaccine is most efficacious if administered before sexual debut (4).…”

Section: Introductionmentioning

confidence: 99%

Parental Decision Making about the HPV Vaccine

Allen

Othus

Shelton

et al. 2010

Cancer Epidemiology, Biomarkers &Amp; Prevention

190

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Background: Prophylactic human papillomavirus (HPV) vaccines are available, but uptake is suboptimal. Information on factors influencing parental decisions regarding vaccination will facilitate the development of successful interventions.Methods: Parents of girls ages 9 to 17 years (n = 476; cooperation rate = 67%) from a panel of U.S. households completed online surveys between September 2007 and January 2008, documenting vaccine knowledge, attitudes, and intentions.Results: Among those aware of the vaccine, 19% had already vaccinated their daughter(s), 34% intended to, 24% were undecided, and 24% had decided against vaccination. Awareness of HPV was high but knowledge levels were suboptimal (mean 72%, SEM 0.8%). Black and Hispanic parents were significantly less likely to be aware of the vaccine compared with White parents. In multivariate analyses, compared with parents who opposed vaccination, those who had already vaccinated their daughter(s) or who intended to do so had more positive attitudes, reported fewer barriers, and were more likely to perceive that family and friends would endorse vaccination. They also reported higher levels of trust in pharmaceutical companies that produce the vaccine.Conclusions: Despite limited knowledge, most parents had decided to vaccinate their daughter(s). Given evidence of diminished access to information among Black and Hispanic parents, programs should focus on reaching these groups. Interventions should address parental concerns about behavioral consequences, reduce structural barriers, and promote the perception that vaccination is endorsed by significant others. Moreover, interventions may need to address mistrust of pharmaceutical companies.Impact Statement: This study documents factors associated with parental decisions about HPV vaccination for their daughter(s) and provides direction for intervention development. Cancer Epidemiol Biomarkers Prev; 19

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“…This indicated that HPV immunization may be of particular benefit to the rural poor and medically underserved populations worldwide where women are deprived of access to regular cervical screening [19]. Several studies on acceptability of HPV vaccine among the underserved rural women have been reported in the literature [11,[20][21][22]. Lack of reported data from underdeveloped and developing regions warrants further investigation, especially in the context of a high population incidence of cervical cancer in these regions and even higher incidence among the marginalized women in rural areas.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and Attitudes About HPV Infection, HPV Vaccination, and Cervical Cancer Among Rural Southeast Asian Women

Wong

2010

Int.J. Behav. Med.

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Background The incidence of cervical cancer in developing countries is high and even higher among women in rural areas in these countries. Purpose The purpose of this study is to assess the knowledge and attitudes towards human papillomavirus (HPV), HPV vaccination, and cervical cancer among young women in rural settings in a Southeast Asia country. Methods A convenience sample of ethnically diverse young rural women in Malaysia was surveyed. Participants were interviewed using a standard questionnaire. Results Among the participants (N=449), knowledge of HPV, HPV vaccination, cervical screening, and cervical cancer risk factors was extremely poor. The mean total knowledge score (14 items) was 2.37 (SD±1.97). Although many had never heard of the newly released HPV vaccine, two-thirds professed an intention to receive the HPV vaccine. Intention to receive the vaccine was significantly associated with knowledge of cervical screening and cervical cancer risk factors (OR 1.17; 95% CI 1.03-1.33; P=0.013). Reasons for vaccine refusal were doubts about safety and efficacy of the new vaccine (27.4%), perceived embarrassment at receiving an STI vaccine (20.7%), and perception of not being at risk of HPV infection (20.0%). Conclusions Providing HPV education to the rural residents is a high priority.

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Predictors of Human Papillomavirus Vaccination Acceptability Among Underserved Women

Abstract: The current study highlights key correlates of vaccine acceptability that may inform HPV vaccination campaigns for underserved populations.

Cited by 122 publications

References 21 publications

Knowledge, Perceptions and Acceptability of HPV Vaccination among Medical Students in Chongqing, China

Knowledge, Perceptions and Acceptability of HPV Vaccination among Medical Students in Chongqing, China

Parental Decision Making about the HPV Vaccine

Knowledge and Attitudes About HPV Infection, HPV Vaccination, and Cervical Cancer Among Rural Southeast Asian Women

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