Tiempo de Vacunarte (time to get vaccinated): Outcomes of an intervention to improve HPV vaccination rates in a predominantly Hispanic community

Molokwu, Jennifer; Dwivedi, Alok; Mallawaarachchi, Indika; Hernandez, Amir Gerardo; Shokar, Navkiran K.

doi:10.1016/j.ypmed.2019.02.004

Cited by 18 publications

(41 citation statements)

References 34 publications

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“…Recent studies have had mixed results in correlating Hispanic ethnicity with HPV vaccine acceptability, and many of these had limited participation of Hispanic men 26,27 or targeted low-resource populations rather than college students. 8,9 A 2016 study found that Hispanic college men in south Florida did not think that HPV was a risk to them or consider HPV vaccination a priority.…”

Section: Purposementioning

confidence: 99%

Improving Human Papillomavirus-Related Knowledge and Attitudes Among Ethnically Diverse Young Adults

Preston

Darrow

2019

Health Equity

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Purpose: To make baseline comparisons and evaluate the efficacy of an intervention designed to improve human papillomavirus (HPV) and HPV vaccine awareness, knowledge, and attitudes among ethnically diverse participants. Methods: Design: Pre- and post-intervention surveys. Setting: An urban, Hispanic-Serving South Florida university. Subjects: Three hundred eighty-seven diverse college students attending a gender studies course. Intervention: Students received a brief educational message designed to improve HPV-related knowledge and attitudes. Baseline and follow-up survey data were collected. Measures: Outcome measures included baseline and follow-up awareness of HPV, perceived knowledge of HPV and HPV vaccination, measured knowledge score, vaccine attitudes, and doses of HPV vaccine received. Analysis: Chi-square, analysis of covariance (ANCOVA), and Wilcoxon rank-sum tests were used to compare baseline differences and evaluate the efficacy of the intervention. Results: Hispanic participants had more positive attitudes toward HPV vaccination (62% vs. 44%, p =0.009) and were more willing to become vaccinated (66% vs. 46%, p =0.02) than non-Hispanic participants at baseline. Hispanic women (48%) were more likely to have initiated HPV vaccination than Hispanic men (27%, p =0.006). At baseline, only 30% of participants scored ≥4/7 points in knowledge. Participants' HPV knowledge improved by 41% after the intervention, with no difference by ethnicity in the post-intervention score. Conclusion: The intervention was useful in improving HPV-related knowledge and attitudes among diverse college students. Future studies should examine barriers to vaccination among ethnic minorities.

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Section: Purposementioning

confidence: 99%

Improving Human Papillomavirus-Related Knowledge and Attitudes Among Ethnically Diverse Young Adults

Preston

Darrow

2019

Health Equity

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“…98 Twenty-one interventions included multiple audiences for participants. Common combinations of participants included parents and adolescents (11 studies), 31,[35][36][37]42,44,52,[54][55][56]59 adolescents and young adults (4 studies), 21,27,50,62 clinicians and young adults (1 study), 65 parents and young adults (3 studies), 22,69,72 parents and clinicians (1 study), 79 and clinicians, adolescents, and young adults (1 study). 48 Only three studies included only male adolescents or young adult study populations (2 were adolescents only, and the last one was both adolescents and young adults).…”

Section: Resultsmentioning

confidence: 99%

“…Eight of the 79 studies (10.1%) included a large proportion of parents from diverse racial and ethnic identities (de ned ≥ 50% other races than White), 59,75,77,78,80−83 6 (7.6%) included adolescents from diverse groups, 23,30,45,46,51,58 8 (10.1%) included both parents and children from diverse groups, 36,37,42,44,52,54,55,64 6 (7.6%) included young adults from diverse groups, 28,41,62,67,73,94 and 1 included both young adults and children from diverse groups (1.3%). 27 Socio-ecological Levels.…”

Section: Resultsmentioning

confidence: 99%

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A Systematic Review of Interventions to promote HPV Vaccination Globally

Escoffery

Petagna

Agnone

et al. 2022

Preprint

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Background Despite the human papillomavirus (HPV) vaccine being a safe, effective cancer prevention method, its uptake is subomptimal in the United States (U.S.). Previous research have found a variety of intervention strategies (environmental and behavioral) in increasing its uptake. The purpose of the study is to systematically review the literature for interventions to promote HPV vaccination from 2015 to 2020. Methods We updated a systemative review of interventions to promote HPV vaccine uptake globally. We ran key word searches in six bibliographic databases. Audiences, design, level of intervention, components and outcomes were abstracted from the full-text articles in Excel databases. Results Of the 79 articles, most were conducted in the U.S. (72.2%) and in clinical (40.5%) or school settings (32.9%), and were directed a single level (76.3%). Related to the intervention type, most were informational (n = 25, 31.6%) or patient-targeted decision support (n = 23, 29.1%). About 24% were multi-level interventions, with 16 (88.9%) combining two levels. Twenty-seven (33.8%) reported the use of theory in intervention development. Of those reporting HPV vaccine outcomes, post-intervention vaccine initiation ranged from 5–99.2%, while series completion ranged from 6.8–93.0%. Facilitators to implementation were use of patient navigators and user-friendly resources, while barriers included costs, time to implement and difficulties of integrating interventions into organizational workflow. Conclusions There is a strong need to expand implementation of HPV-vaccine promotion interventions beyond education alone and at a single level of intervention. Development and evaluation of effective strategies and multi-level interventions may increase the uptake of the HPV vaccine among adolescents and young adults.

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“…Differences between higher, middle, and lower vaccination rate counties add evidence to the possibility of local implementation strategies influencing community vaccination rates [ 8 , 36 ]. For example, contrasting the findings of prior stakeholder studies and our higher vaccination rate counties that focused on the quality of clinician recommendations [ 12 , 16 , 17 ], stakeholders in middle and lower vaccination rate counties highlighted clinician practices of referring patients to the health department for vaccinations.…”

Section: Discussionmentioning

confidence: 99%

Differences in stakeholder-reported barriers and implementation strategies between counties with high, middle, and low HPV vaccine initiation rates: a mixed methods study

Staras

Kastrinos

Wollney

et al. 2022

Implement Sci Commun

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Background A greater understanding of the county-level differences in human papillomavirus (HPV) vaccination rates could aid targeting of interventions to reduce HPV-related cancer disparities. Methods We conducted a mixed-methods study to compare the stakeholder-reported barriers and efforts to increase HPV vaccination rates between counties within the highest, middle, and lowest HPV vaccine initiation (receipt of the first dose) rates among 22 northern Florida counties. Between August 2018 and April 2019, we recruited stakeholders (n = 68) through purposeful and snowball sampling to identify potential participants who were most knowledgeable about the HPV vaccination activities within their county and would represent a variety of viewpoints to create a diverse picture of each county, and completed semi-structured interviews. County-level HPV vaccine initiation rates for 2018 were estimated from the Florida Department of Health’s immunization registry and population counts. Implementation strategies were categorized by level of importance and feasibility using the Expert Recommendations for Implementing Change (ERIC) taxonomy. We compared the barriers and implementation strategies for HPV vaccination between tercile groups of counties by HPV vaccine initiation rates: highest (18 stakeholders), middle (27 stakeholders), and lowest (23 stakeholders). Results The majority of the 68 stakeholders were female (89.7%), non-Hispanic white (73.5%), and represented a variety of clinical and non-clinical occupations. The mentioned barriers represented five themes: healthcare access, clinician practices, community partnerships, targeted populations, and cultural barriers. Within themes, differences emerged between county terciles. Within healthcare access, the highest rate county stakeholders focused on transportation, lowest rate county stakeholders focused on lack of clinicians, and middle county stakeholders mentioned both. The number of ERIC quadrant I strategies, higher feasibility, and importance described decreased with the tercile for HPV vaccination: highest = 6, middle = 5, and lowest =3 strategies. Conclusions The differing barriers and strategies between the highest, middle, and lowest vaccination rate counties suggest that a tailored and targeted effort within the lowest and middle counties to adopt strategies of the highest rate counties may reduce disparities.

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Tiempo de Vacunarte (time to get vaccinated): Outcomes of an intervention to improve HPV vaccination rates in a predominantly Hispanic community

Cited by 18 publications

References 34 publications

Improving Human Papillomavirus-Related Knowledge and Attitudes Among Ethnically Diverse Young Adults

Improving Human Papillomavirus-Related Knowledge and Attitudes Among Ethnically Diverse Young Adults

A Systematic Review of Interventions to promote HPV Vaccination Globally

Differences in stakeholder-reported barriers and implementation strategies between counties with high, middle, and low HPV vaccine initiation rates: a mixed methods study

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