Trust Yet Verify: Physicians as Trusted Sources of Health Information on HPV for Black Women in Socioeconomically Marginalized Populations

Clark, Cheryl R.; Baril, Nashira; Achille, Erline; Foster, Shauntell; Johnson, Natacha; Taylor-Clark, Kalahn; Gagne, Joshua J.; Olukoya, Oluwakemi; Huisingh, Carrie; Ommerborn, Mark J.; Viswanath, Kasisomayajula

doi:10.1353/cpr.2014.0019

Cited by 7 publications

(12 citation statements)

References 24 publications

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“…Quantitative survey studies confirmed the qualitative findings. Among parents and guardians, doctors were the most trusted source of information across multiple studies [24] , [38] – [40] . Even though doctors were the most preferred source of information on HPV, parents reported that they commonly received information about HPV and the HPV vaccine from television [24] .…”

Section: Resultsmentioning

confidence: 99%

“…Among parents and guardians, doctors were the most trusted source of information across multiple studies [24] , [38] – [40] . Even though doctors were the most preferred source of information on HPV, parents reported that they commonly received information about HPV and the HPV vaccine from television [24] . Other trusted sources that were frequently cited include family members (e.g., mother or older relative), governmental agency websites (e.g., Centers for Disease Control and Prevention [CDC]), friends who work in healthcare, and information from community health centers.…”

Section: Resultsmentioning

confidence: 99%

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The role of trust in HPV vaccine uptake among racial and ethnic minorities in the United States: a narrative review

et al. 2021

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Despite the clinically proven benefits of the human papillomavirus (HPV) vaccine in preventing cervical and other HPV-associated cancers, vaccination coverage has been suboptimal among adolescents and young adults in the United States (US), particularly among racial and ethnic minority adolescents. Historical legacies, combined with current racial/ethnic disparities in healthcare, may contribute to suboptimal uptake and completion of the HPV vaccine in part through differing levels of trust in doctors and healthcare institutions. The purpose of this narrative review was to characterize trust and its role in decision making about HPV vaccine uptake among US racial and ethnic minorities. We conducted a literature search using the PubMed database, and our search terms yielded 1176 articles. We reviewed 41 full-text articles for eligibility and included 20 articles in this review. These studies used varied measures of trust or mistrust and assessed trust in not only doctors/healthcare providers, but also other sources including pharmaceutical companies, media, and clergy. Our review findings revealed generally high levels of trust in doctors and healthcare providers, but less so in pharmaceutical companies. Mistrust of either healthcare providers, government agencies or pharmaceutical companies was consistently associated with less favorable attitudes and lower vaccine uptake. The downstream effects of mistrust may occur through selected health beliefs regarding the perceived efficacy and safety of the vaccine. Minority groups were more likely to report trust in family members, religious organizations, and media sources compared to their white counterparts. Decision making about vaccine uptake is a multilayered process that involves comparing the perceived benefits of the vaccine against its perceived risks. Understanding how trusted sources can effectively harness the tools of social and traditional media to increase knowledge and awareness may help combat misinformation about the HPV vaccine and improve engagement with diverse communities.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The role of trust in HPV vaccine uptake among racial and ethnic minorities in the United States: a narrative review

et al. 2021

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“…Others were apprehensive due to insufficient information while others had little to no knowledge the vaccine existed (Allen et al, 2012; Bynum et al, 2011; Clark et al, 2014; Cunningham-Erves et al, 2018; Galbraith-Gyan et al, 2019; Sledge, 2015). In addition, due to limited health literacy, health information was too difficult to understand; for example, parents were unfamiliar with medical terms, location of female anatomy, and cervical disease processes (Hamlish et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

“…In addition, early dissemination of information before the vaccine due date is preferred. According to Clark et al (2014), parents need time to review the information.…”

Section: Strength Of Recommendationmentioning

confidence: 99%

Exploring Cultural Factors of Human Papillomavirus Vaccination Acceptance in African Americans: An Integrative Review

et al. 2022

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Introduction: Human papillomavirus (HPV) vaccine can prevent HPV-related cancers. However, African Americans (AA) have a 30% higher incidence of HPV-related cervical cancer than Whites. The purpose of this integrative review is to explore cultural factors and beliefs impacting HPV vaccine decisions in AA adults. Methodology: The Whittemore & Knafl model guided this review. Databases searched were PubMed, CINAHL, and Embase. Key terms included “human papillomavirus,” “vaccine,” “cultural values,” “African American,” and “adult.” Inclusion criteria were AAs aged 18 years and over living in the United States. Results: A total of 634 articles were identified, and 20 studies published from 2010 to 2020 were used. Common factors influencing HPV vaccine decisions included religion, knowledge, physician recommendation, social network, attitudes, mistrust, benefits, and safety. Discussion: Limitations included omission of articles lacking AA representation, limited databases searched, and one-author-evaluated studies. Future studies to discover additional cultural factors influencing HPV vaccine acceptance are critical.

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“…While further studies are needed to unravel the underlying factors responsible for observed declines in HPV-related awareness within the general US population and specified sociodemographic groups, robust public health efforts must be undertaken to reverse ongoing trends and the negative impact it may have on HPV vaccination coverage. Research shows a high degree of trust in HPV information from health-care providers, particularly among minority populations; 41 with physician recommendations shown to strongly predict HPV vaccination 42 However, a national survey revealed that 48% of parents of adolescents received no HPV vaccination recommendations from their physicians. 43 This represents a missed opportunity to fully engage parents on the importance and benefits of HPV vaccination.…”

Section: Discussionmentioning

confidence: 99%

Declining awareness of HPV and HPV vaccine within the general US population

Chido-Amajuoyi

Jackson

et al. 2020

Human Vaccines & Immunotherapeutics

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Programs aimed at boosting human papillomavirus (HPV)-related awareness are considered one of the most effective strategies for increasing vaccination uptake and eliminating HPV-associated cancers. Several US states have made strong commitments to this effort through legislation and dedicated funds. However, it is not known if these efforts have resulted in population-level increments in HPV awareness overtime. Using the Health Information National Trends Survey data, we examined the awareness of HPV and HPV vaccine in the US, between 2008 and 2018. Prevalence estimates and confidence intervals were calculated for HPV and HPV vaccine awareness. Further, we assessed awareness after stratifying by key sociodemographic characteristics. Overall, the awareness of HPV and HPV vaccine declined over time. The lowest awareness was among racial minorities, rural residents, male respondents, those aged 65 years and older, as well as those with the lowest educational and socioeconomic standing. Between 2013 and 2018, the awareness of HPV and HPV vaccine declined by almost 10% among males, those with a high school level of education or lower, and those who earned less than USD 35,000 per annum. In 2018, the awareness of HPV and HPV vaccine was highest among non-Hispanic whites (65.8% and 66.5%) and female adults (70.5% and 71.4%); however, these figures represented declines of about 5% from rates observed in 2008. Amidst a background of sub-optimal HPV vaccination uptake and a growing incidence of HPV-associated cancers in the US, HPV-related awareness within the general US population has declined over time. This calls for stricter enforcement of legislation aimed at boosting HPV awareness, as well as frequent evaluation of government-funded HPV awareness programs.

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Trust Yet Verify: Physicians as Trusted Sources of Health Information on HPV for Black Women in Socioeconomically Marginalized Populations

Cited by 7 publications

References 24 publications

The role of trust in HPV vaccine uptake among racial and ethnic minorities in the United States: a narrative review

The role of trust in HPV vaccine uptake among racial and ethnic minorities in the United States: a narrative review

Exploring Cultural Factors of Human Papillomavirus Vaccination Acceptance in African Americans: An Integrative Review

Declining awareness of HPV and HPV vaccine within the general US population

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