Diverse Families’ Experiences with HPV Vaccine Information Sources: A Community-Based Participatory Approach
- 527 Downloads
Current sources of publicly available human papillomavirus (HPV) information may not adequately meet the needs of diverse families. This study sought to describe associations between sociodemographic and acculturation factors, and sources of HPV information among diverse parents and caregivers. Community organizations purposively recruited participants from African American, African refugee, Hispanic/Latino, American Indian, and Native Hawaiian and Pacific Islander communities for a 21-item survey (N = 228). Ninenty-three of these participants also participated in ten focus groups conducted in three languages. Descriptive statistics and Fishers’ Exact Test for Count Data were produced and triangulated with focus group data to provide additional context. Overall, HPV vaccine awareness and knowledge in the five communities was low. This study found that a greater proportion of lower-acculturated participants had heard of HPV through personal networks (foreign-born = 50 % vs US-born = 30 %, p < 0.05; medium acculturation = 60 % vs high acculturation = 26 %, p = 0.01), while greater proportions of US-born participants reported media sources (49 % vs foreign-born = 29 %, p < 0.05). Across communities, healthcare system sources were described as important and preferred sources of HPV information. Hearing about the HPV vaccine from healthcare settings was significantly associated with increased accuracy in HPV vaccine knowledge (p < 0.05). Communities described a need for more in-depth information about the HPV vaccine, and culturally and linguistically appropriate educational materials. Culturally-competent delivery of HPV information through the healthcare system sources may be important in improving knowledge and acceptability of the HPV vaccine among diverse families.
KeywordsPapillomavirus vaccines Adolescent health Culturally competent care Community-based participatory research Consumer health information
The authors wish to acknowledge Guadalupe Tovar, Echo Warner, Ivoni Nash, and Maria Borrerro who helped with the facilitation and organization of the focus groups, Alfonse, Esperance, Paul and Cecilia from Best of Africa who assisted with the translations, and the families who participated in this research. The authors also wish to acknowledge the late Sylvia Rickard, former executive director of the Hispanic Health Care Task Force and a key contributor in the early phases of this study; and Grant Sunada from the University of Utah and Brenda Ralls from the Utah Department of Health who also provided valuable feedback during the research process. The last author was funded by a grant from the Primary Children’s Hospital Foundation and an award from the National Center for Advancing Translational Sciences from the National Institutes of Health under Award Number KL2TR001065. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
- 1.Centers for Disease Control and Prevention (2016). HPV-associated cancer statistics. Retrieved from http://www.cdc.gov/cancer/hpv/statistics/.
- 2.Jemal, A., Simard, E. P., Dorell, C., et al. (2013). Annual report to the nation on the status of cancer, 1975–2009, featuring the burden and trends in human papillomavirus (HPV)–associated cancers and HPV vaccination coverage levels. Journal of the National Cancer Institute, djs491.Google Scholar
- 7.Fowler, B., Bodson, J., Warner, E. L., Dyer, J., & Kepka, D. Poor HPV vaccine-related awareness and knowledge among Utah Latinas overdue for recommended cancer screenings. Journal of Community Health, 41(4), 825–837.Google Scholar
- 9.Baandrup, L., Bloomberg, M., Dehlendorff, C., Sand, C., Anderson, K. K., & Kjaar, S. K. (2013). Significant decrease in the incidence of genital warts in young Danish women after implementation of a national human papillomavirus vaccination program. Sexually Trasmitted Diseases, 40(2), 130–135.Google Scholar
- 15.Kepka, D. L., Ulrich, A. K., & Coronado, G. D. Low knowledge of the three-dose HPV vaccine series among mothers of rural Hispanic adolescents. Journal of Health Care for the Poor and Underserved, 23(2), 626–635.Google Scholar
- 18.Hunter, J. L. (2005). Cervical cancer educational pamphlets: Do they miss the mark for Mexican immigrant women’s needs? Cancer control: journal of the Moffitt Cancer Center, 12(Suppl 2), 42–50.Google Scholar
- 20.U.S Department of Health and Human Services (2014). The 2014 National Immunization Survey-Teen. National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD.Google Scholar
- 24.Ellison, J., Jandorf, L., & Duhamel, K. Assessment of the short acculturation scale for hispanics (SASH) among low-income, immigrant Hispanics. Journal of Cancer Education, 26(3), 478–483.Google Scholar
- 31.Fox, S. (2014). The social life of health information. Retrieved from http://www.pewresearch.org/fact-tank/2014/01/15/the-social-life-of-health-information/.
- 32.Casillas, A., Singhal, R., Tsui, J., Glenn, B. A., Bastani, R., & Mangione, C. M. (2011). The impact of social communication on perceived HPV vaccine effectiveness in a low-income, minority population. Ethnicity & Disease, 21(4), 495–501.Google Scholar
- 41.Schmidt-Grimminger, D., Frerichs, L., Black Bird, A. E., Workman, K., Dobberpuhl, M., & Watanabe-Galloway, S. (2013). HPV knowledge, attitudes, and beliefs among Northern Plains American Indian adolescents, parents, young adults, and health professionals. Journal of Cancer Education, 28(2), 357–366.CrossRefPubMedGoogle Scholar