HPV Vaccine Awareness, Barriers, Intentions, and Uptake in Latina Women
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Latina women are at heightened risk of cervical cancer incidence and mortality. The human papillomavirus (HPV) is the principal cause of the majority of cervical cancer cases. A vaccine that protects against HPV was licensed in 2006. Eight years post-licensure, mixed research findings exist regarding the factors that predict vaccine uptake in Latinas. We conducted a population-based phone survey with a random sample of 296 Latinas living in a Midwestern U.S. City. Intention to vaccinate was significantly associated with health care provider recommendations, worry about side effects, knowing other parents have vaccinated, perceived severity of HPV, and worry that daughter may become sexually active following vaccination. Worry that daughter may become sexually active was the only factor related to vaccine uptake. Findings suggest that training providers to discuss the low risk of severe side effects, consequences of persistent HPV, and sexuality related concerns with Latino women may encourage vaccination.
KeywordsHPV vaccine Intention Uptake Latinas
Preparation of this manuscript was supported by the University of Wisconsin School of Medicine and Public Health through The Wisconsin Partnership Program, Madison, Wisconsin, USA, awarded to Dr. Ana Martinez-Donate.
- 1.American Cancer Society. Cancer facts and figures 2008. Atlanta, GA: American Cancer Society; 2008.Google Scholar
- 2.American Cancer Society. Cancer facts and figures for Hispanics/Latinos 2009–2011. Atlanta, GA: American Cancer Society; 2009.Google Scholar
- 3.Centers for Disease Control and Prevention. Genital HPV infection fact sheet. Atlanta, GA: Centers for Disease Control and Prevention; 2011.Google Scholar
- 5.Centers for Disease Control and Prevention. Sexually transmitted diseases fact sheets. Atlanta, GA: Centers for Disease Control and Prevention; 2009.Google Scholar
- 6.Centers for Disease Control and Prevention. National, regional, state, and selected local area vaccination coverage among adolescents aged 13–17 years: United States, 2013. Morb Mortal Wkly Rep. 2014;63:625–33.Google Scholar
- 11.Chau J, Kibria F, Landi M, Reilly M, Medeiros T, Johnson H, Yekta S, De Groot AS. HPV knowledge and vaccine acceptance in an uninsured Hispanic population in Providence, RI. R I Med J, 2014;May Issue:35–39. Google Scholar
- 13.Glenn BA, Tsui J, Coronado GD, Fernandez ME, Savas LS, Taylor VM, Bastani R. Understanding HPV vaccination among Latino adolescent girls in three U.S. regions. J Immigr Minor Health. 2014; in press.Google Scholar
- 15.Luque LS, Raychowdhury S, Weaver M. Health care provider challenges for reaching Hispanic immigrants with HPV vaccination in rural Georgia. Rural Remote Health. 2012;12:1–9.Google Scholar
- 17.United States Census Bureau. The Hispanic population: 2010. http://www.census.gov/prod/cen2010/briefs/c2010br-04.pdf.
- 18.Kaiser Family Foundation. Total Hispanic population. 2012. http://kff.org/other/state-indicator/total-hispanic-population/.
- 20.Ajzen I, Fishbein M. Understanding attitudes and predicting behavior. Englewood Cliffs, NJ: Prentice Hall; 1980.Google Scholar
- 29.Wailoo K, Livingston J, Epstein S, Aronowitz R. Three shots at prevention: the HPV vaccine and the politics of medicine’s simple solutions. Baltimore, MD: The John Hopkins University Press; 2010.Google Scholar