HPV Knowledge and Vaccine Initiation Among Mexican-Born Farmworkers in North Carolina

The human papilloma virus (HPV) vaccine is an effective but underused cancer prevention tool. This study assessed knowledge of HPV and HPV vaccine initiation among Mexican-born farmworkers in North Carolina. Interviewer-administered questionnaires were conducted with 100 Latino farmworkers and 100 nonfarmworker Latino North Carolina residents in 2015 as part of an ongoing community-based participatory research project. Farmworkers had low levels of knowledge about HPV and the HPV vaccine. They had a similar amount of HPV and HPV vaccine knowledge compared to nonfarmworkers. Farmworkers and nonfarmworkers learned about the HPV vaccine from different sources. Adolescent children of farmworkers and nonfarmworkers had low HPV vaccine initiation. However, for children living in the United States with farmworker parents, vaccine initiation was high. To prevent HPV-related cancers and improve health equity, interventions are needed in order to increase HPV education and vaccine initiation among children of Mexican-born farmworkers and nonfarmworkers. Public health programs should look for partners outside the traditional health care setting to reach underserved populations. Other key strategies include promoting catch-up vaccines, improving patient–provider communication, and providing case management services.

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Disparities in human papillomavirus (HPV) vaccine initiation and completion based on sexual orientation among women in the United States

Human Vaccines & Immunotherapeutics ◽

10.1080/21645515.2020.1778407 ◽

2020 ◽

pp. 1-6

Author(s):

Eric Adjei Boakye ◽

Nosayaba Osazuwa-Peters ◽

Julia López ◽

Vy T. Pham ◽

Betelihem B. Tobo ◽

...

Keyword(s):

United States ◽

Human Papillomavirus ◽

Sexual Orientation ◽

Hpv Vaccine ◽

The United States ◽

Vaccine Initiation

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Statewide HPV Vaccine Initiation Among Adolescent Females in North Carolina

Sexually Transmitted Diseases ◽

10.1097/olq.0b013e3181d73bf8 ◽

2010 ◽

Vol 37 (9) ◽

pp. 549-556 ◽

Cited By ~ 33

Author(s):

Paul L. Reiter ◽

Joan R. Cates ◽

Annie-Laurie McRee ◽

Sami L. Gottlieb ◽

Autumn Shafer ◽

...

Keyword(s):

North Carolina ◽

Hpv Vaccine ◽

Adolescent Females ◽

Vaccine Initiation

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Systematic identification and replication of factors associated with human papillomavirus vaccine initiation among adolescents in the United States using an environment-wide association study approach

Sexually Transmitted Infections ◽

10.1136/sextrans-2021-054976 ◽

2021 ◽

pp. sextrans-2021-054976

Author(s):

Tahmina Nasserie ◽

Eran Bendavid

Keyword(s):

Logistic Regression ◽

Human Papillomavirus ◽

Hpv Vaccine ◽

Methodological Approach ◽

The United States ◽

Healthcare Seeking ◽

Factors Associated ◽

Vaccine Initiation ◽

Poverty Status ◽

The Usa

ObjectiveHuman papillomavirus (HPV) vaccination coverage is low among adolescents in the USA. Identification of factors associated with HPV vaccine initiation (receipt of ≥1 dose) is critical for improving uptake. Our objective was to systematically investigate all eligible factors available in a nationally representative sample of adolescents to identify drivers of HPV vaccine initiation using a novel methodological approach.MethodsWe performed multiple cross-sectional analyses using data from the adolescent component of the National Immunization Surveys (NIS)-Teen between 2014 and 2019. Study participants were parents or caregivers of adolescents aged 13–17 years. Exposure variables measured sociodemographic and geographical characteristics, health conditions and healthcare provision. We tested the association between each factor and HPV vaccine initiation using univariate logistic regression and multivariate logistic regression adjusted for mother’s age, mother’s education level, mother’s marital status, poverty status and adolescent’s sex. We validated findings for each type of analysis within surveys, between surveys (across years 2014–2019) and across several subgroups (age, sex, poverty status and race/ethnicity).ResultsSix factors were replicated in the multivariate analysis. Most replicated factors characterised the role of healthcare providers and healthcare-seeking behaviours. After adjustment, provider HPV recommendation remained the most strongly associated with HPV vaccine initiation (2019 NIS-Teen: OR 13.4, 95% CI 11.3 to 17.3, p<0.001). The variance explained by a full model including replicated factors was 0.39.ConclusionsThis is the first study to explore the association between all available factors in the NIS-Teen and HPV vaccine initiation in a systematic manner. Our study suggests that healthcare-seeking behaviours and interactions with the health system may be drivers of HPV vaccine initiation and warrant further study. Addressing these factors could improve the rate of HPV vaccine initiation among adolescents in the USA.

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Re-Visioning Immigrant Couple Therapy: Immigrant Couples in the United States and Telebehavioral Health

The Family Journal ◽

10.1177/10664807211000070 ◽

2021 ◽

pp. 106648072110000

Author(s):

Afarin Rajaei ◽

Bahareh Sahebi

Keyword(s):

United States ◽

Health Care ◽

Access To Care ◽

Couple Therapy ◽

The United States ◽

Traditional Health ◽

Telebehavioral Health ◽

Traditional Health Care ◽

Immigrant Couples ◽

Improve Health

This article aimed to address the following question: In what specific ways, can couple therapists improve their work with immigrant couples via telebehavioral health (TBH)? This article offers perspectives from experience working with immigrant couples via telehealth, which include key barriers to using in-person therapy for immigrant couples, the effectiveness of TBH for immigrant couples, and consideration for couple therapists as they venture into TBH with immigrant couples. With a focus on the expansion of services, one way to improve health equity for immigrant couples and bridge the gap between the traditional health care system and couples in undeserved communities is by developing TBH systems, which may lead to increase access to care for clients as well as expand provider options and resources.

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Missed Opportunities for Human Papillomavirus Vaccination by Parental Nativity, Minnesota, 2015-2018

Public Health Reports ◽

10.1177/00333549211027244 ◽

2021 ◽

pp. 003335492110272

Author(s):

Emily A. Groene ◽

Keith J. Horvath ◽

Nicholas Yared ◽

Inari Mohammed ◽

Miriam Muscoplat ◽

...

Keyword(s):

Human Papillomavirus ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

The United States ◽

Human Papillomavirus Vaccination ◽

Missed Opportunities ◽

Lower Odds ◽

Vaccine Initiation ◽

The Caribbean ◽

Using Data

Objectives Human papillomavirus (HPV) vaccination coverage in the United States is far below coverage for other routine adolescent vaccines. We examined whether missed opportunities for HPV vaccination among adolescents differ by parental nativity (country of origin) in Minnesota. Methods We retrospectively analyzed birth record and immunization information data for adolescents in Minnesota born during 2004-2007 using data from January 1, 2015, through December 31, 2018. Using logistic regression, we assessed the association between parental nativity and missed opportunities for HPV vaccine initiation, or receipt of other vaccines without receipt of the HPV vaccine. We adjusted for parent/child demographic and vaccination characteristics. We defined nativity as the number of non–US-born parents and maternal region of birth. Results Adolescents with mothers born in Eastern Europe (adjusted odds ratio [aOR] = 2.33; 95% CI, 2.01-2.73) and Africa (aOR = 1.36; 95% CI, 1.28-1.43) had greater adjusted odds of missed opportunities for HPV vaccination than adolescents with US-born mothers. However, adolescents with mothers from Latin America and the Caribbean had lower odds of missed opportunities than adolescents with US-born mothers (aOR = 0.61; 95% CI, 0.58-0.65). Adolescents with 1 or 2 non–US-born parents had lower odds of missed opportunities for HPV vaccination than adolescents with 2 US-born parents (1 parent: aOR = 0.92; 95% CI, 0.88-0.96; 2 parents: aOR = 0.90; 95% CI, 0.87-0.94). Conclusions Future studies should evaluate outreach to groups with HPV vaccination disparities and identify other drivers of missed opportunities among adolescents with US-born parents, such as multiparity.

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Disparities in healthcare access and utilization and human papillomavirus (HPV) vaccine initiation in the United States

Human Vaccines & Immunotherapeutics ◽

10.1080/21645515.2021.1989919 ◽

2021 ◽

pp. 1-7

Author(s):

Kunal Goel ◽

Lavanya Vasudevan

Keyword(s):

United States ◽

Human Papillomavirus ◽

Hpv Vaccine ◽

Healthcare Access ◽

The United States ◽

Vaccine Initiation ◽

Healthcare Access And Utilization

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Abstract B79: Disparities in HPV vaccine initiation and completion based on sexual orientation among women in the United States

10.1158/1538-7755.disp16-b79 ◽

2017 ◽

Author(s):

Eric Adjei Boakye ◽

Nosayaba Osazuwa-Peters ◽

Leping Wan ◽

Betelihem B. Tobo ◽

Vy Pham ◽

...

Keyword(s):

United States ◽

Sexual Orientation ◽

Hpv Vaccine ◽

The United States ◽

Vaccine Initiation

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Structural Vulnerability and Occupational Injury Among Latinx Child Farmworkers in North Carolina

NEW SOLUTIONS A Journal of Environmental and Occupational Health Policy ◽

10.1177/10482911211017556 ◽

2021 ◽

pp. 104829112110175

Author(s):

Taylor J. Arnold ◽

Thomas A. Arcury ◽

Sara A. Quandt ◽

Dana C. Mora ◽

Stephanie S. Daniel

Keyword(s):

North Carolina ◽

Occupational Injury ◽

Community Based Participatory Research ◽

The United States ◽

Farm Labor ◽

Policy Recommendations ◽

Structural Vulnerability ◽

Workplace Injury ◽

Hidden Population ◽

Depth Interviews

Children as young as ten-years-old can legally work as hired farm labor in the United States. In North Carolina, many hired children are part of the Latinx farmworker community. Agriculture is a hazardous industry, and child workers experience high rates of injury, illness, and mortality. As part of a community-based participatory research study, we draw from thirty in-depth interviews with Latinx child farmworkers aged ten to seventeen to describe their experiences of personal and observed workplace injury and close calls. Nearly all child workers had experienced or observed some form of injury, with several reporting close calls that could have resulted in severe injury or fatality. Overall, children reported a reactive approach to injury prevention and normalized pain as part of the job. Highlighting Latinx child farmworkers’ structural “vulnerability, this analysis contextualizes understanding of workplace injury among this largely hidden population. We offer policy recommendations to protect and support these vulnerable workers.

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Human Papillomavirus (HPV) Knowledge, Vaccine Acceptability and Acceptability of Text Message Reminders for Vaccine Doses in Adolescents Presenting to an Urban Emergency Department (ED)

Open Forum Infectious Diseases ◽

10.1093/ofid/ofx163.766 ◽

2017 ◽

Vol 4 (suppl_1) ◽

pp. S325-S325

Author(s):

Waridibo E Allison ◽

Ada Rubin ◽

Deborah Levine

Keyword(s):

New York ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Text Message ◽

Vaccine Uptake ◽

Traditional Health ◽

National Immunization ◽

Traditional Health Care ◽

Text Message Reminder ◽

Hpv Vaccine Uptake

Abstract Background HPV vaccination has been shown to reduce the incidence of high grade cervical abnormalities in girls under 18 years old and the incidence of genital warts in young men and women under 21 years old. HPV vaccine uptake in the US is low. The 2012 National Immunization Survey–Teen indicated that of girls and boys aged 13–17 years, 33.4% and 6.8% respectively had completed the three dose HPV vaccine. It has been suggested that opportunities for HPV vaccination in less traditional health care settings and using reminder and recall systems may improve HPV vaccine uptake. Methods Adolescents aged 13–18 years old were recruited prospectively from two pediatric EDs in New York City. Recruited patients took part in a researcher-administered questionnaire based on the validated Carolina HPV Attitudes and Beliefs Scale. Demographic information was also collected. Patients were recruited between 8 am and 8 pm and approached consecutively within 4-hour time blocks. Standard descriptive statistics were used to summarize response data. Results Between September 21, 2016 and May 31, 2017, 117 adolescents were interviewed (70 females, 47 males). 76 (65%) had never had their parent or anyone else talk to them about the HPV vaccine. 71 (61%) of adolescents knew the HPV vaccine was not for girls only. 83 (71%) thought that the HPV vaccine was safe. Only 10 (8.5%) of participants thought they were too young to get the vaccine. 35 (30%) answered “yes” when asked if they had ever had sex but only 14 (12%) thought that the HPV vaccine was only for people who are sexually active. 83 (71%) of adolescents would agree, if their parent agreed, to have the HPV vaccine in the ED on the day they were interviewed. 104 (89%) of interviewed adolescents had a mobile phone and 88 (75%) stated they would have no problem with receiving a text message reminder for a vaccine shot. Conclusion Adolescents find it acceptable to receive HPV vaccination in these EDs and text message reminders for subsequent vaccine doses. Exploration of initial HPV vaccination of unvaccinated adolescents in the ED, with follow up doses in more traditional clinic settings aided by text message reminders warrants further investigation. Though a challenging care environment, the ED should not be ignored as a potential site for public health interventions such as HPV vaccination in adolescents. Disclosures All authors: No reported disclosures.

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