Modifiable and Non-Modifiable Factors Associated with HPV Vaccine Decision-Making among American Indian Women College Students

2016 ◽  
Vol 40 (4) ◽  
pp. 71-81
Author(s):  
Christine Samuel-Nakamura ◽  
Felicia Schanche Hodge
Keyword(s):  
Risk Factors ◽  
College Students ◽  
Cervical Cancer ◽  
Decision Making ◽  
American Indian ◽  
Hpv Vaccine ◽  
Effective Interventions ◽  
Modifiable Factors ◽  
Proven Efficacy ◽  
Vaccine Decision Making

Cervical cancer is a preventable disease that is highly prevalent among American Indian (AI) women. Some types of the Human papillomavirus (HPV) has been identified as causing cervical cancer in women and other less common cancers such as cancer of the anus, vagina, vulva, and oral cavity. Two vaccines, Gardasil® and Cervarix®, are available for primary protection against HPV. Despite its proven efficacy, additional efforts are needed to improve HPV update among AI women. Our project was designed to assess HPV vaccine readiness among AI college students, and identify factors that influence their decision-making. Modifiable risk factors are ideal to identify in that they can be targeted for health behavior education and intervention. Further, risk factors once identified can be tailored for designing effective interventions in high-risk communities.

scholarly journals “THOSE WHO LOVE, VACCINATE”: PARENTAL PERCEPTIONS OF HPV VACCINATION

2015 ◽  
Vol 25 (3) ◽  
pp. 341 ◽  
Author(s):  
Ellen Dias De Oliveira Chiang ◽  
Misha L. Baker ◽  
Daniella Figueroa-Downing ◽  
Maria Luiza Baggio ◽  
Luisa Villa ◽  
...  
Keyword(s):  
Decision Making ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
Explanatory Power ◽  
Parental Knowledge ◽  
Specific Factors ◽  
Knowledge Levels ◽  
Parental Decisions ◽  
Context Specific ◽  
Vaccine Decision Making

Introduction: In March 2014, Brazil began its national HPV immunization campaign targeting girls ages 9-13. Objective: Describe determinants of parental decisions to vaccinate their daughters against HPV.Method: In this qualitative study, thirty semi-structured interviews were conducted at five health posts in São Paulo, Brazil. Interview questions explored parental opinions of disease prevention methods, vaccines in general, and the HPV vaccine. Interviews were analyzed using grounded theory. Results: Overall, parental knowledge about HPV and the vaccine was low, yet most eligible daughters had been vaccinated. Parents perceived the HPV vaccine to be normal, preventative, and protective. Parents viewed themselves as accountable for their children’s health, and saw the vaccine as a parenting tool for indirect control. Trust in healthcare professionals and an awareness of the dangers of “nowadays” (uncertainties regarding disease and sexual behavior) were also important in vaccine decision-making. These factors held more explanatory power for decisions to vaccinate than parental knowledge levels. This was the first study to qualitatively examine the perception of publically provided HPV vaccination among parents with eligible daughters in Brazil. The findings help interpret the greater than 90% coverage for the first HPV vaccine dose in Brazil. The results indicate that attempts to understand, maintain, or modify vaccination rates require the consideration of context specific factors, which influence both parent perspectives and vaccination decisions. Conclusion: HPV knowledge levels are not predictive of parental decisions to vaccinate daughters. Context specific factors from the sociocultural dimensions of parenting, sexuality, gender, and the healthcare system are more influential in vaccine decision-making.

scholarly journals Knowledge, Awareness and Attitude on HPV, HPV Vaccine and Cervical Cancer among the College Students in India

PLoS ONE ◽  
2016 ◽  
Vol 11 (11) ◽  
pp. e0166713 ◽  
Author(s):  
Shazia Rashid ◽  
Satyanarayana Labani ◽  
Bhudev C. Das
Keyword(s):  
College Students ◽  
Cervical Cancer ◽  
Hpv Vaccine

HPV vaccine decision-making among young men who have sex with men

2016 ◽  
Vol 76 (1) ◽  
pp. 52-65 ◽  
Author(s):  
Christopher W Wheldon ◽  
Ellen M Daley ◽  
Eric R Buhi ◽  
Julie A Baldwin ◽  
Alan G Nyitray ◽  
...  
Keyword(s):  
Decision Making ◽  
Hpv Vaccine ◽  
Young Men ◽  
Sex With Men ◽  
Vaccine Decision Making

scholarly journals A case-control study of risk factors for death from 2009 pandemic influenza A(H1N1): is American Indian racial status an independent risk factor?

2015 ◽  
Vol 144 (2) ◽  
pp. 315-324 ◽  
Author(s):  
T. W. HENNESSY ◽  
D. BRUDEN ◽  
L. CASTRODALE ◽  
K. KOMATSU ◽  
L. M. ERHART ◽  
...  
Keyword(s):  
Risk Factors ◽  
American Indian ◽  
Pandemic Influenza ◽  
Influenza A ◽  
Conditional Logistic Regression ◽  
Healthcare Access ◽  
Case Control ◽  
Medical Attention ◽  
Modifiable Factors ◽  
Influenza A H1n1

SUMMARYHistorically, American Indian/Alaska Native (AI/AN) populations have suffered excess morbidity and mortality from influenza. We investigated the risk factors for death from 2009 pandemic influenza A(H1N1) in persons residing in five states with substantial AI/AN populations. We conducted a case-control investigation using pandemic influenza fatalities from 2009 in Alaska, Arizona, New Mexico, Oklahoma and Wyoming. Controls were outpatients with influenza. We reviewed medical records and interviewed case proxies and controls. We used multiple imputation to predict missing data and multivariable conditional logistic regression to determine risk factors. We included 145 fatal cases and 236 controls; 22% of cases were AI/AN. Risk factors (P < 0·05) included: older age [adjusted matched odds ratio (mOR) 3·2, for >45 years vs. <18 years], pre-existing medical conditions (mOR 7·1), smoking (mOR 3·0), delayed receipt of antivirals (mOR 6·5), and barriers to healthcare access (mOR 5·3). AI/AN race was not significantly associated with death. The increased influenza mortality in AI/AN individuals was due to factors other than racial status. Prevention of influenza deaths should focus on modifiable factors (smoking, early antiviral use, access to care) and identifying high-risk persons for immunization and prompt medical attention.

scholarly journals Role of Healthcare Providers� Recommendation Style in HPV Vaccine Decision-Making among Haitian Parents and Female Patients

2017 ◽  
Vol 15 (3) ◽  
pp. 68-80 ◽  
Author(s):  
Dudith Pierre-Victor ◽  
Dionne P. Stephens ◽  
Rachel Clarke ◽  
Kemesha Gabbidon ◽  
Purnima Madhivanan
Keyword(s):  
Decision Making ◽  
Hpv Vaccine ◽  
Healthcare Providers ◽  
Preventive Measure ◽  
Vaccine Uptake ◽  
Transmitted Infection ◽  
Haitian Women ◽  
Female Patients ◽  
Vaccine Decision Making

Background and Purpose: The strong influence of physician recommendation on vaccine uptake is well established in the literature. However, its influence on HPV vaccine decision-making among young Haitian women is understudied. This study investigated the role of healthcare providers� recommendation style in Haitian parents� and female patients� HPV vaccine decision-making. Methods: Thirty selfidentified Haitian women aged 17-26 years were recruited from a large university campus in the Southeastern United States (N=30). They completed in-depth face-to-face interviews regarding their HPV vaccine decision-making process. Transcripts were analyzed using thematic analysis. Results: Provider recommendation was cited as a major factor that influenced HPV vaccine uptake. Additionally, the framing of the HPV vaccine message greatly influenced vaccine decisions. Messages that framed the vaccine as a preventive measure for cervical cancer or as a preventive vaccine without an emphasis on the sexual transmission route of the virus were most effective. Messages that framed the vaccine as a preventive measure against a sexually transmitted infection did not positively influence young women to be vaccinated. Conclusions: These findings indicate that providers� recommendation style highly affects HPV vaccine decision. Thus, appropriate HPV vaccine framing is important for encouraging vaccine uptake in this ethnic group.

scholarly journals Obstacles to Implementing the HPV Vaccine: Is it Worth Pursuing or Not?

2019 ◽  
Vol 4 (4) ◽  
pp. 165-169
Author(s):  
Mastura Mohd Sopian ◽  
Sharifah Azdiana Tuan Din ◽  
Hasmah Hussin
Keyword(s):  
Lung Cancer ◽  
Cervical Cancer ◽  
Decision Making ◽  
Literature Review ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
Vaccination Program ◽  
Extensive Literature ◽  
Younger Women ◽  
Vaccination Acceptance

Cervical cancer, along with breast, colorectal, and lung cancer, has become increasingly problematic in Malaysia. The prevalence of cervical cancer in Malaysia is projected to rise in younger women, and Malaysia views this prediction with concern and awareness of the need to take action to prevent the illness among those who are currently healthy. Providing free HPV vaccination is a way to lower the risk of developing cervical cancer among women in Malaysia. However, while Malaysia has been able to provide this vaccination at minimal or no cost, changes in socio-economic circumstances have stretched the demand. This review aims to highlight the probability of HPV vaccination acceptance and the reasons for it. An extensive literature review of acceptance, knowledge, attitude, practice, and decision making about HPV vaccination was performed to describe issues related to vaccination. The evidence presented herein can help identify ways to improve the HPV vaccination program in Malaysia.

Acceptance of the HPV vaccine and suggested strategies to promote vaccine uptake: a qualitative study with a multi-ethnic sample of Latina mothers (Preprint)

2020 ◽  
Author(s):  
Ana Cristina Lindsay ◽  
Madelyne J. Valdez ◽  
Denisse Delgado Vazquez ◽  
Emily Restrepo ◽  
Yessica M. Guzman ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Decision Making ◽  
Cancer Prevention ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
Vaccine Uptake ◽  
Latino Parents ◽  
Latina Mothers ◽  
Direct Benefits ◽  
Latino Adolescent

BACKGROUND Parents play a critical decision-making role in vaccinating their age-eligible adolescent children against HPV. Despite evidence indicating that Latino adolescents have higher HPV vaccination rates than non-Hispanic whites, uptake of the HPV vaccine remains lower than the 80% goal set by the Healthy People 2020. Moreover, studies suggest that Latino adolescent males have lower rates of HPV vaccination than Latina adolescent females. OBJECTIVE Given the importance of the HPV vaccination as a cancer prevention strategy and the unique decision-making role parents play in vaccinating their children, this study was designed to explore Latina mothers’: (1) acceptance of the HPV vaccine, and (2) suggested strategies to promote vaccine uptake among Latino parents and their adolescent children. METHODS A descriptive qualitative research employing individual semi-structured interviews. Data were analyzed using a hybrid method of thematic analysis that incorporated deductive and inductive approaches. RESULTS Twenty-two, majority foreign-born (91%; n = 20) Latina mothers of adolescent girls (~ 60%; n = 23) and boys (~ 40%; n = 15) aged between 11 and 19 years (mean age of adolescents: 15.3 years) participated in the study. Results revealed mothers’ high acceptance of the HPV vaccine for their daughters and their positive beliefs about the direct benefits of the vaccine to protect their daughters’ health by preventing STI and future cervical cancer risk. Such positive beliefs influenced mothers’ high uptake and initiation of the vaccine for their daughters. In contrast, study findings revealed mothers’ low acceptance and uptake of the vaccine for their sons. Our findings showed that the majority of mothers did not perceiving HPV infection as a major risk to their sons’ health, and therefore, did not perceive direct health benefits of the HPV vaccine for their sons as they did for their daughters (i.e., prevention of cervical cancer). CONCLUSIONS Findings identified the need for increased efforts to raise awareness and knowledge among Latino parents of the direct benefits of the vaccine for their sons and the cancer prevention benefits of the vaccine for HPV-associated cancers that affect not only females but also males. Finally, findings underscore the need for improved healthcare providers' communication and recommendation of the HPV vaccine for Latino adolescent males. Future research should intervene upon findings identified in this study in order to address barriers that remain and affect Latino parents’ acceptance and uptake of the HPV vaccine for their children, and in particular, for their sons. CLINICALTRIAL n/a

scholarly journals HPV Vaccine Decision-Making and Acceptance: Does Religion Play a Role?

2011 ◽  
Vol 52 (4) ◽  
pp. 1120-1130 ◽  
Author(s):  
Rachel C. Shelton ◽  
Anna C. Snavely ◽  
Maria De Jesus ◽  
Megan D. Othus ◽  
Jennifer D. Allen
Keyword(s):  
Decision Making ◽  
Hpv Vaccine ◽  
Vaccine Decision Making
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