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. 2022 Jan 29;22(1):195.
doi: 10.1186/s12889-022-12573-7.

Disparities in HPV vaccine knowledge and adolescent HPV vaccine uptake by parental nativity among diverse multiethnic parents in New Jersey

Bianca Anuforo  1 , Jennifer K McGee-Avila  2 , Lindsey Toler  3 , Baichen Xu  1 , Racquel E Kohler  1 , Sharon Manne  1 , Jennifer Tsui  4
Affiliations

Disparities in HPV vaccine knowledge and adolescent HPV vaccine uptake by parental nativity among diverse multiethnic parents in New Jersey

Bianca Anuforo et al. BMC Public Health. .

Abstract

Background: Suboptimal human papillomavirus (HPV) vaccination rates persist among adolescents in the United States (U.S.). New Jersey (NJ), among the top, most racially/ethnically diverse states in the U.S., had among the lowest HPV vaccine initiation rates, prior to 2018. This study examined parental HPV vaccine knowledge and adolescent HPV vaccine initiation among multiethnic parents in NJ, where access to language concordant HPV vaccine information and vaccination services may differ, for immigrant parents.

Methods: We surveyed parents of adolescents (ages 11-18) at community events in NJ to examine parental HPV vaccine knowledge and adolescent HPV vaccine uptake. Vaccine knowledge was assessed using an 11-item question stem that covered vaccine efficacy, gender recommendation, vaccine protection, and myths. Multivariable models assessed the association of parent nativity on HPV vaccine knowledge scores and adolescent HPV vaccine initiation, controlling for sociodemographic factors.

Results: Of the 77 parents, most parents (84%) were aware of the HPV vaccine. However, knowledge scores were low and differed by parent nativity. Non-U.S. born parents had significantly lower knowledge scores - 1.7 [- 3.1, - 0.4] and lower odds of adolescent children initiating the HPV vaccine 0.3 [0.1, 0.9] compared to U.S.-born parents after adjusting demographic characteristics.

Conclusions: Our findings reveal that parental HPV vaccine knowledge remains low among suburban dwelling, immigrant parents, even though they have higher education and access to health care. Multilevel strategies to reduce missed opportunities for HPV vaccine education among parents and HPV vaccination for adolescents are needed, including for suburban, immigrant communities.

Keywords: HPV vaccine; Immigrant populations; Minority health; Parental knowledge; Vaccine uptake.

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Conflict of interest statement

The authors declare that they have no competing interest.

References

    1. Bhattacharya M, Reiter PL, McRee AL. Nativity status and genital HPV infection among adults in the U.S. Hum Vaccin Immunother. 2019;15(7–8):1897–1903. doi: 10.1080/21645515.2019.1578592. - DOI - PMC - PubMed
    1. Elam-Evans LD, Yankey D, Singleton JA, Sterrett N, Markowitz LE, Williams CL, et al. National, regional, state, and selected local area vaccination coverage among adolescents aged 13-17 years - United States, 2019. MMWR Morb Mortal Wkly Rep. 2020;69(33):1109–1116. doi: 10.15585/mmwr.mm6933a1. - DOI - PMC - PubMed
    1. Lee YM, Riesche L, Lee H, Shim K. Parental HPV knowledge and perceptions of HPV vaccines among Korean American parents. Appl Nurs Res. 2018;44:54–59. doi: 10.1016/j.apnr.2018.09.008. - DOI - PubMed
    1. Zhu L, Zhai S, Siu PT, Xia HY, Lai S, Zambrano CN, et al. Factors related to Chinese parents’ HPV vaccination intention for children. Am J Health Behav. 2019;43(5):994–1005. doi: 10.5993/AJHB.43.5.10. - DOI - PMC - PubMed
    1. Reiter PL, Pennell ML, Martinez GA, Katz ML. Provider recommendation for HPV vaccination across Hispanic/Latinx subgroups in the United States. Hum Vaccin Immunother. 2020;17(4):1083–8. - PMC - PubMed

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