HPV Vaccine: A Comparison of Attitudes and Behavioral Perspectives Between Latino and Non-Latino Women

Miller School of Medicine, University of Miami, Miami, FL, USA.
Gynecologic Oncology (Impact Factor: 3.77). 02/2009; 112(3):577-82. DOI: 10.1016/j.ygyno.2008.12.010
Source: PubMed


Recent scientific advances have lead to the development of a prophylactic, quadrivalent HPV vaccine conferring. We surveyed Latino and non-Latino women directly to examine what motivates them to vaccinate themselves, their daughters, and their sons.
A written survey was administered to 86 Latinas and 141 non-Latinas, ages 18-55, and attending a general medicine, gynecology, or pediatric unit at an academic center. The instrument included questions on demographics, knowledge and attitudes toward the HPV vaccine, attitudes toward HPV vaccination for the respondents' daughters and/or sons, and the effect of vaccine acceptability on women's attitudes towards their sexual behavior and cervical cancer screening practices.
Acceptance for the HPV vaccine was high, with 73% of non-vaccinated, eligible women stating that they would vaccinate themselves. Cervical cancer prevention was the primary motivation for seeking vaccination. Most respondents reported that vaccination should still be accompanied by cervical cancer screening. Seventy-percent of eligible respondent agreed to vaccinate their daughters (97% of Latino and 68.2% of non-Latino mothers, p=0.0078). Eighty-six percent of eligible participants agreed to vaccinate their sons (92.3% of Latino and 76.9% of non-Latino mothers, p=0.0490). Cervical cancer prevention and anal/penile cancer prevention were the primary motivation reported for accepting the vaccine in their daughters and sons, respectively. Fewer than 20% of eligible respondents cited protection of women against developing cervical cancer as the motivation to vaccinate their son(s).
Among vaccine-eligible women, HPV vaccination acceptance for themselves, their daughters, and potentially their sons is high and primarily motivated by cancer prevention for the individual vaccinated.

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    • "More specifically, at the 6-month follow-up we assessed whether audience members had talked with a health care provider about HPV vaccination. Doctors and medical professionals are important sources for disseminating information about cervical cancer prevention, especially for Hispanic women (Drewry, Garces-Palacio, & Scarinci, 2010; Watts et al., 2009). Moreover, a large body of health communication literature indicates that the effects of a narrative message include interpersonal discussion about that message (see Chatterjee, Bhanot, Frank, Murphy, & Power, 2009; Frank et al., 2012; Southwell & Yzer, 2008). "
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    ABSTRACT: Increasingly, health communication practitioners are exploring the use of narrative storytelling to convey health information. For this study, a narrative film was produced to provide information about the human papillomavirus (HPV) and cervical cancer prevention. The storyline centered on Lupita, a young woman recently diagnosed with HPV who informs her family about HPV and the availability of the HPV vaccine for her younger sister. The objective was to examine the roles of identification with characters and narrative involvement (made up of three dimensions: involvement, perceived relevance, and immersion) on perceived response efficacy, perceived severity, and perceived susceptibility to HPV and behavior (discussing the HPV vaccine with a health care provider). A random sample of 450 European American, Mexican American, and African American women between the ages of 25 and 45 years, living in the Los Angeles area, was surveyed by phone before, 2 weeks after, and 6 months after viewing the film. The more relevant women found the narrative to their own lives at 2 weeks, the higher they perceived the severity of the virus and the perceived response efficacy of the vaccine to be. Also at 2 weeks, identifying with characters was positively associated with perceived susceptibility to HPV but negatively associated with perceived severity. At 6 months, identification with specific characters was significantly associated with perceived threat and behavior. These findings suggest that different aspects of narrative health messages should be manipulated depending on the specific beliefs and behaviors being targeted. Implications for narrative message design are discussed.
    Health Communication 02/2015; 30(2):154-63. DOI:10.1080/10410236.2014.974126 · 0.97 Impact Factor
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    • "One study stated the study objective as to “identify psychosocial factors correlated to HPV vaccination intention” [23] and another study used the word vaccine “acceptability” instead of attitude as a part of the study objective [24]. Six studies quantitatively measured the attitude concept by using a questionnaire [18–20, 22–24]. Out of these, one study measured the attitude concept by asking the participants what they thought about HPV vaccination, using a semantic differential scale (i.e., harmful/beneficial, bad/good). "
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    ABSTRACT: In the research literature, the concept of attitude has been used and presented widely. However, attitude has been inconsistently defined and measured in various terms. This paper presents a concept analysis, using the Wilsonian methods modified by Walker and Avant (2004), to define and clarify the concept of attitude in order to provide an operationalized definition for a research study on attitudes toward a behavior: getting vaccinated against HPV. While the finding is not conclusive, three attributes of attitude: belief, affection, and evaluation are described. A theoretical definition and sample cases are constructed to illustrate the concept further. Antecedents, consequences, and empirical referents are discussed. Recommendations regarding the use of the concept of attitude in research, nursing practice, and nursing education are also made.
    05/2013; 2013:373805. DOI:10.1155/2013/373805
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    • "However, some studies showed no association between knowledge and vaccination status [15]. Other studies indicated mothers who perceived their daughters at low risk for contracting HPV [16], had insufficient knowledge about the vaccine [12] [15], and believed their daughters were too young or not sexually active were less likely to vaccinate [12] [15]. Despite evidence showing Hispanic parents are more accepting of HPV vaccination than non-Hispanic parents [17], vaccination rates are still low. "
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    ABSTRACT: Cervical cancer incidence and mortality are higher for Hispanic women than for women in other population groups. However, the incidence could be reduced if teenaged Hispanic girls received the human papillomavirus (HPV) vaccine before they become sexually active. Unfortunately, few Hispanic girls receive this vaccine, which prevents cervical cancer. This study assessed Hispanic mothers' and girls' perceptions about cervical cancer, HPV, and the HPV vaccine. Results show factors that affect whether Hispanic high school girls receive the vaccine. Twenty-four Hispanic mothers and 28 Hispanic girls from an urban school district in southeast Texas each participated in one of eight focus groups. Bilingual moderators facilitated the mothers' groups in English and Spanish and the girls' groups in English. We analyzed transcripts of the discussions and identified themes using the grounded theory approach. Our analysis found several themes that affect whether Hispanic girls get the HPV vaccine: gaps in knowledge; fears and concerns about the vaccine; sociocultural communication practices; and decision-making about HPV vaccination. Both mothers and girls had limited knowledge about cervical cancer, HPV, and the vaccine. Some girls who received the vaccine said they wished their mothers had involved them in making the decision. Findings may help in developing school or community-based educational programs for Hispanic families. Such programs should provide information on the HPV vaccine and the link between HPV and cervical cancer, and they should assist mothers and girls in communicating to make informed decisions about the vaccine.
    Journal of Adolescent Health 05/2013; 52(5 Suppl):S69-75. DOI:10.1016/j.jadohealth.2012.09.020 · 3.61 Impact Factor
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