HPV vaccine: A comparison of attitudes and behavioral perspectives between Latino and non-Latino women
ABSTRACT 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.
SourceAvailable from: Lourdes Baezconde-Garbanati[Show abstract] [Hide abstract]
ABSTRACT: Background: One of the intermediate impacts that public health campaigns can have is to increase interpersonal discussion about the health topic in question. Previous research has found that such discussion can amplify the effects of a campaign by increasing campaign diffusion. Purpose: To compare the impact of a narrative versus a non-narrative film that both include the same 18 facts about cervical cancer prevention behaviors in stimulating interpersonal discussion. Methods: This study used a pre-test/post-test design in which over 1,000 women were randomly assigned to view either a narrative or non-narrative film presenting the same 18 cervical cancer-related facts. In the pre-test and post-test, women were asked whether they discussed Pap tests and/or the HPV vaccine with their significant other, mother, daughter, other female relative, or a female friend. Results: Those women who viewed the narrative version of the film reported that they were more likely to discuss Pap tests with their daughters or with their other female relatives than those who viewed the non-narrative version of the film. However, no significant differences in interpersonal discussion about the HPV vaccine were found. Discussion: Information conveyed through narratives or stories may provoke more interpersonal discussion than the same information conveyed in non-narratives. The implications of these findings and recommendations for public health communication campaigns are discussed.140st APHA Annual Meeting and Exposition 2012; 10/2012
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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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ABSTRACT: This qualitative study was designed to assess current and preferred social networks that influence human papillomavirus (HPV) vaccine decision making in a sample of Hispanic college women. Individual, semi-structured interviews were conducted with 41 Hispanic college women attending a large southeastern Hispanic-serving institution. Television commercials and discussions with mothers were found to be the most influential social networks for current HPV vaccination beliefs. Internet sites, close family members, and healthcare providers' communications were preferred social networks for HPV vaccine information. Perceived accessibility and sense of comfort influenced the order in which these social networks' communications would be accepted. Findings suggest that Hispanic college women utilize specific social networks to gather information and make decisions about HPV vaccination. Continued efforts are needed to promote further understanding of the purpose of the HPV vaccine via these preferred sources of information.