Article

Acceptance of the HPV vaccine among women, parents, community leaders, and healthcare providers in Ohio Appalachia

The Ohio State University Comprehensive Cancer Center and College of Public Health, Columbus, OH, United States.
Vaccine (Impact Factor: 3.49). 05/2009; 27(30):3945-52. DOI: 10.1016/j.vaccine.2009.04.040
Source: PubMed

ABSTRACT To assess HPV vaccine acceptability, focus groups of women (18-26 years), parents, community leaders, and healthcare providers were conducted throughout Ohio Appalachia. Themes that emerged among the 23 focus groups (n=114) about the HPV vaccine were: barriers (general health and vaccine specific), lack of knowledge (cervical cancer and HPV), cultural attitudes, and suggestions for educational materials and programs. Important Appalachian attitudes included strong family ties, privacy, conservative views, and lack of trust of outsiders to the region. There are differences in HPV vaccine acceptability among different types of community members highlighting the need for a range of HPV vaccine educational materials/programs to be developed that are inclusive of the Appalachian culture.

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    • "In another large US-based study (n = *1,500), Bernat et al. (2009) found that 'Born-again' Protestants and Catholics had lower levels of HPV vaccine acceptance than Protestants and Catholics who were not 'Born-again', though this was not significant in adjusted analyses (Barnack et al. 2010). Several studies have reported lower HPV vaccine acceptance and more negative attitudes among parents who strongly identify with religious views that prohibit sex before marriage or adhere to beliefs about monogamy and abstinence (Brabin et al. 2006; Marlow et al. 2009; McCaffery et al. 2003; Katz et al. 2009). Parental concerns that HPV vaccination will contribute to sexual promiscuity, which is not condoned by most religious traditions, have also been reported (Constantine and Jerman 2007; Marlow et al. 2009a, b). "
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    • "Awareness of HPV and HPV vaccine differs by socio-demographic group (Cates, Brewer, Fazekas, Mitchell, & Smith, 2009; Cates et al., 2010; Hughes et al., 2009; Tiro, Meissner, Kobrin, & Chollette, 2007). Television advertisements by the vaccine manufacturer have been the most common source of information about HPV vaccine reported by parents in the United States (Gerend, Weibley, & Bland, 2009; Hughes, et al., 2009; Katz et al., 2009). Recommendations from a child's healthcare provider are consistently influential in parental decisions about HPV vaccination for their daughters (Dempsey, et al., 2009; Gottlieb et al., 2009; Kahn, et al., 2009; Reiter, Brewer, Gottlieb, McRee, & Smith, 2009; Rosenthal et al., 2008). "
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    • "First, mothers are known to play an important social influence role in their daughters' health (Dancy, Crittenden, & Talasheck, 2006). Second, the cost of the vaccine is a significant financial barrier that may prevent young women from receiving the vaccine without parental knowledge (Katz et al., 2009). The role of mothers as a potential source of both emotional (i.e., approval) and instrumental (i.e., paying for the vaccine and related expenses) social support suggests the utility of examining perceptions, processes, and behavior from the perspective of both mothers and daughters. "
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