Disparities in HPV vaccine knowledge and adolescent HPV vaccine uptake by parental nativity among diverse multiethnic parents in New Jersey
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 examine...
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-022-12573-7 |
| _version_ | 1818300226379710464 |
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| author | Bianca Anuforo Jennifer K. McGee-Avila Lindsey Toler Baichen Xu Racquel E. Kohler Sharon Manne Jennifer Tsui |
| author_facet | Bianca Anuforo Jennifer K. McGee-Avila Lindsey Toler Baichen Xu Racquel E. Kohler Sharon Manne Jennifer Tsui |
| author_sort | Bianca Anuforo |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T05:03:45Z |
| format | Article |
| id | doaj.art-7b436f373e754972b5d6f78c708960f7 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-13T05:03:45Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-7b436f373e754972b5d6f78c708960f72022-12-21T23:58:42ZengBMCBMC Public Health1471-24582022-01-012211810.1186/s12889-022-12573-7Disparities in HPV vaccine knowledge and adolescent HPV vaccine uptake by parental nativity among diverse multiethnic parents in New JerseyBianca Anuforo0Jennifer K. McGee-Avila1Lindsey Toler2Baichen Xu3Racquel E. Kohler4Sharon Manne5Jennifer Tsui6Cancer Institute of New Jersey, Rutgers, The State University of New JerseySchool of Nursing, Rutgers, The State University of New JerseySchool of Public Health, Rutgers, The State University of New JerseyCancer Institute of New Jersey, Rutgers, The State University of New JerseyCancer Institute of New Jersey, Rutgers, The State University of New JerseyCancer Institute of New Jersey, Rutgers, The State University of New JerseyDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern CaliforniaAbstract 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.https://doi.org/10.1186/s12889-022-12573-7HPV vaccineParental knowledgeImmigrant populationsMinority healthVaccine uptake |
| spellingShingle | Bianca Anuforo Jennifer K. McGee-Avila Lindsey Toler Baichen Xu Racquel E. Kohler Sharon Manne Jennifer Tsui Disparities in HPV vaccine knowledge and adolescent HPV vaccine uptake by parental nativity among diverse multiethnic parents in New Jersey BMC Public Health HPV vaccine Parental knowledge Immigrant populations Minority health Vaccine uptake |
| title | Disparities in HPV vaccine knowledge and adolescent HPV vaccine uptake by parental nativity among diverse multiethnic parents in New Jersey |
| title_full | Disparities in HPV vaccine knowledge and adolescent HPV vaccine uptake by parental nativity among diverse multiethnic parents in New Jersey |
| title_fullStr | Disparities in HPV vaccine knowledge and adolescent HPV vaccine uptake by parental nativity among diverse multiethnic parents in New Jersey |
| title_full_unstemmed | Disparities in HPV vaccine knowledge and adolescent HPV vaccine uptake by parental nativity among diverse multiethnic parents in New Jersey |
| title_short | Disparities in HPV vaccine knowledge and adolescent HPV vaccine uptake by parental nativity among diverse multiethnic parents in New Jersey |
| title_sort | disparities in hpv vaccine knowledge and adolescent hpv vaccine uptake by parental nativity among diverse multiethnic parents in new jersey |
| topic | HPV vaccine Parental knowledge Immigrant populations Minority health Vaccine uptake |
| url | https://doi.org/10.1186/s12889-022-12573-7 |
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