Factors Associated with Human Papillomavirus Vaccine Acceptance Among Haitian and African-American parents of Adolescent Sons

Acknowledgements The authors would like to thank Cecilia Marquez, Justine Lavoye, Elaine Shu and Hailey Tipton for their efforts with participant recruitment and data collection. Objective To assess knowledge, attitudes, beliefs and practices related to HPV vaccination among African-Americans and Ha...

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Veröffentlicht in:Journal of the National Medical Association 2015-06, Vol.107 (2), p.80-88
Hauptverfasser: Joseph, Natalie Pierre, M.D., M.P.H, Shea, Kimberly, Ph.D., M.P.H, Porter, Courtney L., M.P.H, Walsh, Jared P., MA, Belizaire, Myrdell, B.A, Estervine, Ginette, B.S, Perkins, Rebecca, M.D.,M.Sc
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container_end_page 88
container_issue 2
container_start_page 80
container_title Journal of the National Medical Association
container_volume 107
creator Joseph, Natalie Pierre, M.D., M.P.H
Shea, Kimberly, Ph.D., M.P.H
Porter, Courtney L., M.P.H
Walsh, Jared P., MA
Belizaire, Myrdell, B.A
Estervine, Ginette, B.S
Perkins, Rebecca, M.D.,M.Sc
description Acknowledgements The authors would like to thank Cecilia Marquez, Justine Lavoye, Elaine Shu and Hailey Tipton for their efforts with participant recruitment and data collection. Objective To assess knowledge, attitudes, beliefs and practices related to HPV vaccination among African-Americans and Haitian immigrant parents, and to compare vaccination rates of their sons. Study Design We performed semi-structured interviews with parents of boys aged 11–17 who had not yet received the HPV vaccine. We used validated surveys of HPV knowledge, trust in physicians, and intention to vaccinate. We probed participants’ thought processes about HPV vaccination, and examined parental attitudes, beliefs, and practices toward HPV vaccination using open-ended questions. We then reviewed medical records to determine whether sons were subsequently vaccinated. Results 25 African-American and 30 Haitian immigrant parents and legal guardians participated in the study. Haitian immigrants were more likely to be married and to practice a religion than African-Americans. Both groups had limited knowledge of HPV (32% of questions were answered correctly by Haitian immigrants vs. 31% by African-Americans). Sixty-four percent of African-Americans and 79% of Haitians intended to vaccinate their sons, however only 24% of African-American and 20% of Haitian sons received vaccination within 12 months of the interview. Open-ended questions revealed that most African-Americans felt that vaccination fell within the parental role, while some Haitian immigrants felt uncomfortable vaccinating against sexually transmitted infections because they felt children should not be having sex. Both groups wanted more information about HPV vaccines. Conclusions Improving HPV vaccine rates in Haitian and African-American boys may require culturally competent approaches that address ethnic-specific barriers among their parents.
doi_str_mv 10.1016/S0027-9684(15)30028-6
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Objective To assess knowledge, attitudes, beliefs and practices related to HPV vaccination among African-Americans and Haitian immigrant parents, and to compare vaccination rates of their sons. Study Design We performed semi-structured interviews with parents of boys aged 11–17 who had not yet received the HPV vaccine. We used validated surveys of HPV knowledge, trust in physicians, and intention to vaccinate. We probed participants’ thought processes about HPV vaccination, and examined parental attitudes, beliefs, and practices toward HPV vaccination using open-ended questions. We then reviewed medical records to determine whether sons were subsequently vaccinated. Results 25 African-American and 30 Haitian immigrant parents and legal guardians participated in the study. Haitian immigrants were more likely to be married and to practice a religion than African-Americans. Both groups had limited knowledge of HPV (32% of questions were answered correctly by Haitian immigrants vs. 31% by African-Americans). Sixty-four percent of African-Americans and 79% of Haitians intended to vaccinate their sons, however only 24% of African-American and 20% of Haitian sons received vaccination within 12 months of the interview. Open-ended questions revealed that most African-Americans felt that vaccination fell within the parental role, while some Haitian immigrants felt uncomfortable vaccinating against sexually transmitted infections because they felt children should not be having sex. Both groups wanted more information about HPV vaccines. Conclusions Improving HPV vaccine rates in Haitian and African-American boys may require culturally competent approaches that address ethnic-specific barriers among their parents.</description><identifier>ISSN: 0027-9684</identifier><identifier>EISSN: 1943-4693</identifier><identifier>DOI: 10.1016/S0027-9684(15)30028-6</identifier><identifier>PMID: 27269494</identifier><identifier>CODEN: JNMAAE</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>acceptability in males ; African-American parents of sons ; Haitians immigrant parents ; HPV vaccine ; Internal Medicine</subject><ispartof>Journal of the National Medical Association, 2015-06, Vol.107 (2), p.80-88</ispartof><rights>National Medical Association</rights><rights>2015 National Medical Association</rights><rights>2015 National Medical Association. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright National Medical Association Jun 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-b5c41441959fe9a23ca3edcb8289ded10766972eb914aab385f87f38cc605d6e3</citedby><cites>FETCH-LOGICAL-c448t-b5c41441959fe9a23ca3edcb8289ded10766972eb914aab385f87f38cc605d6e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27269494$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Joseph, Natalie Pierre, M.D., M.P.H</creatorcontrib><creatorcontrib>Shea, Kimberly, Ph.D., M.P.H</creatorcontrib><creatorcontrib>Porter, Courtney L., M.P.H</creatorcontrib><creatorcontrib>Walsh, Jared P., MA</creatorcontrib><creatorcontrib>Belizaire, Myrdell, B.A</creatorcontrib><creatorcontrib>Estervine, Ginette, B.S</creatorcontrib><creatorcontrib>Perkins, Rebecca, M.D.,M.Sc</creatorcontrib><title>Factors Associated with Human Papillomavirus Vaccine Acceptance Among Haitian and African-American parents of Adolescent Sons</title><title>Journal of the National Medical Association</title><addtitle>J Natl Med Assoc</addtitle><description>Acknowledgements The authors would like to thank Cecilia Marquez, Justine Lavoye, Elaine Shu and Hailey Tipton for their efforts with participant recruitment and data collection. Objective To assess knowledge, attitudes, beliefs and practices related to HPV vaccination among African-Americans and Haitian immigrant parents, and to compare vaccination rates of their sons. Study Design We performed semi-structured interviews with parents of boys aged 11–17 who had not yet received the HPV vaccine. We used validated surveys of HPV knowledge, trust in physicians, and intention to vaccinate. We probed participants’ thought processes about HPV vaccination, and examined parental attitudes, beliefs, and practices toward HPV vaccination using open-ended questions. We then reviewed medical records to determine whether sons were subsequently vaccinated. Results 25 African-American and 30 Haitian immigrant parents and legal guardians participated in the study. Haitian immigrants were more likely to be married and to practice a religion than African-Americans. Both groups had limited knowledge of HPV (32% of questions were answered correctly by Haitian immigrants vs. 31% by African-Americans). Sixty-four percent of African-Americans and 79% of Haitians intended to vaccinate their sons, however only 24% of African-American and 20% of Haitian sons received vaccination within 12 months of the interview. Open-ended questions revealed that most African-Americans felt that vaccination fell within the parental role, while some Haitian immigrants felt uncomfortable vaccinating against sexually transmitted infections because they felt children should not be having sex. Both groups wanted more information about HPV vaccines. 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Objective To assess knowledge, attitudes, beliefs and practices related to HPV vaccination among African-Americans and Haitian immigrant parents, and to compare vaccination rates of their sons. Study Design We performed semi-structured interviews with parents of boys aged 11–17 who had not yet received the HPV vaccine. We used validated surveys of HPV knowledge, trust in physicians, and intention to vaccinate. We probed participants’ thought processes about HPV vaccination, and examined parental attitudes, beliefs, and practices toward HPV vaccination using open-ended questions. We then reviewed medical records to determine whether sons were subsequently vaccinated. Results 25 African-American and 30 Haitian immigrant parents and legal guardians participated in the study. Haitian immigrants were more likely to be married and to practice a religion than African-Americans. Both groups had limited knowledge of HPV (32% of questions were answered correctly by Haitian immigrants vs. 31% by African-Americans). Sixty-four percent of African-Americans and 79% of Haitians intended to vaccinate their sons, however only 24% of African-American and 20% of Haitian sons received vaccination within 12 months of the interview. Open-ended questions revealed that most African-Americans felt that vaccination fell within the parental role, while some Haitian immigrants felt uncomfortable vaccinating against sexually transmitted infections because they felt children should not be having sex. Both groups wanted more information about HPV vaccines. Conclusions Improving HPV vaccine rates in Haitian and African-American boys may require culturally competent approaches that address ethnic-specific barriers among their parents.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27269494</pmid><doi>10.1016/S0027-9684(15)30028-6</doi><tpages>9</tpages></addata></record>
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subjects acceptability in males
African-American parents of sons
Haitians immigrant parents
HPV vaccine
Internal Medicine
title Factors Associated with Human Papillomavirus Vaccine Acceptance Among Haitian and African-American parents of Adolescent Sons
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