HPV vaccination coverage and factors among American Indians in Cherokee Nation
Purpose We estimated human papillomavirus (HPV) vaccine initiation coverage among American Indian adolescents and identified factors associated with HPV vaccination among parents of these adolescents. Methods We developed, tested, and disseminated a survey to a random sample of 2,000 parents of Amer...
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| Veröffentlicht in: | Cancer causes & control 2023-03, Vol.34 (3), p.267-275 |
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| creator | Gopalani, Sameer Vali Janitz, Amanda E. Burkhart, Margie Campbell, Janis E. Chen, Sixia Martinez, Sydney A. White, Ashley H. Anderson, Amber S. Pharr, Stephanie F. Peck, Jennifer D. Comiford, Ashley |
| description | Purpose
We estimated human papillomavirus (HPV) vaccine initiation coverage among American Indian adolescents and identified factors associated with HPV vaccination among parents of these adolescents.
Methods
We developed, tested, and disseminated a survey to a random sample of 2,000 parents of American Indian adolescents aged 9–17 years who had accessed Cherokee Nation Health Services from January 2019 to August 2020. We used log-binomial regression to estimate the unadjusted and adjusted weighted prevalence proportion ratios (PPR) and 95% confidence intervals (CI) for adolescent HPV vaccine initiation.
Results
HPV vaccine initiation coverage (≥ 1 dose) was 70.7% among adolescents aged 13–17 years. The prevalence of HPV vaccine initiation was higher among American Indian adolescents whose parents were aware of the HPV vaccine (adjusted weighted PPR 3.41; 95% CI 2.80, 4.15) and whose parents received a recommendation from their provider (adjusted weighted PPR 2.70; 95% CI 2.56, 2.84). The most common reasons reported by parents to vaccinate their children were to protect them against HPV-associated cancers (25.7%) and receiving a recommendation from a healthcare provider (25.0%). Parents cited vaccine safety concerns as the main reason for not getting their children vaccinated (33.2%).
Conclusions
HPV vaccine initiation coverage among American Indian adolescents in Cherokee Nation was consistent with the national survey estimates. However, allaying parental concerns about vaccine safety and encouraging providers to recommend the HPV vaccine could improve coverage. |
| doi_str_mv | 10.1007/s10552-022-01662-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9768789</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2756669638</sourcerecordid><originalsourceid>FETCH-LOGICAL-c404t-2161c0963ed262acfd9ab50901a55db77375c12a9aec4272aaa164bc60e5bd233</originalsourceid><addsrcrecordid>eNp9kU9vEzEQxS0EomnhC3BAlrhw2WKP13b2glRF0FaqCgfgas16J6lL1i72JlK-PW7TP8CBw2gO83tvZvQYeyPFsRTCfihSaA2NgFrSGGh2z9hMaqsaC6Cfs5notG00tOqAHZZyLYTQBsRLdqCMbgEkzNjl2dcffIveh4hTSJH7tKWMK-IYB75EP6VcOI4prvjJSDl4jPw8DgFj4SHyxRXl9JOIX97JX7EXS1wXen3fj9j3z5--Lc6aiy-n54uTi8a3op0akEZ60RlFAxhAvxw67LXohESth95aZbWXgB2Sb8ECIkrT9t4I0v0ASh2xj3vfm00_0uApThnX7iaHEfPOJQzu70kMV26Vtq6zZm7nXTV4f2-Q068NlcmNoXharzFS2hQHVhtj6oXzir77B71Omxzre5Wyeq6lanWlYE_5nErJtHw8Rgp3G5fbx-VqXO4uLrerord_vvEoecinAmoPlDqKK8pPu_9j-xs_aKDb</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2775851345</pqid></control><display><type>article</type><title>HPV vaccination coverage and factors among American Indians in Cherokee Nation</title><source>SpringerNature Journals</source><creator>Gopalani, Sameer Vali ; Janitz, Amanda E. ; Burkhart, Margie ; Campbell, Janis E. ; Chen, Sixia ; Martinez, Sydney A. ; White, Ashley H. ; Anderson, Amber S. ; Pharr, Stephanie F. ; Peck, Jennifer D. ; Comiford, Ashley</creator><creatorcontrib>Gopalani, Sameer Vali ; Janitz, Amanda E. ; Burkhart, Margie ; Campbell, Janis E. ; Chen, Sixia ; Martinez, Sydney A. ; White, Ashley H. ; Anderson, Amber S. ; Pharr, Stephanie F. ; Peck, Jennifer D. ; Comiford, Ashley</creatorcontrib><description>Purpose
We estimated human papillomavirus (HPV) vaccine initiation coverage among American Indian adolescents and identified factors associated with HPV vaccination among parents of these adolescents.
Methods
We developed, tested, and disseminated a survey to a random sample of 2,000 parents of American Indian adolescents aged 9–17 years who had accessed Cherokee Nation Health Services from January 2019 to August 2020. We used log-binomial regression to estimate the unadjusted and adjusted weighted prevalence proportion ratios (PPR) and 95% confidence intervals (CI) for adolescent HPV vaccine initiation.
Results
HPV vaccine initiation coverage (≥ 1 dose) was 70.7% among adolescents aged 13–17 years. The prevalence of HPV vaccine initiation was higher among American Indian adolescents whose parents were aware of the HPV vaccine (adjusted weighted PPR 3.41; 95% CI 2.80, 4.15) and whose parents received a recommendation from their provider (adjusted weighted PPR 2.70; 95% CI 2.56, 2.84). The most common reasons reported by parents to vaccinate their children were to protect them against HPV-associated cancers (25.7%) and receiving a recommendation from a healthcare provider (25.0%). Parents cited vaccine safety concerns as the main reason for not getting their children vaccinated (33.2%).
Conclusions
HPV vaccine initiation coverage among American Indian adolescents in Cherokee Nation was consistent with the national survey estimates. However, allaying parental concerns about vaccine safety and encouraging providers to recommend the HPV vaccine could improve coverage.</description><identifier>ISSN: 0957-5243</identifier><identifier>EISSN: 1573-7225</identifier><identifier>DOI: 10.1007/s10552-022-01662-y</identifier><identifier>PMID: 36542212</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adolescents ; Biomedical and Life Sciences ; Biomedicine ; Cancer Research ; Children ; Confidence intervals ; Epidemiology ; Hematology ; Human papillomavirus ; Immunization ; Native Americans ; Native North Americans ; Oncology ; Original Paper ; Parents ; Public Health ; Statistical analysis ; Surveys ; Teenagers ; Vaccines</subject><ispartof>Cancer causes & control, 2023-03, Vol.34 (3), p.267-275</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.</rights><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG 2022, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-2161c0963ed262acfd9ab50901a55db77375c12a9aec4272aaa164bc60e5bd233</citedby><cites>FETCH-LOGICAL-c404t-2161c0963ed262acfd9ab50901a55db77375c12a9aec4272aaa164bc60e5bd233</cites><orcidid>0000-0003-0611-305X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10552-022-01662-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10552-022-01662-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,315,781,785,886,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36542212$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gopalani, Sameer Vali</creatorcontrib><creatorcontrib>Janitz, Amanda E.</creatorcontrib><creatorcontrib>Burkhart, Margie</creatorcontrib><creatorcontrib>Campbell, Janis E.</creatorcontrib><creatorcontrib>Chen, Sixia</creatorcontrib><creatorcontrib>Martinez, Sydney A.</creatorcontrib><creatorcontrib>White, Ashley H.</creatorcontrib><creatorcontrib>Anderson, Amber S.</creatorcontrib><creatorcontrib>Pharr, Stephanie F.</creatorcontrib><creatorcontrib>Peck, Jennifer D.</creatorcontrib><creatorcontrib>Comiford, Ashley</creatorcontrib><title>HPV vaccination coverage and factors among American Indians in Cherokee Nation</title><title>Cancer causes & control</title><addtitle>Cancer Causes Control</addtitle><addtitle>Cancer Causes Control</addtitle><description>Purpose
We estimated human papillomavirus (HPV) vaccine initiation coverage among American Indian adolescents and identified factors associated with HPV vaccination among parents of these adolescents.
Methods
We developed, tested, and disseminated a survey to a random sample of 2,000 parents of American Indian adolescents aged 9–17 years who had accessed Cherokee Nation Health Services from January 2019 to August 2020. We used log-binomial regression to estimate the unadjusted and adjusted weighted prevalence proportion ratios (PPR) and 95% confidence intervals (CI) for adolescent HPV vaccine initiation.
Results
HPV vaccine initiation coverage (≥ 1 dose) was 70.7% among adolescents aged 13–17 years. The prevalence of HPV vaccine initiation was higher among American Indian adolescents whose parents were aware of the HPV vaccine (adjusted weighted PPR 3.41; 95% CI 2.80, 4.15) and whose parents received a recommendation from their provider (adjusted weighted PPR 2.70; 95% CI 2.56, 2.84). The most common reasons reported by parents to vaccinate their children were to protect them against HPV-associated cancers (25.7%) and receiving a recommendation from a healthcare provider (25.0%). Parents cited vaccine safety concerns as the main reason for not getting their children vaccinated (33.2%).
Conclusions
HPV vaccine initiation coverage among American Indian adolescents in Cherokee Nation was consistent with the national survey estimates. However, allaying parental concerns about vaccine safety and encouraging providers to recommend the HPV vaccine could improve coverage.</description><subject>Adolescents</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cancer Research</subject><subject>Children</subject><subject>Confidence intervals</subject><subject>Epidemiology</subject><subject>Hematology</subject><subject>Human papillomavirus</subject><subject>Immunization</subject><subject>Native Americans</subject><subject>Native North Americans</subject><subject>Oncology</subject><subject>Original Paper</subject><subject>Parents</subject><subject>Public Health</subject><subject>Statistical analysis</subject><subject>Surveys</subject><subject>Teenagers</subject><subject>Vaccines</subject><issn>0957-5243</issn><issn>1573-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU9vEzEQxS0EomnhC3BAlrhw2WKP13b2glRF0FaqCgfgas16J6lL1i72JlK-PW7TP8CBw2gO83tvZvQYeyPFsRTCfihSaA2NgFrSGGh2z9hMaqsaC6Cfs5notG00tOqAHZZyLYTQBsRLdqCMbgEkzNjl2dcffIveh4hTSJH7tKWMK-IYB75EP6VcOI4prvjJSDl4jPw8DgFj4SHyxRXl9JOIX97JX7EXS1wXen3fj9j3z5--Lc6aiy-n54uTi8a3op0akEZ60RlFAxhAvxw67LXohESth95aZbWXgB2Sb8ECIkrT9t4I0v0ASh2xj3vfm00_0uApThnX7iaHEfPOJQzu70kMV26Vtq6zZm7nXTV4f2-Q068NlcmNoXharzFS2hQHVhtj6oXzir77B71Omxzre5Wyeq6lanWlYE_5nErJtHw8Rgp3G5fbx-VqXO4uLrerord_vvEoecinAmoPlDqKK8pPu_9j-xs_aKDb</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Gopalani, Sameer Vali</creator><creator>Janitz, Amanda E.</creator><creator>Burkhart, Margie</creator><creator>Campbell, Janis E.</creator><creator>Chen, Sixia</creator><creator>Martinez, Sydney A.</creator><creator>White, Ashley H.</creator><creator>Anderson, Amber S.</creator><creator>Pharr, Stephanie F.</creator><creator>Peck, Jennifer D.</creator><creator>Comiford, Ashley</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0611-305X</orcidid></search><sort><creationdate>20230301</creationdate><title>HPV vaccination coverage and factors among American Indians in Cherokee Nation</title><author>Gopalani, Sameer Vali ; Janitz, Amanda E. ; Burkhart, Margie ; Campbell, Janis E. ; Chen, Sixia ; Martinez, Sydney A. ; White, Ashley H. ; Anderson, Amber S. ; Pharr, Stephanie F. ; Peck, Jennifer D. ; Comiford, Ashley</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-2161c0963ed262acfd9ab50901a55db77375c12a9aec4272aaa164bc60e5bd233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescents</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cancer Research</topic><topic>Children</topic><topic>Confidence intervals</topic><topic>Epidemiology</topic><topic>Hematology</topic><topic>Human papillomavirus</topic><topic>Immunization</topic><topic>Native Americans</topic><topic>Native North Americans</topic><topic>Oncology</topic><topic>Original Paper</topic><topic>Parents</topic><topic>Public Health</topic><topic>Statistical analysis</topic><topic>Surveys</topic><topic>Teenagers</topic><topic>Vaccines</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gopalani, Sameer Vali</creatorcontrib><creatorcontrib>Janitz, Amanda E.</creatorcontrib><creatorcontrib>Burkhart, Margie</creatorcontrib><creatorcontrib>Campbell, Janis E.</creatorcontrib><creatorcontrib>Chen, Sixia</creatorcontrib><creatorcontrib>Martinez, Sydney A.</creatorcontrib><creatorcontrib>White, Ashley H.</creatorcontrib><creatorcontrib>Anderson, Amber S.</creatorcontrib><creatorcontrib>Pharr, Stephanie F.</creatorcontrib><creatorcontrib>Peck, Jennifer D.</creatorcontrib><creatorcontrib>Comiford, Ashley</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Proquest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer causes & control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gopalani, Sameer Vali</au><au>Janitz, Amanda E.</au><au>Burkhart, Margie</au><au>Campbell, Janis E.</au><au>Chen, Sixia</au><au>Martinez, Sydney A.</au><au>White, Ashley H.</au><au>Anderson, Amber S.</au><au>Pharr, Stephanie F.</au><au>Peck, Jennifer D.</au><au>Comiford, Ashley</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HPV vaccination coverage and factors among American Indians in Cherokee Nation</atitle><jtitle>Cancer causes & control</jtitle><stitle>Cancer Causes Control</stitle><addtitle>Cancer Causes Control</addtitle><date>2023-03-01</date><risdate>2023</risdate><volume>34</volume><issue>3</issue><spage>267</spage><epage>275</epage><pages>267-275</pages><issn>0957-5243</issn><eissn>1573-7225</eissn><abstract>Purpose
We estimated human papillomavirus (HPV) vaccine initiation coverage among American Indian adolescents and identified factors associated with HPV vaccination among parents of these adolescents.
Methods
We developed, tested, and disseminated a survey to a random sample of 2,000 parents of American Indian adolescents aged 9–17 years who had accessed Cherokee Nation Health Services from January 2019 to August 2020. We used log-binomial regression to estimate the unadjusted and adjusted weighted prevalence proportion ratios (PPR) and 95% confidence intervals (CI) for adolescent HPV vaccine initiation.
Results
HPV vaccine initiation coverage (≥ 1 dose) was 70.7% among adolescents aged 13–17 years. The prevalence of HPV vaccine initiation was higher among American Indian adolescents whose parents were aware of the HPV vaccine (adjusted weighted PPR 3.41; 95% CI 2.80, 4.15) and whose parents received a recommendation from their provider (adjusted weighted PPR 2.70; 95% CI 2.56, 2.84). The most common reasons reported by parents to vaccinate their children were to protect them against HPV-associated cancers (25.7%) and receiving a recommendation from a healthcare provider (25.0%). Parents cited vaccine safety concerns as the main reason for not getting their children vaccinated (33.2%).
Conclusions
HPV vaccine initiation coverage among American Indian adolescents in Cherokee Nation was consistent with the national survey estimates. However, allaying parental concerns about vaccine safety and encouraging providers to recommend the HPV vaccine could improve coverage.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>36542212</pmid><doi>10.1007/s10552-022-01662-y</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0611-305X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescents Biomedical and Life Sciences Biomedicine Cancer Research Children Confidence intervals Epidemiology Hematology Human papillomavirus Immunization Native Americans Native North Americans Oncology Original Paper Parents Public Health Statistical analysis Surveys Teenagers Vaccines |
| title | HPV vaccination coverage and factors among American Indians in Cherokee Nation |
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