Human papillomavirus (HPV) vaccine knowledge and attitudes among women in Appalachia Ohio

Background: Women in Appalachia suffer a disproportionate burden from cervical cancer. The HPV vaccine may decrease this burden, but its success depends on its acceptability and uptake. Objective: To examine the knowledge and attitudes about the HPV vaccine among women living in Appalachia. Methods: Women 18+ years presenting for a Pap smear in 14 clinics participated in a study. All women with an abnormal Pap smear and a random selection of women with a normal Pap smear completed a telephone interview. Results: 170 women completed the interview (94% White, mean age=35 years). Women with an abnormal Pap tended to be younger than those with a normal Pap. About half (47%) had heard about a vaccine to prevent cancer, and among those women, 96% identified a vaccine for cervical cancer and 93% had heard of HPV. One-third (35%) wanted the vaccine for themselves and the reason cited most for not wanting the vaccine was an age older than recommendation. If a doctor recommended the HPV vaccine, 88% would get it. All participants were asked if they would want the vaccine for a daughter if they had a daughter; slightly over half (58%) responded yes. If a doctor recommended it for their daughter, then 85% would get the vaccine for a daughter. The most common barrier for the vaccine for a daughter was that they saw an advertisement in the media. Conclusion: Knowledge and attitudes among women in this study suggest various barriers to diffusion of the HPV vaccine in Ohio Appalachia.