222299 Role of the physician recommendation in HPV vaccine pptake among low-income ethnic minority girls in Los Angeles county

Wednesday, November 10, 2010 : 1:00 PM - 1:15 PM

Rita Singhal, MD, MPH , Office of Women's Health, Los Angeles County Department of Public Health, El Monte, CA
Beth Glenn, PhD , UCLA School of Public Health, Department of Health Services, Jonsson Comprehensive Cancer Center, Division of Cancer Prevention and Control Research, Los Angeles, CA
Jennifer Tsui, MPH , UCLA School of Public Health & Jonsson Comprehensive Cancer Center, University of California, Los Angeles, Los Angeles, CA
Roshan Bastani, PhD , Department of Health Services, University of California, Los Angeles, School of Public Health, Los Angeles, CA
Background: Physician recommendation has been shown to be a strong predictor for vaccine utilization in general and specifically for the HPV vaccine. This study examines the role of physician recommendation in HPV vaccine uptake among an ethnically diverse population of low-income girls. Methods: A survey was implemented in five languages via the Los Angeles County Department of Public Health's Office of Women's Health telephone hotline to mothers of girls 9 to 18 years. Results: From January-November 2009, 490 mothers (53% Latina, 20% Chinese, 14% Korean, 8% Black, 5% Other) were interviewed. HPV vaccine initiation rates were 28% overall with rates of only 24% among Koreans, Chinese and Blacks and 33% among Latinas. Vaccine uptake was significantly higher among those that had discussed the vaccine with a physician (81% vs. 19%) and had been offered the vaccine (97% vs. 3%). Among mothers of unvaccinated girls, more Latinas (85%) and Blacks (81%) considered the physician to be very important in decision-making compared to Chinese (38%) and Koreans (36%). Although 79% of Latinas reported their daughter would get the vaccine if physician recommended it, rates were significantly lower among Blacks(55%), Chinese (57%) and Koreans (67%). Conclusion: Although physician recommendation was a strong predictor of HPV vaccine uptake among this population of low-income ethnic minority girls, ethnic differences were apparent with more Latinas relying on physician recommendation than Blacks, Koreans and Chinese. In addition to targeting physicians, cultural barriers and concerns need to be addressed to increase HPV vaccine uptake in this high-risk population.

Learning Areas:
Assessment of individual and community needs for health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Protection of the public in relation to communicable diseases including prevention or control
Provision of health care to the public
Public health or related education

Learning Objectives:
1. Discuss the differences in HPV vaccine uptake among low income minority girls in Los Angeles compared to national rates. 2. Describe the importance of the physician recommendation in increasing the uptake of the HPV vaccine. 3. Explain the differences in the role of the physician recommendation among different ethnic groups.

Keywords: Cancer Prevention, Vulnerable Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I oversee cancer prevention programs targeting women from diverse backgrounds, and have participated in research and numerous speaking engagements on cervical cancer and the HPV vaccine.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 5185.0: HPV