223973 Understanding HPV vaccine knowledge and uptake among low-income Chinese and Korean populations

Monday, November 8, 2010

Jennifer Tsui, MPH , UCLA School of Public Health & Jonsson Comprehensive Cancer Center, University of California, Los Angeles, Los Angeles, 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
Rita Singhal, MD, MPH , Office of Women's Health, Los Angeles County Department of Public Health, El Monte, CA
Roshan Bastani, PhD , Department of Health Services, University of California, Los Angeles, School of Public Health, Los Angeles, CA
Background: Asian & Pacific Islander (API) sub-groups experience higher rates of cervical cancer and lower rates of Pap testing compared to non-Latino whites. Wide spread adoption of the HPV vaccine can reduce the disproportionate burden of cervical cancer among APIs in the future. Objective: This analysis aims to understand HPV vaccine knowledge among API mothers and identify HPV vaccination rates among daughters. Methods: We conducted telephone interviews with mothers of vaccine-eligible girls (ages 9-18) who were callers of the Los Angeles County Department of Public Health Office of Women's Health Hotline. Results: Eighty-nine Chinese and 65 Korean mothers participated in the study. The majority were low-income, foreign-born, and uninsured. Over 34% of Chinese mothers and 54% of Korean mothers had never heard of HPV. Similar proportions had never heard of the HPV vaccine. Nearly half of mothers (Chinese: 42%, Korean: 46%) who had heard of HPV did not know HPV causes cervical cancer. Mothers in both groups perceived their daughters at low risk for HPV. Twenty-six percent of Chinese daughters and 23% of Korean daughters received ≥1 dose of the HPV vaccine. Multivariate analyses indicate mothers who believe the vaccine is very effective and those with older daughters were more likely to have a vaccinated daughter. Conclusion: HPV vaccine uptake among Chinese and Korean girls is lower than national rates (37%). Lack of knowledge and limited access to vaccines may prevent API girls from receiving the HPV vaccine, reducing the vaccine's potential to substantially reduce cervical cancer among these groups.

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

Learning Objectives:
1.) Describe knowledge of HPV and HPV vaccine among low-income Chinese and Korean mothers of vaccine-eligible girls. 2.)Identify rates of HPV vaccine uptake among low-income Chinese and Korean girls in Los Angeles. 3.)Assess attitudes and barriers of HPV vaccine uptake among mothers.

Keywords: Cancer Prevention, Health Disparities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because as a doctoral student I am involved in several research projects related to cancer prevention, HPV vaccine awareness and uptake and health disparities.
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.