226347 Awareness and knowledge of HPV and the HPV vaccine among parents of adolescent Latinas

Sunday, November 7, 2010

Deanna Kepka, MPH, MA , Department of Health Services, University of Washington, Seattle, WA
Gloria Coronado, PhD , Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA
Hector Rodriguez, PhD , Health Services, UCLA, Los Angeles, CA
Beti Thompson, PhD , Public Health Sciences/Cancer Prevention, Fred Hutchinson Cancer Research Center, Seattle, WA
Background: Latinas have a 1.5-fold increased cervical cancer incidence and mortality compared to non-Hispanic white women. To prevent cervical cancer, the CDC recommends the HPV vaccine to adolescent girls. This study explores factors related to HPV vaccine uptake among rural Latino parents.

Methods: Latino parents with a daughter aged 9-17 were recruited at community events in rural Washington to participate in 30-minute questionnaires on HPV vaccine knowledge, attitudes, normative beliefs, and uptake. The questionnaires were designed for Spanish-speaking participants with low levels of literacy.

Results: Participants included 88 Latino parents (78 women and 10 men; mean age=40, range: 22-62; mean years of education=9.4, range: 0-16; most with incomes less than $20,000 per year). Thirty-two percent of parents (n=28) reported having obtained at least one dose of the HPV vaccine for their daughter. Factors associated with daughter's receipt of the HPV vaccine were: previously hearing of HPV (OR: 7.33; 95% OR CI: 2.3 23.7), previously hearing of the vaccine on television or radio (OR: 4.5; 95% OR CI: 1.6 12.8), knowing the vaccine's age recommendations (OR: 4.99; 95% OR CI: 1.76 14.1), knowing that there are multiple doses (OR: 5.0; 95% OR CI: 1.83 13.7), and knowing that a woman is unable to detect HPV (OR: 2.93; 95% OR CI: 1.14 7.54).

Conclusions: Culturally and linguistically appropriate cervical cancer prevention and HPV vaccine awareness programs are needed. Our findings may inform HPV awareness programs targeting rural Latino parents.

Learning Areas:
Advocacy for health and health education
Assessment of individual and community needs for health education
Social and behavioral sciences

Learning Objectives:
1. List factors related to HPV vaccine uptake among rural Latino parents. 2. Describe a useful strategy for the design of questionnaires for Spanish-speaking participants with low levels of literacy. 3. Discuss key elements that may inform the development of culturally and linguistically appropriate cervical cancer prevention and HPV vaccine awareness programs.

Keywords: Immunizations, Cervical Cancer

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a PhD Candidate in the Department of Health Services at the University of Washington. My area of emphasis is Maternal and Child Health. I am also a NCI Pre-doctoral Biobehavioral Cancer Prevention and Control Trainee. My dissertation research is in HPV, the HPV vaccine, and cervical cancer among US Latinas.
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.

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