Online Program

Knowledge, attitudes, and practices relating to HPV, cervical cancer, and vaccination against HPV in a low-income, uninsured, urban population (Olneyville, RI)

Wednesday, November 6, 2013 : 8:50 a.m. - 9:10 a.m.

Anne De Groot, M.D., GAIA Vaccine Foundation, Providence, RI
Jeff Chau, University of Rhode Island, Kingston, RI
Shahla Yekta, MPH, PhD, College of Nursing, University of Rhode Island, Kingston, RI
Macayla Landi, College of Pharmacy, University of Rhode Island, Kingston, RI
Tania Medeiros, BA, MPH, CCRA, Gastroenterology; Interventional Cardiology; School of Public Health, InfraRedX, Inc ; Walden University, Medford, MA
Melissa Reilly, University of Rhode Island, Kingston, RI
Lauren Levitz, EpiVax, Inc., Providence, RI
Valerie Joseph, RN, BSN, Clinica Esperanza/Hope Clinic, Providence, RI
Julissa Baez, RN, Clinica Esperanza/Hope Clinic, Providence, RI
BACKGROUND HPV awareness is positively linked to intent to vaccinate. We evaluated Knowledge, Attitudes and Practices (KAP) regarding HPV vaccination at a free clinic for the uninsured in Olneyville, Rhode Island. METHODS Study participants were recruited, consented, and surveyed in the language of their preference (Spanish or English). Survey questions assessed HPV vaccine and cervical cancer KAP and willingness to vaccinate (WTV). An brief video on HPV vaccination and cervical cancer was administered at midpoint in the survey. RESULTS The 63 participants were predominantly Hispanic (78%) and most did not speak English. Two in five participants (38%) reported knowing what HPV was, yet four in five (82%) were unaware of any symptoms associated with HPV infection. Post-intervention, 92% understood the association between HPV and cervical cancer and 4 in 5 understood its potential to infect any age and sex. Nearly all (59/63) responded that they were capable of making the autonomous decision about HPV vaccination, 94% declared responsibility for advocating their children, and 99% would get vaccinated if given the opportunity. CONCLUSION In this diverse, uninsured population, despite low initial knowledge regarding HPV and its vaccine, an educational intervention was well accepted, and acceptance of the vaccine following the brief intervention was very high. This population group has historically had a low HPV vaccine acceptance rate and high cervical cancer prevalence among women. The results indicate that HPV vaccination would be well-accepted by the clinic population.

Learning Areas:

Administer health education strategies, interventions and programs
Advocacy for health and health education
Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Identify the utility of providing interventions to increase HPV awareness. Discuss the importance of HPV vaccine acceptability.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a 5th year pharmacy student at the University of Rhode Island. I'm a long-time volunteer where the study took place. I have been conducting this research with two other URI pharmacy students for the past 2 years. As a team, we have written and received URI's "Undergraduate Research Initiative Grant" twice. I've attended SURF and NURDS conferences to present our study and have also presented to EpiVax Inc., an informatics and immunology corporation.
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.