142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Design and efficacy of a multilingual, multicultural HPV vaccine education intervention

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 9:42 AM - 10:00 AM

Armando Valdez, PhD , HealthPoint Communications Institute, Mountain View, CA
Alvaro Garza, MD , Department of Health and Human Services, County of San Benito, CA, Hollister, CA
Sora Park Tanjasiri, DrPH , Department of Health Science, California State University, Fullerton, Fullerton, CA
Marilyn A. Winkleby, MPH, PhD , Stanford Prevention Research Center, Stanford University, Stanford, CA
Susan Stewart, PhD , Division of Biostatistics, University of California-Davis, Davis, CA
Chi-Ah Chun, PhD , Department of Psychology, California State University-Long Beach, Long Beach, CA
Background. Korean Americans and Latinos are at high risk for cervical cancer, Primary prevention of cervical cancer can be achieved through use of the HPV vaccine, yet both of these groups have comparatively low HPV vaccination rates.

 Significance.  A multilingual, multicultural intervention to help Korean American and Latino parents make an informed HPV vaccination decision for their children can promote primary prevention of cervical cancer among these high-risk groups.

 Objectives. The study aims were to design a culturally tailored, language appropriate intervention to inform Korean-American and Latino parents’ HPV vaccination decisions, and to subsequently conduct an intervention efficacy evaluation.

 Methods. A randomized, controlled trial with 748 parents examined whether a DVD produced in English, Spanish and Korean to educate parents about the risks and benefits of the HPV vaccine helped them make an informed vaccination decision. Intervention group parents received the DVD while control group parents received a CDC flyer on the subject.

Results. The majority of parents were non-English speakers: 96.4% for Korean Americans and 89.5% for Latinos. Knowledge gains regarding the HPV vaccine were significantly greater in both language groups compared to control group parents. Intervention group parents in both language groups reported significantly higher levels of informed decision-making regarding HPV vaccination compared to control group parents.

Conclusions. Study findings suggest that a culturally and linguistically appropriate education intervention designed for parents in communities at high risk for HPV infection can empower non-English speaking parents to make an informed HPV vaccination decision and thus reduce racial/ethnic health disparities.

Learning Areas:

Diversity and culture
Implementation of health education strategies, interventions and programs
Protection of the public in relation to communicable diseases including prevention or control

Learning Objectives:
Identify the level of perceived risk and perceived severity of an HPV infection among Korean American and Latino parents parents. Describe an intervention strategy for improving knowledge about the recommended age, dosage, gender and costs for HPV vaccination among language minorities. Discuss the effect of a language-congruent, culturally tailored DVD in informing decisions regarding the HPV vaccine among Korean American and Latino parents.

Keyword(s): Cancer Prevention and Screening, Children and Adolescents

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a behavioral scientist, health communication specialist, and Principal Investigator of the study presented.
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.