142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

A Pilot Study of Pacific Islander and Asian-American college students' knowledge and intentions on human papillomavirus (HPV) vaccination: Results and Recommendations

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

Angela Sy, DrPH , School of Nursing and Dental Hygiene, University of Hawaii at Manoa, Honolulu, HI
Lee Buenconsejo-Lum, MD , Department Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawaii, Mililani, HI
Guangxiang Zhang, PhD , Biostatistics and Data Management Core, University of Hawaii at Manoa, Honolulu, HI
Rissa Fedora, BS , Biostatistics and Data Management Core, University of Hawaii at Manoa, Honolulu, HI
Mavis Nitta, MPH , John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu
Carolyn Ma, PharmD , Daniel K. Inouye School of Pharmacy, University of Hawaii at Hilo, Honolulu, HI
Brenda Hernandez, PhD , Cancer Research Center, University of Hawaii, Honolulu, HI
Maricel Abad, RN, BS , Hawaii Immunization Coalition, Hawaii Immunization Coalitin, Honolulu, HI
Ronald Balajadia, MPH , State of Hawaii Department of Health, Honolulu, HI
Background: Cervical cancer rates are disproportionately high in Pacific Islanders and Filipinas, who represent the largest ethnicities in Hawai‘i.   HPV immunization rates are generally low.  No results exists on HPV knowledge, vaccination status or decision-making in college age Asian and Pacific Islander populations. A pilot intervention using community based participatory research (CBPR), multidisciplinary, and social media approaches were implemented to promote vaccination to university students.

A community advisory board (CAB) of Filipino and Pacific Islander students, faculty and professionals guided the project.  CAB members and student leaders pilot tested the pre-post intervention survey.  Student leaders facilitated peer focus planning groups and provided feedback on and participated in HPV vaccination promotion education.

Methods:  Pacific Islander and Filipino students were oversampled to complete pre and post surveys which were administered online via a convenience sample of students of faculty colleagues.  Data were analyzed by descriptive statistics.  Chi-sq and  McNemar tests were also conducted between the pre and post data sets and between ethnic groups and grade levels..  Community and student leader focus groups will be conducted on their CBPR and multidisciplinary experiences.

Results: Pre-surveys (N=113) included 21% Pacific Islanders, 19% Filipinos, 41% other Asian students.  48% of the entire sample completed the 3-dose series.  90%of the initiators completed the series. 94% of respondents correctly answered 75% or more of the knowledge question.  Pacific Islander students and undergraduates had lower knowledge.  66% preferred to receive information from their health provider.  Post intervention survey will present results for comparison while focus groups will describe the CBPR and multidisciplinary approach.

Conclusions: Collaborating with community leaders may support participation of Pacific Islander and Filipino students in HPV vaccinations. This pilot study provides next steps to target education for Pacific Islanders and undergraduates to include administering a student body wide survey to yield larger representative sample, and examine social media and health provider participation in HPV vaccination.

Learning Areas:

Assessment of individual and community needs for health education
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education
Social and behavioral sciences

Learning Objectives:
Identify areas for future intervention and research in promoting HPV knowledge and vaccination for Pacific Islander and Filipina undergraduate students.

Keyword(s): College Students, Asian and Pacific Islanders

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a co-investigator of the project.
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.