HPV-related knowledge, attitudes, practices, and the impact of the COVID-19 pandemic on vaccine practices among Eastern U.S. Hispanic communities. Restricted; Files & ToC
Torres, Andrea (Spring 2023)
Published
Abstract
Introduction:
In 2021, human papillomavirus (HPV) vaccine initiation in US Hispanic adults over 18 years of age is 48.8% for women and 24.7% for men. Hispanic communities struggle with culture specific barriers to vaccination, such as religion, traditional gender roles, and parental attitudes. There is a lack of data regarding Hispanic men and women’s HPV vaccination attitudes, knowledge, and practices, creating a lack of accurate vaccine messaging.
Methods:
Using an online panel survey of 472 Hispanic adults in 25 states east of the Mississippi River between January-February 2023, we assessed self-reported HPV-and COVID-19 related knowledge, attitudes, practices, and predictors of behaviors. Findings were assessed using counts and proportions, with multivariable log-binomial regression used to assess predictors of HPV vaccine uptake.
Results:
HPV vaccination was highest among 18-to-25-year old’s (22.5%) with differences in age (19.9% uptake for 26–32-year old’s and 10.8% uptake for 33–40-year old’s). Females (31.4%), urban residents (26.3%), and second-generation Americans (24.8%) were more likely to be vaccinated. Participants were more likely to be vaccinated against HPV when there was family history of HPV related cancers (cervical cancer (PR 1.39, 95% CI 1.18,1.63), oropharyngeal cancer (PR 1.52, 95% CI 1.29, 1.78). For COVID-19, those with a South American ethnic background were more likely to vaccinate than any other ethnic type (PR 1.28, 95 CI% 1.14, 1.42). The highest COVID-19 vaccine uptake occurred among 18–25-year old’s (30% compared to 26% of 26-32-year old’s and 18% of 33-4- year old’s).
Discussion:
This study may offer directions to move forward for understanding determinants of HPV vaccination among Hispanic populations, to support future outreach and intervention efforts. COVID-19-vaccine uptake showed similar differences across demographics as with HPV vaccine uptake, indicating there may be some potential for combined education or combined campaigns based on the similar mindset towards vaccines deduced from this study.
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