title: Human papillomavirus vaccine among adult women: disparities in awareness and acceptance.
abstract: BACKGROUND
  Human papillomavirus (HPV) vaccines have been shown to be safe and highly effective in young and middle-aged women.
  
  
  OBJECTIVE
  This study aimed to assess vaccine awareness and desire for vaccination among adult women aged 18-55 years residing in Los Angeles County CA.
  
  
  METHODS
  This study is nested in the 2007 Los Angeles County Health Survey. Included in the analyses were 2295 women aged 18-55 years. Logistic regression was used to evaluate vaccine awareness and intention to become vaccinated in association with various factors. All analyses employed weighted data and were conducted in 2009.
  
  
  RESULTS
  Only 5% of women aged 18-26 years had received the HPV vaccine in its first year on the market. Overall, 67% of women aged 18-55 years had heard of the vaccine. Among those who knew of the vaccine but had not received it, 61% reported they were likely to receive the vaccine. Latina, black, and Asian/Pacific Islander women were only half as likely to have heard of the vaccine as white women, but Latinas and Asian/Pacific Islander women were more willing to be vaccinated than white or black women. Education was associated positively with awareness, but inversely associated with intention to be vaccinated. Awareness and desire for vaccination also varied substantially by other factors such as language spoken at home.
  
  
  CONCLUSIONS
  This population-based study of diverse women reveals important disparities in HPV vaccine awareness and intention to be vaccinated. Culturally and linguistically competent educational campaigns about HPV immunization are warranted, and should target high-risk populations.
authors.affiliation: Los Angeles County Department of Public Health, University of California Los Angeles, Los Angeles, California, USA.
authors.forename: Yan
authors.initials: Y
authors.lastname: Cui
authors.forename: Susie B
authors.initials: SB
authors.lastname: Baldwin
authors.forename: Dorothy J
authors.initials: DJ
authors.lastname: Wiley
authors.forename: Jonathan E
authors.initials: JE
authors.lastname: Fielding
mesh_terms: D000293:Adolescent; D000328:Adult; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D015141:Los Angeles; D008875:Middle Aged; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010353:Patient Education as Topic / Q000379:methods; D044469:Racial Groups / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines