Factors affecting human papillomavirus vaccine use among White, Black and Latino parents of sons.
BACKGROUND
Although human papillomavirus (HPV) vaccination has been available for males since 2009, its uptake remains low. In light of new recommendations for universal vaccination of males, understanding parental attitudes toward this vaccine is important. This study aimed to describe HPV-related knowledge and intention to accept HPV vaccination among White, Black and Latino parents of sons and to assess vaccination rates among their sons.


METHODS
We interviewed parents (68 Black, 28 Latino and 24 White; mean age, 43.5) of sons (mean age, 14) attending an urban academic medical center and a community health center. Eligible parents self-identified as White, Black or Latino and spoke English, Spanish or Haitian-Creole. We collected demographic information, knowledge related to HPV vaccination, parents' intent to vaccinate sons and HPV vaccination rates. Descriptive statistics and multivariable logistic regression were used to describe data.


RESULTS
Most parents were mothers, married, expressed a religious affiliation and had completed high school or college. Parents had limited knowledge about HPV; White parents were more knowledgeable than Black parents. Most parents (75%) intended to accept HPV vaccination if recommended by physicians; no racial differences were noted. However, only 30% of sons were vaccinated. Logistic regression indicated that internet use was negatively associated with intention to vaccinate. Intention to vaccinate, clinical site of care and having an older son were associated with vaccine receipt.


CONCLUSIONS
Although parents in our study had limited understanding of HPV disease in males, most would vaccinate their sons if recommended by their physicians.
Department of Obstetrics and Gynecology and Pediatrics, Boston University School of Medicine, Boston, MA 02118, USA. rebecca.perkins@bmc.org
Rebecca B
RB
Perkins
Gauri
G
Apte
Cecilia
C
Marquez
Courtney
C
Porter
Myrdell
M
Belizaire
Jack A
JA
Clark
Natalie
N
Pierre-Joseph
D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D044383:Black People / Q000706:statistics & numerical data; D002648:Child; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D030361:Papillomavirus Infections / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010290:Parents / Q000523:psychology; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data; D001741:Black or African American
D053918:Papillomavirus Vaccines