title: Factors associated with HPV awareness among mothers of low-income ethnic minority adolescent girls in Los Angeles.
abstract: Among caregivers of adolescent girls, awareness of human papillomavirus (HPV) is strongly associated with vaccine uptake. Little is known, however, about the predictors of HPV awareness among low-income ethnic minority groups in the U.S. The purpose of this study is to understand demographic factors associated with HPV awareness among low-income, ethnic minority mothers in Los Angeles County. We conducted a cross-sectional study of caregivers of adolescent girls through the Los Angeles County Department of Public Health Office of Women's Health's hotline. The majority of the participants were foreign-born (88%), one quarter lacked a usual source of care, and one quarter lacked public or private health insurance for their daughter. We found that one in three participants had never heard of HPV or the vaccine. Mothers that were unaware of HPV were significantly more likely to conduct the interview in a language other than English and to lack health insurance for their daughters. HPV vaccine awareness was much lower in our caregiver sample (61%) than in a simultaneous national survey of caregivers (85%). The associations between lack of awareness and use of a language other than English, as well as lack of health insurance for their daughter indicate the need for HPV vaccine outreach efforts tailored to ethnic minority communities in the U.S.
authors.affiliation: Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, 650 Charles Young Drive South, A2-125 CHS, Los Angeles, CA 90095-6900, USA; Cancer Prevention and Control Research Center, Fielding School of Public Health and Jonsson Comprehensive Cancer Center, University of California, Los Angeles, 650 Charles Young Drive South, A2-125 CHS, Los Angeles, CA 90095-6900, USA. Electronic address: bglenn@ucla.edu.
authors.forename: Beth A
authors.initials: BA
authors.lastname: Glenn
authors.affiliation: Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, 650 Charles Young Drive South, A2-125 CHS, Los Angeles, CA 90095-6900, USA; Cancer Prevention and Control Research Center, Fielding School of Public Health and Jonsson Comprehensive Cancer Center, University of California, Los Angeles, 650 Charles Young Drive South, A2-125 CHS, Los Angeles, CA 90095-6900, USA. Electronic address: jk1341@cinj.rutgers.edu.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Tsui
authors.affiliation: Office of Women's Health, Los Angeles County Department of Public Health, 3400 Aerojet, 3rd Floor, El Monte, CA 91731-2803, USA. Electronic address: risinghal@ph.lacounty.gov.
authors.forename: Rita
authors.initials: R
authors.lastname: Singhal
authors.affiliation: Cancer Prevention and Control Research Center, Fielding School of Public Health and Jonsson Comprehensive Cancer Center, University of California, Los Angeles, 650 Charles Young Drive South, A2-125 CHS, Los Angeles, CA 90095-6900, USA. Electronic address: leahsanchez@ucla.edu.
authors.forename: Leah
authors.initials: L
authors.lastname: Sanchez
authors.affiliation: Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, 650 Charles Young Drive South, A2-125 CHS, Los Angeles, CA 90095-6900, USA; Cancer Prevention and Control Research Center, Fielding School of Public Health and Jonsson Comprehensive Cancer Center, University of California, Los Angeles, 650 Charles Young Drive South, A2-125 CHS, Los Angeles, CA 90095-6900, USA. Electronic address: nnonzee@ucla.edu.
authors.forename: Narissa J
authors.initials: NJ
authors.lastname: Nonzee
authors.affiliation: Cancer Prevention and Control Research Center, Fielding School of Public Health and Jonsson Comprehensive Cancer Center, University of California, Los Angeles, 650 Charles Young Drive South, A2-125 CHS, Los Angeles, CA 90095-6900, USA. Electronic address: clichang@ucla.edu.
authors.forename: L Cindy
authors.initials: LC
authors.lastname: Chang
authors.affiliation: Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, (M3-B232), Seattle, WA 98109-4433, USA. Electronic address: vtaylor@fhcrc.org.
authors.forename: Victoria M
authors.initials: VM
authors.lastname: Taylor
authors.affiliation: Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, 650 Charles Young Drive South, A2-125 CHS, Los Angeles, CA 90095-6900, USA; Cancer Prevention and Control Research Center, Fielding School of Public Health and Jonsson Comprehensive Cancer Center, University of California, Los Angeles, 650 Charles Young Drive South, A2-125 CHS, Los Angeles, CA 90095-6900, USA. Electronic address: bastani@ucla.edu.
authors.forename: Roshan
authors.initials: R
authors.lastname: Bastani
mesh_terms: D000293:Adolescent; D000328:Adult; D017028:Caregivers / Q000523:psychology; D002648:Child; D003153:Community Health Services / Q000706:statistics & numerical data / Q000639:trends; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D015277:Hotlines; D006801:Humans; D015141:Los Angeles; D008875:Middle Aged; D008913:Minority Groups; D009035:Mothers; D027383:Papillomaviridae; D030361:Papillomavirus Infections / Q000517:prevention & control; D053918:Papillomavirus Vaccines; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D011203:Poverty; D013997:Time Factors; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014611:Vaccination / Q000523:psychology; D016387:Women's Health
chemical_list: D053918:Papillomavirus Vaccines
keywords: Cervical cancer prevention; Health disparities; Human papillomavirus; Low-income; Vaccination