title: Attitudes toward Human Papilloma Virus Vaccination and Head and Neck Cancer Prevention in a Diverse, Urban Population.
abstract: OBJECTIVE
  (1) To understand if awareness of the human papilloma virus (HPV) vaccination's potential to prevent head and neck cancer improves acceptability of the vaccine in a large urban population and (2) to identify characteristics of those in whom such discussions would have the greatest impact.
  
  
  METHODS
  In-person, anonymous survey.
  
  
  METHODS
  Academic public hospital between March 2014 and June 2014.
  
  
  METHODS
  Patients aged 12 to 24 years and their parents or guardians awaiting scheduled outpatient pediatric appointments.
  
  
  METHODS
  Demographics and modified Carolina HPV Immunization Attitudes and Beliefs Scales data were cross-analyzed, followed by univariate binomial logistic regression to identify predictors for major outcomes of interest.
  
  
  RESULTS
  More than 78% of those surveyed indicated they would be more receptive to the HPV vaccine if given strong evidence that it prevented head and neck cancer. Respondents were more likely to increase receptivity to HPV vaccination if they held the belief that they did not have enough information about the vaccine or indicated they preferred to wait because the vaccine was too new.
  
  
  CONCLUSIONS
  Increasing public awareness of head and neck cancer prevention with HPV vaccination could increase HPV vaccination acceptance.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, USA University of California, San Francisco School of Medicine, San Francisco, California, USA.
authors.forename: Yoseph A
authors.initials: YA
authors.lastname: Kram
authors.affiliation: University of California, San Francisco School of Medicine, San Francisco, California, USA.
authors.forename: Timothy H
authors.initials: TH
authors.lastname: Schmidt
authors.affiliation: University of California, San Francisco School of Medicine, San Francisco, California, USA Department of Oral & Maxillofacial Surgery, University of California, San Francisco, California, USA.
authors.forename: Sohail
authors.initials: S
authors.lastname: Saghezchi
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, USA mdrussell@ohns.ucsf.edu.
authors.forename: Marika D
authors.initials: MD
authors.lastname: Russell
mesh_terms: D000293:Adolescent; D000328:Adult; D001290:Attitude; D002648:Child; D005260:Female; D006258:Head and Neck Neoplasms / Q000517:prevention & control*; D006801:Humans; D016015:Logistic Models; D008297:Male; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines; D010290:Parents / Q000523:psychology*; D014505:Urban Population; D014611:Vaccination; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: Cervarix; Gardasil; HPV vaccination; head and neck cancer; oropharyngeal cancer; vaccine acceptability