title: Disparities in Human Papillomavirus Vaccine Literacy and Vaccine Completion Among Asian American Pacific Islander Undergraduates: Implications for Cancer Health Equity.
abstract: Low rates of human papillomavirus (HPV) vaccination among young Asian American and Pacific Islander (AAPI) women need to be addressed, particularly given the high incidence of cervical cancer in this population. The current study aims to investigate predictors of HPV vaccination in young AAPI and non-Latina white (NLW) women.
  
  
  
  A secondary data analysis was conducted of a health survey administered to college-aged women (N = 2,270) at a large public university in the Midwest. Andersen's behavioral model of health services utilization guided the study theoretically, and hierarchical logistic regression analysis was conducted to investigate research aim.
  
  
  
  NLW women had a significantly higher rate of vaccine completion than AAPI women (NLW = 60.7%; AAPI = 38.6%). NLW women also scored higher on all 5 measures of HPV vaccine literacy than AAPI women. Both groups of undergraduate women reported that increasing age, knowledge about HPV, greater use of gynecological services, and knowing someone who had cancer were significant factors related to HPV vaccination completion. In the NLW group, father's income was also found to be a predictor of HPV vaccination completion.
  
  
  
  Rate and predictors of HPV vaccination completion vary between NLW and AAPI women. Greater promotion of HPV literacy and gynecological service use should be made to young AAPI women to increase their HPV uptake. Further research should examine sociocultural factors that could hinder or promote HPV vaccination in young AAPI women.
authors.forename: Hee Yun
authors.initials: HY
authors.lastname: Lee
authors.forename: Melissa
authors.initials: M
authors.lastname: Kwon
authors.forename: Suzanne
authors.initials: S
authors.lastname: Vang
authors.forename: Jessica
authors.initials: J
authors.lastname: DeWolfe
authors.forename: Nam Keol
authors.initials: NK
authors.lastname: Kim
authors.forename: Do Kyung
authors.initials: DK
authors.lastname: Lee
authors.forename: Miriam
authors.initials: M
authors.lastname: Yeung
mesh_terms: D000293:Adolescent; D001213:Asian / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy / Q000592:standards* / Q000706:statistics & numerical data; D006306:Health Surveys; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010342:Patient Acceptance of Health Care; D013334:Students; D014495:Universities / Q000706:statistics & numerical data; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: Andersen's behavioral model; Asian American and Pacific Islanders (AAPI); HPV literacy; HPV vaccine; health disparity; human papillomavirus (HPV); vaccination