title: Development of a Cost-Effective Educational Tool to Promote Acceptance of the HPV Vaccination by Hispanic Mothers.
abstract: Although vaccination against the Human Papilloma Virus (HPV) reduces the risk of related morbidities, the vaccine uptake remains low in adolescents. This has been attributed to limited parental knowledge and misconceptions. In this cross sectional study, we assessed the (1) clarity of educational material informing Hispanic mothers about HPV, cervical cancer and the HPV vaccine, (2) determined vaccination acceptability and (3) identified predictors of vaccine acceptance in an underserved health setting. 418 Hispanic mothers received the educational material and completed an anonymous survey. 91 % of participants understood most or all of the information provided. 77 % of participants reported vaccine acceptance for their children; this increased to 84 % when only those with children eligible to receive vaccination were included. Significant positive predictors of maternal acceptance of the HPV vaccine for their children were understanding most or all of the provided information, older age and acceptance of the HPV vaccine for themselves. Concerns about safety and general dislike of vaccines were negatively associated with HPV vaccine acceptance. Prior knowledge, level of education, previous relevant gynecologic history, general willingness to vaccinate and other general beliefs about vaccines were not significantly associated with HPV vaccine acceptance. The majority of participants reported understanding of the provided educational material. Vaccine acceptability was fairly high, but was even higher among those who understood the information. This study documents a cost-effective way to provide Hispanic mothers with easy-to-understand HPV-related information that could increase parental vaccine acceptability and future vaccine uptake among their children.
authors.affiliation: Department of Obstetrics and Gynecology, University of Southern California/Keck School of Medicine, 2020 Zonal Avenue, IRD Office 509, Los Angeles, CA, 90033, USA.
authors.forename: Doerthe
authors.initials: D
authors.lastname: Brueggmann
authors.affiliation: Department of Obstetrics and Gynecology, University of Southern California/Keck School of Medicine, 2020 Zonal Avenue, IRD Office 509, Los Angeles, CA, 90033, USA.
authors.forename: Neisha
authors.initials: N
authors.lastname: Opper
authors.affiliation: Department of Pathology, University of Southern California/Keck School of Medicine, Los Angeles, CA, USA.
authors.forename: Juan
authors.initials: J
authors.lastname: Felix
authors.affiliation: Department of Female Health and Preventive Medicine, Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Frankfurt, Germany.
authors.forename: David A
authors.initials: DA
authors.lastname: Groneberg
authors.affiliation: Department of Obstetrics and Gynecology, University of Southern California/Keck School of Medicine, 2020 Zonal Avenue, IRD Office 509, Los Angeles, CA, 90033, USA.
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Mishell
authors.affiliation: Department of Obstetrics and Gynecology, University of Southern California/Keck School of Medicine, 2020 Zonal Avenue, IRD Office 509, Los Angeles, CA, 90033, USA. Jenny.Jaque@med.usc.edu.
authors.forename: Jenny M
authors.initials: JM
authors.lastname: Jaque
mesh_terms: D000328:Adult; D003362:Cost-Benefit Analysis; D005260:Female; D006266:Health Education / Q000191:economics* / Q000379:methods; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008875:Middle Aged; D009035:Mothers; D053918:Papillomavirus Vaccines; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D014611:Vaccination / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: Education; HPV; Hispanic; Vaccine acceptance