title: Human Papillomavirus Vaccine Knowledge and Attitudes, Preventative Health Behaviors, and Medical Mistrust Among a Racially and Ethnically Diverse Sample of College Women.
abstract: BACKGROUND
  Medical mistrust is associated with disparities in a variety of health outcomes. The human papillomavirus (HPV) vaccine has the potential to decrease disparities in cervical cancer by preventing infection with the virus that causes these malignancies. No study has examined associations between medical mistrust and preventative health behaviors including the HPV vaccine among young minority women.
  
  
  METHODS
  Self-reported racial/ethnic minority students completed a web-based survey in fall of 2011. Wilcoxon and Kruskal-Wallis were used to test differences in medical mistrust scores by demographics and health behaviors.
  
  
  RESULTS
  Medical mistrust varied significantly by race with Black women reporting the highest scores. Women with no regular health-care provider (HCP) or who had difficulty talking to their provider had higher mistrust. Higher medical mistrust was associated with a preference to receive HPV vaccine recommendation from a HCP of the same race or ethnicity among unvaccinated women. Black and Asian women who had not received the HPV vaccine had higher mistrust scores than vaccinated women. Perceived difficulty in talking to a HCP was associated with ever having a Pap smear.
  
  
  CONCLUSIONS
  Awareness of medical mistrust and the influence on health behaviors may aid in increasing delivery of quality health services for racial and ethnic minority populations. Further research among different populations is needed to elucidate impacts of medical mistrust and provider communication on preventative health behaviors.
authors: Department of Psychology, College of Arts and Sciences, University of Miami, 1120 NW 14th Street, Room 1521, Miami, FL, 33136, USA. skolar@med.miami.edu.
authors: Stephanie K
authors: SK
authors: Kolar
authors: Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL, USA. cwheldon@health.usf.edu.
authors: Christopher
authors: C
authors: Wheldon
authors: Satcher Health Leadership Institute, Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA, USA. nhernandez@msm.edu.
authors: Natalie D
authors: ND
authors: Hernandez
authors: STD Control Program, Arizona Department of Health Services, Phoenix, AZ, USA. Lauren.Young@azdhs.gov.
authors: Lauren
authors: L
authors: Young
authors: Department of Anthropology, University of South Florida, Tampa, FL, USA. daza@usf.edu.
authors: Nancy
authors: N
authors: Romero-Daza
authors: Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL, USA. edaley@health.usf.edu.
authors: Ellen M
authors: EM
authors: Daley
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D001213:Asian / Q000523:psychology / Q000706:statistics & numerical data; D005006:Ethnicity / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D008913:Minority Groups / Q000523:psychology / Q000706:statistics & numerical data; D030361:Papillomavirus Infections / Q000208:ethnology / Q000517:prevention & control; D053918:Papillomavirus Vaccines / Q000008:administration & dosage; D044469:Racial Groups / Q000523:psychology* / Q000706:statistics & numerical data; D057566:Self Report; D015144:Southeastern United States; D013334:Students / Q000523:psychology* / Q000706:statistics & numerical data; D035502:Trust / Q000523:psychology*; D014495:Universities; D002583:Uterine Cervical Neoplasms / Q000208:ethnology / Q000517:prevention & control; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: HPV; Medical mistrust; Preventative; Provider communication; STI