title: Determinants of HPV vaccine awareness and healthcare providers' discussion of HPV vaccine among females.
abstract: Two human papillomavirus (HPV) vaccines are available and can prevent 98% of HPV 16 and 18 infections. This study aimed to explore determinants of 1) HPV vaccine awareness among a cohort of low-income women participating in a cancer prevention program in Central Texas and compare them to United States residents; 2) determinants of healthcare providers' discussion of HPV vaccine among female residents of the United States. Bivariate and multivariable analysis of HPV vaccine awareness using survey data (n = 359) collected between 2014 and 2016 in Central Texas, and the Health Information and Nutrition Survey (HINTS) data which is a nationally representative dataset (unweighted n = 1214) collected in 2013 were conducted. Bivariate and multivariable regression analyses of healthcare providers' discussion of the HPV vaccine using the HINTS survey data were also conducted. Compared to non-Hispanic Whites, there was a decreased likelihood of HPV vaccine awareness among non-Hispanic Blacks (OR = 0.50; 95% CI = 0.28-0.90) and Hispanics (OR = 0.55; 95% CI = 0.30-0.99) in the grant funded program, as well as non-Hispanic Blacks (OR = 0.28; 95% CI = 0.14-0.58) and Hispanics (OR = 0.22; 95% CI = 0.12-0.41) in the HINTS data. There was also a decreased likelihood of healthcare providers discussing the HPV vaccine with respondents who were 35-49 years (OR = 0.50; 95% CI = 0.30-0.84), 50-64 years (OR = 0.26; 95% CI = 0.14-0.49) or ≥ 65 years compared to those who were 18-34 years among the HINTS data respondents. Interventions to increase HPV awareness among non-Hispanic Blacks and Hispanics, as well as encourage healthcare providers' discussion of the HPV vaccination during patient encounters regardless of the patient's age are needed.
authors.affiliation: Department of Health Policy and Management, Texas A&M Health School of Public Health, College Station, TX 77843-1266, USA.
authors.forename: Chinedum O
authors.initials: CO
authors.lastname: Ojinnaka
authors.affiliation: Department of Clinical and Translational Medicine, College of Medicine, Texas A&M University, 2900 E.29th Street, Bryan, TX 77803, USA; Texas A&M Physicians Family Residency, Texas A&M University, 2900 E.29th Street, Bryan, TX 77803, USA.
authors.forename: David A
authors.initials: DA
authors.lastname: McClellan
authors.affiliation: College of Nursing, Texas A&M University, 8447 State Highway 47, Bryan, TX 77807-1359, USA.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Weston
authors.affiliation: Department of Clinical and Translational Medicine, College of Medicine, Texas A&M University, 2900 E.29th Street, Bryan, TX 77803, USA; Texas A&M Physicians Family Residency, Texas A&M University, 2900 E.29th Street, Bryan, TX 77803, USA.
authors.forename: Katie
authors.initials: K
authors.lastname: Pekarek
authors.affiliation: Department of Health Policy and Management, Texas A&M Health School of Public Health, College Station, TX 77843-1266, USA.
authors.forename: Janet W
authors.initials: JW
authors.lastname: Helduser
authors.affiliation: Department of Health Policy and Management, Texas A&M Health School of Public Health, College Station, TX 77843-1266, USA.
authors.forename: Jane N
authors.initials: JN
authors.lastname: Bolin
keywords: Awareness; Disparities; Human papillomavirus; Vaccine