Download or read book Literature Review on Parental Acceptability of Human Papillomavirus Hpv Vaccine written by Tiem-Yee Leung and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Literature Review on Parental Acceptability of Human Papillomavirus (HPV) Vaccine" by Tiem-yee, Leung, 梁湉兒, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. DOI: 10.5353/th_b4693900 Subjects: Papillomavirus vaccines

Download or read book Literature Review of Parental Acceptability about Hpv Vaccine written by Oi-Ying Creamy Cheung and published by . This book was released on 2017-01-28 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Literature Review of Parental Acceptability About HPV Vaccine" by Oi-ying, Creamy, Cheung, 張靄凝, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. DOI: 10.5353/th_b4299461 Subjects: Papillomavirus vaccines

Download or read book Guide to Introducing HPV Vaccine Into National Immunization Programmes written by World Health Organization and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This document is intended for use by national immunization programme managers and immunization partners to inform the policy discussions and operational aspects for the introduction of HPV vaccine into national immunization programmes and to provide upto-date references on the global policy, as well as the technical and strategic issues related to the introduction of HPV vaccine."--Publisher's description.

Download or read book SYSTEMATIC REVIEW OF HPV VACCI written by Tian Guan and published by Open Dissertation Press. This book was released on 2017-01-26 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "The Systematic Review of HPV Vaccine Acceptability Among Males" by Tian, Guan, 管天, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Introduction: Human Papillomavirus (HPV) is the most common sexually transmitted infection (STI) disease nowadays in the world and it actually infects in both sexes. HPV prevalence in men was reported to be over 20% in most studies, and the number is much higher among men having sex with men (MSM) either HIV positive or negative. Food and Drug Administration (FDA) approved the Gardasil-one of the HPV vaccines brand-in the USA in 2009 for use on males' aged 9-26 years and it is proved to be effective in preventing genital warts and anal cancer. However, little study has been conducted to demonstrate a better situation of the acceptability on HPV vaccination among males. Objectives: To explore the acceptability of HPV vaccine among males by combining acceptability and attitude analyses targeted adult males and adolescent boys' parents. Methodology: A systematic review was conducted to search for literatures that demonstrate acceptability analyses of HPV vaccination that contains males, by searching in MEDLINE, Google Scholar and CNKI using relevant keywords. English and Chinese articles published from 2009 to 2015 that talking about men ages over 9 years old were selected. Results: Twelve qualified articles, 7 were conducted in the United States, 1 in Hong Kong, 2 in mainland China, 1 in Korea and 1 in Canada were selected in this systematic review. The acceptability of HPV vaccination was not the same among these articles; the different acceptance level might be due to region, age, price and sexual preference. Three of the twelve articles were targeted local population; and compared to other countries, vaccine acceptability is generally lower in Hong Kong and Mainland China. Four of the twelve articles targeted parents' attitude on HPV vaccination of their adolescent sons; parents would be more willing to get their son's vaccinated if the vaccine were cheaper. The other eight articles targeted adult males showed that MSM group has a lower acceptance than the general society. Discussion: The two factors mentioned most among the 12 studies were sexually and financially related. The group of men having sex with men has a relatively high prevalence of HPV infection in anus leading to anal cancer. Due to MSM group's high prevalence of HPV infection, sexual preference might be a major factor for vaccine acceptability. However, research shows a rare acceptability among them. Price has a significant impact in HPV vaccination acceptance in all articles despite of region, ethnic, age or sexual preference since the vaccine is expensive. Several cost-effective analyses indicate that HPV vaccine for males might not be cost-effective, but more investigations are needed. Subjects: Papillomavirus vaccines

Download or read book Systematic Review of the Acceptability of Hpv Vaccination in Males written by Yu Tang and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Systematic Review of the Acceptability of HPV Vaccination in Males" by Yu, Tang, 唐宇, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Objectives To understand the acceptability of adult males, high-risk male population (MSM and bisexual men) and parents of adolescent sons and explore factors correlated with HPV vaccination acceptability Methods A systematic searching process for literatures related to men's HPV vaccination acceptability and published from 2000 to July, 2013 in PubMed, MEDLINE, CINAHL, Cochrane Library and Google Scholar was performed. After screening based on inclusion and exclusion criteria, qualities of all eligible studies were assessed based on the modified STROBE guideline. Results Of 15 studies were included in this systematic review, 6 focused on adult males, 4 explored the high-risk males, five reported the parental acceptability. The HPV vaccination acceptability of adult males, high-risk male population and parents of adolescent sons was moderate or high in most reviewed studies. Knowledge about HPV and HPV vaccination, perceived susceptibility, perceived benefits and healthcare provider's recommendation were positively correlated with HPV vaccination acceptability among adult males, high-risk males and parents of adolescent sons while high expense, side effects, safety, uncertain effectiveness and hassle of receiving a 3-shots series of HPV vaccination could diminish people's vaccination interest. Conclusion HPV vaccination acceptability among adult males, high-risk males and parents of adolescent sons is moderate or high. Further HPV vaccine campaign should focus on bridging the gap between the high vaccination acceptability and the low vaccination uptake among males. DOI: 10.5353/th_b5098870 Subjects: Papillomavirus diseases - Vaccination

Download or read book Latino Parental Acceptability Towards the Human Papilloma Virus Vaccine written by and published by . This book was released on 2011 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study examined parental acceptability of the Human Papilloma Virus (HPV) vaccination among Latino parents. The role that acculturation may play in Latino parents' acceptability of the vaccine was also examined. A survey conceptualized using the Health Belief Model and two acculturation measures were administered to participants (N = 130). Approximately 70% of parents endorsed that they would vaccinate their daughters with the HPV vaccine. A regression analysis revealed that perception of susceptibility, perception of seriousness, perception of benefit, and cues to action significantly predicted parental acceptability, with 57% of the variance accounted by these variables. Acculturation was not a significant predictor of parental acceptability. These results indicate that a large proportion of Latino parents are likely to accept the HPV vaccine and that certain Health Belief Model constructs may predict acceptability in this population. It is important for healthcare providers to understand what factors may predict Latino parents' acceptability to the HPV vaccine given the high rates of cervical cancer among Latina women. Recommendations for future research in this area are provided.

Download or read book A Systematic Review on the Effects of Message Framing on Hpv Vaccine Acceptability written by Jiayun Guo and published by . This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "A Systematic Review on the Effects of Message Framing on HPV Vaccine Acceptability" by Jiayun, Guo, 郭嘉韵, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Introductions: Cervical cancer has been the second most frequent cancer among females worldwide. Over 85% of women's deaths from the disease are living in developing countries in 2008. Human papillomavirus (HPV) vaccination may provide a feasible strategy for cervical cancer prevention so as to reduce the disease burden. However the uptake of HPV vaccination is low. To promote HPV vaccination, the design of message frame, may be important. However, little research has been conducted to provide a clear interpretation of the effectiveness of health message frame on uptake of HPV vaccination. Objectives: To evaluate the effects of gain- and loss-framing message on HPV vaccination acceptability and explore the factors that might influence the acceptability of HPV vaccination. Methods: Literature search on the studies investigating gain- and loss-framed message on HPV vaccination. PubMed and Google Scholar during 2006 to 2013. Results: Ten articles, seven from U.S.A, two from Canada, and one from Ireland, were included in the systematic review. The effectiveness between message framing and the context of HPV vaccination were different by studies; the different effect of message framing may be due to in the studies population. Age, sex, culture and individuals' risk perceiving level might have influence on the effect of gain- and loss-message framing. Four of five articles, which targeted at young population, showed that loss-farmed message is more effective to increase individual's positive attitude and response to HPV vaccination. Participants with a greater number of sexual partner with higher avoidance-oriented attitudes, or are less likely to use protection; loss-framed message is more effective. In turn, when young people, particularly female with a lower number of sexual partner, with approach-oriented attitudes, or are more likely to use protection, both gain-and loss-framed message have no effect on their intention to vaccinate. However, another five articles in this review targeted at parents with young children found inconsistent results of framing effects on HPV vaccine acceptability. Discussion: The effect of gain- or loss-framed tends to be different, depending on types of health behavior promoted. Loss- and gain-framed messages might have different effect to different audience. Framing message selection is matching on individuals' motivational orientation may help in prompting HPV vaccine acceptability. However, there is a lack of studies on the association between message framing effects and HPV vaccine acceptability, especially for Chinese population. Further investigations of message framing effects on acceptance of HPV vaccination in Chines population are necessary. DOI: 10.5353/th_b5098539 Subjects: Papillomavirus vaccines

Download or read book Knowledge Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao written by Choi-Wan Chan and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Knowledge, Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao" by Choi-wan, Chan, 陳彩環, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Human papillomavirus (HPV), a family of viruses with more than 40 genotypes is known to infect genital tract of males and females. High-risk HPV including genotypes 16, 18 can cause cervical cancer while low-risk HPV including genotypes 6, 11 can cause benign or low grade cervical lesions and genital warts. Considering HPV infection is the most common sexually transmitted infection worldwide, as well as in Macao, with prevalence up to 8.1%, and given that cervical cancer is the top ten most frequent female cancer which causes high burden in our health care system, it is important to have a comprehensive intervention for control HPV and cervical cancer. Since the HPV vaccine for preventing cervical cancer has been available in Macao, it is worth to know the willingness to be vaccinated among target population. Base on findings from previous studies, the parental attitudes and acceptance is the key factor of vaccination for young girls. Other potential factors, such as the HPV knowledge, vaccine safety and efficacy, cost, the age of daughter and the physician's attitudes, may also affect parental acceptance. Given that no previous study on this topic has been conducted, this study is aimed to understand the knowledge, attitudes and acceptability of HPV vaccination, and to explore and identify the affecting factors for acceptance among school girls and their parents. A school-based simple cluster random sampling method was used. Data was collected by anonymous self-administrated questionnaires among 574 school girls aged at 12-22 and 702 parents aged at 30-65. About 47% of the school girls had heard of HPV and 88.3% had heard of HPV vaccine, while 57.1% of parents had heard of HPV and 83.2% had heard of HPV vaccine. Although the HPV-related knowledge was poor among young girls and their parents, 92% of girls indicated a positive intention to be vaccinated for herself and 88% parents would willing to consent daughter to be vaccinated if the HPV vaccine became in routine immunization. However, the parental vaccination acceptability for daughters decreased to 40% and only 30% of mothers would willing to accept for themselves, if they had to pay a full course for three doses of HPV vaccine. About 97% of school girls and 95% of parents supported that HPV vaccine should be included in government immunization programme. We also found that young girls and parents are more favor in later HPV vaccination rather than vaccination at recommended age. Cost is the dominant affecting factor in determining parental acceptability of HPV vaccination. In addition, daughter's age, vaccine safety concern, Pap smear attendance and HPV knowledge are significantly associated with HPV vaccine acceptance. It may be worthwhile to further investigate the reasons for the delay vaccination among the young adolescent girls and among their parents, to examine if any underlying factors were unexpressed. DOI: 10.5353/th_b5022251 Subjects: Papillomavirus vaccines - China - Macau(Special Administrative Region)

Download or read book Assessment of Health Literacy and Potential Barriers Regarding Acceptance of the Human Papillomavirus HPV Vaccine Among Parents Guardians written by Brittany Vo-Le and published by . This book was released on 2016 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human Papillomavirus (HPV) infection has been a rising concern due to its association with cervical cancer, but many parents are still not getting their children vaccinated to prevent this type of cancer. The purpose of the proposed research is to increase the uptake of the HPV vaccine by identifying the barriers preventing adolescents from receiving this vaccination, and increasing the literacy of parents/guardians about HPV and the HPV vaccine. To identify the aforementioned barriers, a questionnaire will be given to participating parents/guardians of children/adolescents visiting the Department of Pediatrics at UNT Health Science Center. This questionnaire was designed to aid in the assessment and discovery of the parent's/guardians' knowledge regarding HPV and the HPV vaccine, potential barriers to accepting the HPV vaccine for their children, and their attitudes towards the HPV vaccine and vaccination in general. Materials for this clinical research study have been completed, and IRB approval has been obtained, so data collection can begin. After completion of this research study, we expect to not only increase parents/guardians literacy regarding HPV and the HPV vaccine, but also to identify the major barriers preventing them from getting their child vaccinated. Information gained will provide a basis for developing a new health literacy intervention within the Department of Pediatrics at UNT Health Science Center.

Download or read book Three Shots at Prevention written by Keith Wailoo and published by JHU Press. This book was released on 2010-10-01 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2007, Texas governor Rick Perry issued an executive order requiring that all females entering sixth grade be vaccinated against the human papillomavirus (HPV), igniting national debate that echoed arguments heard across the globe over public policy, sexual health, and the politics of vaccination. Three Shots at Prevention explores the contentious disputes surrounding the controversial vaccine intended to protect against HPV, the most common sexually transmitted infection. When the HPV vaccine first came to the market in 2006, religious conservatives decried the government's approval of the vaccine as implicitly sanctioning teen sex and encouraging promiscuity while advocates applauded its potential to prevent 4,000 cervical cancer deaths in the United States each year. Families worried that laws requiring vaccination reached too far into their private lives. Public health officials wrestled with concerns over whether the drug was too new to be required and whether opposition to it could endanger support for other, widely accepted vaccinations. Many people questioned the aggressive marketing campaigns of the vaccine's creator, Merck & Co. And, since HPV causes cancers of the cervix, vulva, vagina, penis, and anus, why was the vaccine recommended only for females? What did this reveal about gender and sexual politics in the United States? With hundreds of thousands of HPV-related cancer deaths worldwide, how did similar national debates in Europe and the developing world shape the global possibilities of cancer prevention? This volume provides insight into the deep moral, ethical, and scientific questions that must be addressed when sexual and social politics confront public health initiatives in the United States and around the world.

Download or read book Human Papillomavirus hpv Vaccine and Parental Knowledge an Educational Intervention written by Ernestine Enohmbi and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Parental knowledge about Human Papillomavirus (HPV) and HPV vaccine is an important predictor factor for their children's HPV vaccine status. Studies suggest that there is the need for educational intervention to increase HPV vaccine acceptability. At a private pediatric practice in northeastern Maryland, many parents were observed to opt out of the vaccine for their children possibly due to lack of knowledge. The aims of this project were to assess parents' knowledge and to evaluate the effect of a short educational intervention on improving parents' knowledge of HPV and HPV vaccine. Changes in total knowledge score before and after the intervention were measured using a content validated HPV knowledge questionnaire, while changes in the vaccine acceptance were measured by comparing aggregate data from the same month one year prior to the start of the project. Fifty parents were recruited for this evidence based practice change project, all participants completed both pre- and post-intervention questionnaires. Parents' knowledge about HPV vaccine increased after the intervention compared to the baseline results. The pre-intervention mean score was 15.44 (30.88%) and post-intervention mean score was 19.74 (38.88%) indicating a 4.30 (8.60%) increase, and an overall increase of 48% of HPV vaccine accepted. The results of data analysis suggested that increasing parental knowledge on HPV and HPV vaccine led to an increase in the vaccine acceptance. Further projects assess whether the knowledge was retained are warranted. Key words: HPV vaccine; Parental acceptance; Patient Education; Parental knowledge. " -- Abstract.

Download or read book A Systematic Review of Knowledge and Attitudes Towards Hpv Vaccination Among Chinese Women written by Ka-Lai Tam and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "A Systematic Review of Knowledge and Attitudes Towards HPV Vaccination Among Chinese Women" by Ka-lai, Tam, 譚嘉麗, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Introduction: Cervical cancer is the second most prevalent cancer among female and one of the top causes of cancer death worldwide. Human Papillomavirus (HPV) infection is the primary factor of cervical cancer. HPV vaccine has potential to contribute greatly by curbing the development of cervical disease and to optimize public health outcomes. Chinese populations were disproportionally affected by cervical cancer and the cultural backgrounds of Chinese are distinctively different from other races. In near future, there is possibility that China may introduce the vaccine. Little is known about Chinese's perceptions on HPV vaccine and the situation in Chinese community may be different. To achieve an effective prevention of cervical cancer in China, a comprehensive understanding of Chinese women's knowledge, attitudes and practices on HPV vaccination is crucial before introduction of HPV vaccine to ensure high uptake and coverage among Chinese women. Objectives: To investigate the knowledge, attitudes and the associated factors on HPV vaccination among Chinese women. Methods: Published studies on knowledge and attitudes of HPV vaccination in preventing cervical cancer in Chinese population were identified by using the major databases: Global Health, Medline, Pubmed, CINAHL, PsycINFO and CKNI from 2005 to 2012. 15 articles were included after reviewing for eligibility. Results: The overall awareness of HPV and HPV vaccine among Chinese women was low. Chinese women generally showed knowledge deficit about HPV and HPV vaccine. Despite inadequate knowledge, level of acceptance of HPV vaccination among Chinese women was high. Several major reasons influencing the attitudes of HPV vaccination among Chinese were cost, concerns on efficacy and safety of HPV vaccine, social influences, perceived likelihood of being infected with HPV, and recommendations and endorsements from others. Different level of parental acceptance was resulted in different studies. They concerned the safety of HPV vaccine and worried that HPV vaccination may promote unsafe sex of daughters. Discussion: Policy makers should seriously consider implementation of HPV program for low-resource setting after balancing the cost and benefit of HPV vaccine program. Raising the awareness and knowledge level concerning HPV vaccine among Chinese population should be set as the urgent priority. To improve the public awareness and acceptance of HPV vaccination, education interventions should be targeted at both recipients and parents. Factors influencing the acceptability of HPV vaccination must be considered in constructing public health strategies for advocating HPV vaccination. Vaccination promotion campaign should be carefully framed for culturally sensitive setting. Healthcare professionals have important roles in recommending vaccination. Integration of policy and community perspectives and multi-level interventions are essential to maximize the public health benefits of HPV vaccination. DOI: 10.5353/th_b4842552 Subjects: Papillomavirus vaccines

Download or read book Disease Control Priorities Third Edition Volume 8 written by Donald A. P. Bundy and published by World Bank Publications. This book was released on 2017-11-20 with total page 977 pages. Available in PDF, EPUB and Kindle. Book excerpt: More children born today will survive to adulthood than at any time in history. It is now time to emphasize health and development in middle childhood and adolescence--developmental phases that are critical to health in adulthood and the next generation. Child and Adolescent Health and Development explores the benefits that accrue from sustained and targeted interventions across the first two decades of life. The volume outlines the investment case for effective, costed, and scalable interventions for low-resource settings, emphasizing the cross-sectoral role of education. This evidence base can guide policy makers in prioritizing actions to promote survival, health, cognition, and physical growth throughout childhood and adolescence.

Download or read book Teenagers Need Drugs Too written by Kristen Angell Dupard and published by . This book was released on 2016 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cervical cancer is one of the leading causes of death among women around the world and is linked to the human papillomavirus (HPV). Strains HPV-16 and-18 are linked to the causes of cervical cancer. Research shows that HPV vaccination in adolescent females projects a 70% non-contraction rate. However, only 57.3% of girls between the ages of 13-17 in the U.S. have received their first HPV vaccination dose. Researchers have begun speculating that factors such SES and race could be contributing to low vaccination participation. Answers to such information can aid in improving federal and state vaccination policies and prevent the diseases caused by HPV. The current study aimed to determine if race and socioeconomic status (SES) interacted in such a way that predicted the attitudes of minority caregivers toward the HPV vaccine in terms of its acceptability and accessibility. Parents of adolescent females enrolled at a local Mississippi high school were surveyed to determine if this interaction predicts lower vaccination rates. It was anticipated that minority parents of low SES would have lower vaccination rates than those of higher SES. The univariate results indicated the following: 90% of participants identified as African American/Black, 39% (majority) of the respondents had completed some college or obtained an associate's degree, 42% (majority) of the income level was between $30,001-$50,000, and 70% of daughters had received some shots of the HPV vaccination. Bivariate Chi-Square ([Chi][squared]) analyses determined if categorical independent variables (Race, Education, and Finances) were significantly associated with vaccine participation. Bivariate tests were not statistically significant (p> 0.05). However, a correlation between vaccination participation and income showed that the higher the income level, the more likely a parent was to vaccinate their daughter against HPV. Other independent variables yielded significance. At the univariate level, 74% of health care providers had recommended the vaccine, 72% of respondents had insurance to cover vaccine, and 70% of respondents had very easy access to health care. At the bivariate level, only two independent variables were significant. The results showed the following: insurance coverage: (95 % CI: (1.038- 20.3810) ([Chi][squared] = 4.353, Df = 1, and Sig p = 0.037) and vaccine recommendation (95% CI: 3.675-156.738) ([Chi][squared] = 14.727, Df = 1, and Sig p = 0.0001). Being recommended by a health care provider was a significant predictor of vaccine participation at the multivariate level. Ostensibly, parents are aware of the vaccine and are taking preventive measures. Additional research could answer whether minority caregivers from low SES will be less inclined to have their adolescent daughters vaccinated. HPV is one of the most preventive, yet deadly, STIs and further research is imperative. --Page iv.

Download or read book Understanding Provider Barriers to Recommending and Administering the HPV Vaccine to Adolescents in Colorado written by Roman A. Ayele and published by . This book was released on 2018 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: HPV vaccination among adolescents lags behind those of other adolescent vaccines, including the tetanus-diphtheria-acellular pertussis (Tdap) and the meningococcal conjugate vaccine (MCV4). This research sought to understand barriers to HPV vaccine uptake among adolescents in Colorado, with focus on providers serving low-income populations who are at high risk for HPV related cancer and other diseases. Colorado's Vaccine for Children (VFC) and primary care service area data were used to identify high and low HPV vaccine ordering practices compared to Tdap vaccine and compared to neighboring practices. Using adapted grounded theory, semi-structured interviews were conducted with 26 providers from these practices. Hypotheses from qualitative findings were tested using All Payer Claims Database data. Logit regression was used to model likelihood of HPV vaccine initiation and completion among children ages 11-18. Oaxaca-Blinder (OB) regression decomposition was used to identify explained and unexplained factors between ethnicity and public- versus privately-insured groups. Qualitative research results described parental, provider, and policy level barriers and facilitators to HPV vaccine delivery. Barriers included parental vaccine hesitancy and lack of consistent recommendation by providers. Steps taken to improve HPV vaccine acceptability included creative communications with parents and adolescents about HPV and extended office hours to administer vaccines. Quantitative analysis showed that males, adolescents with male providers, and patients who saw non-primary care providers were significantly less likely to initiate and complete the HPV vaccine series. Hispanics were 12.15 percentage point more likely to initiate and 2.99 percentage points more likely to complete the HPV vaccine series compared to non-Hispanics. Additionally, publicly insured adolescents were 3.99 more likely to initiate HPV vaccine compared to non-publicly insured, however, non-publicly insured were 5.4 percentage points more likely to complete the three dose HPV vaccine series compared to publicly insured adolescents. OB decomposition showed explained and unexplained factors that drove the observed disparity in HPV vaccine rate. Even though higher vaccination rates among low income groups than non-low income groups are observed, significant challenges to HPV vaccine initiation and completion remain. However, understanding the specific factors that influence and explain HPV vaccine uptake is crucial for implementing interventions to improve HPV vaccination.

Download or read book The PCP s Perceptions Towards an HPV Vaccine Information Sheet on HPV Recommendation for Parents and Male Adolescents written by Courtney Kim and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Despite the availability of the HPV vaccine for males since 2011 (Markowitz et al., 2018), male HPV vaccination rates continue to remain low. A review of the literature revealed a consistent theme for the strong influence of provider recommendations on increasing HPV vaccine acceptance rates (Krantz et al., 2018; Markowitz et al., 2018; Tan et al., 2017). The problem, however, is that providers do not recommend the vaccine as often as they should or are not equipped with effective communication tools to improve their recommendations. This proposed study aims to focus on PCP's perception of the dissemination of an HPV vaccine information sheet before scheduled health maintenance or sick visits, and how this can facilitate conversations about HPV and the HPV vaccine between PCPs and parents / male adolescents. Research question: "How will the dissemination of an HPV vaccine information sheet before scheduled health maintenance or sick visits affect PCP's perception of HPV vaccine recommendation to parents and male adolescents?" Methods: The study design for this proposed study is a cross-sectional descriptive design that focuses on primary care clinics throughout Southern California. The CDC's HPV vaccine information sheet will be emailed to parents of adolescent males prior to the scheduled health maintenance or sick visit, followed by providers completing a modified SUS questionnaire to evaluate the impact of the intervention. The timeframe for this study will be six months. The primary outcome of the modified SUS will be to examine the impact of the HPV vaccine information sheet on PCP's perception of HPV vaccine recommendations for parents and male adolescents.

Download or read book Factors Associated with HPV Acceptability Among Parents written by Deepthi Nannapaneni and published by . This book was released on 2015 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: This study analyzes the influence of education of parents, race and ethnicity, awareness regarding HPV and provider recommendation on HPV vaccine acceptability for their children. The study uses data and statistical tests to predict that all the above factors did play an important role in shaping the decision of parents regarding HPV vaccine. The Statistical Package for Social Services (SPSS) was utilized to analyze the 2007 California Health Interview Survey data using Chi Square statistics. The results of the study show that the influence of education of parents and race, ethnicity was significant in HPV vaccine decisions but the influence of provider recommendation and HPV awareness was found to be minimal. The findings of this study are valuable for providers, health care researchers and public health professionals who are responsible for providing health education to people.