Download or read book Factors Associated with Acceptance of the Human Papillomavirus Vaccine by Parents of Children Aged 11 15 Years in San Diego County 2006 written by Lisa M. Yee and published by . This book was released on 2008 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Factors Associated with Parental Decisions to Vaccinate Girls Against Human Papillomavirus written by Barbara Saak and published by . This book was released on 2011 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Human Papillomavirus (HPV) infection is the most common sexually transmitted infection in the world, with over 6 million people in the United States newly infected each year. Of these newly infected people, over 4.5 million are adolescents between the ages of 15 and 24. Two strains of HPV account for 70% of all cervical cancer. The American Academy of Pediatrics and the Centers for Disease Control and Prevention (CDC) have endorsed the Gardisil vaccination for protection against cervical cancer for all girls age 11 or 12. However, many parents do not comply with the recommendation to have their daughters vaccinated against HPV infection. The aim of the present study was to identify the characteristics of parents who are non-compliant with the recommendation of HPV vaccination for their child. Data from the California Health Interview Study of 2007 were analyzed to gain insight into the reasons why parents would not choose to vaccinate their daughters against HPV. The hypothesis which predicted that the reason that most parents would not be compliant with their physician's recommendation of HPV vaccination for their child was due to lack of knowledge of the needs for and benefits of this vaccination due to lack of educational attainment was not supported. The analysis did, however, support the hypothesis that lack of knowledge of the need for and benefits of this vaccination was the main reason parents cited for their decision not to vaccinate against HPV.

Download or read book Factors Associated with Acceptance of Human Papillomavirus Vaccine a Study of Spanish Information Seekers written by Julie Kornfeld and published by . This book was released on 2009 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Cervical cancer is the second most common malignancy worldwide. Infection with HPV is a necessary cause of cervical. Hispanic women in the U.S. experience significantly higher rates of invasive disease than non-Hispanic Whites. In this population, HPV vaccines hold significant potential to eliminate further disparities in cervical cancer morbidity and mortality. The purpose of this study was to examine factors associated with Human Papillomavirus (HPV) vaccine acceptability among a national sample of Spanish speaking callers to the National Cancer Institute2s (NCI) Cancer Information Service (CIS). Specifically this research aimed to identify the sociodemographic, sociocultural and attitudinal determinants of HPV vaccine acceptability. This research involved a cross-sectional study with phone-based interviews conducted in Spanish (n = 836). All female Spanish callers to the CIS were asked to respond to a three-part questionnaire that included items relating to ethnic identity and acculturation, knowledge of cervical cancer and related risk factors, and HPV vaccine acceptability. Descriptive, univariate and multivariate logistic regression were used to characterize the study population and to determine the effect of each of the demographic/sociocultural variables on vaccine acceptance. Independent predictors of HPV vaccine acceptability were determined using multivariate linear regression models. Results showed that HPV vaccine acceptance was high among this group of Hispanic women (78%) and that attitudes about vaccines in general and the HPV vaccine specifically were positive. Factors associated with vaccine acceptance included physician recommendation, awareness and accurate knowledge about HPV, and speaking only or mostly Spanish. Other important predictors included influence of peers, positive attitudes about vaccines in general, higher education and being a mother of a female adolescent. The primary reason cited by those who did not favor vaccination was concern over vaccine safety. This research was the first study looking at vaccine acceptability in a large, national sample of Hispanic women. HPV vaccination can lead to important public health benefits for Hispanic women. Targeted educational interventions must take into account the important sociocultural and attitudinal influences on the decision to vaccinate, such as those identified in the present study. Future educational efforts must involve the physician and take into the account the cultural context of attitudes and beliefs regarding vaccine safety and disease susceptibility. Further studies elucidating the interplay between culture specific beliefs and practices regarding vaccination and the decision to participate in HPV vaccination are needed.

Download or read book Determinant of HPV Vaccine uptake among children aged 9 14 years written by Ndayisaba Corneille and published by GRIN Verlag. This book was released on 2022-11-09 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: Doctoral Thesis / Dissertation from the year 2020 in the subject Health - Children and adolescents, Clark University, language: English, abstract: This study seekts to determine the factors associate with uptake of human papilloma virus vaccine in Bukomansimbi Sub-County, Bukomansimbi district. The ministry of health Uganda adopted WHO guideline on routine immunization which was included in UNEPI and ensures that all girls at the age 11-15 to receive full dose in order to have full protection how ever since the introduction of the HPV vaccine in November 2015. There has been low uptake of the vaccine in Uganda with 33,6% prevalence among women combined with low screening uptake , this lead country being one of the highest cervical cancer with incidence rate of 47,5 per 100,000 per year. At Bukomansimbi Sub County the target population of girl to be vaccinated according to the Bukomansimbi medical center records was 200 girls in the age bracket, many girls do not complete their doses as shown by the vaccination records book, girls normally hide a way during the time of vaccination and parents discourage their girls from receiving the HPV vaccine due to ignorance. Since infection by HPV is the leading predisposing factor and cause of cancers of the cervix, vagina, and vulva in women this leads to the high expenditures for the family to spend on medical expenses, government on the other hand loses too much to treat.

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 Psychosocial Factors Related to Parental Acceptance of Human Papillomavirus HPV Vaccines for Adolescent Daughters written by Carol Chelimo and published by . This book was released on 2012 with total page 498 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Effect of Health Beliefs and Acculturation on HPV Vaccine Acceptance Among Asian Indian Parents written by Daisy George Mullassery and published by . This book was released on 2016 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Asian Indians are considered the third largest Asian community in the United States numbering 3.2 million per records from the U.S. census bureau for the year 2010, but little is known about Asian Indian parents' acceptance of the HPV vaccine for their children. Human Papillomavirus (HPV) is the most common sexually transmitted disease in the United States. Even though HPV vaccination is highly effective in preventing HPV infection, many studies have proposed that the vaccination rates in general are low. According to the teen vaccination coverage report by Center for Disease Control in 2014, only 37.6% of girls and 13.9% of boys between the age group of 13 - 17 years received all three doses of HPV vaccination. The key determinant of HPV vaccination rates is parental acceptance. The major factors affecting parental acceptance of HPV vaccination include health beliefs, educational level, religion, child's gender, subjective norms, (peer, family, and social pressure), and personal experience of the disease. While there are several studies in the U.S that have examined parental acceptance of HPV vaccination in general, to date there were no studies specifically focusing on Asian Indian parents living in the U.S, nor any that had assessed the effects of acculturation (cultural identity) on HPV acceptance in the commonly available databases. Therefore, because the factors affecting HPV vaccination acceptance of Asian Indian parents are unknown, the purpose of this study was to determine the effects of health beliefs (perceived seriousness, perceived susceptibility, perceived barriers, perceived benefits) and acculturation (cultural identity) and to explore the effects of educational level, religion, child's gender, subjective norms, and personal experience of the disease on Asian Indian parental acceptance of the HPV vaccine. Methods: A comparative descriptive cross-sectional design based on a theoretical framework of Health Belief Model was used for the study. The sample, Asian Indian parents, who have children between the ages of 9-16 years, were recruited from various places of worship and community organizations from the Houston Metropolitan area and all over the U.S. Participants were recruited directly, with the help of formal and informal leaders of these organizations and through email. Participants were provided with a web-link for the research survey to assess the effect of health beliefs, acculturation, and demographic factors on HPV vaccine acceptance. As established by previous research on non-Asian Indian parents, the acceptance of at least one dose of HPV vaccination was expected to be 45% and the acceptance of Hepatitis B vaccination to be 90%. Using the above estimates, a sample size of 160 participants was deemed sufficient to achieve 81% power to detect a difference between group proportions of 0.45 with a significance level (alpha) of 0.05 using a two-sided two dependent group McNemar test. The same sample size is sufficient for hierarchical logistic regression analysis to achieve 81% power, 0.05 alpha, and a 1.65 Odds Ratio. The expected survey response rate was about 50%, based on previous research conducted to examine variations in response rates to email surveys. Data Analysis: The obtained data was directly entered into SPSS and then cleaned, coded, and checked for shape of distribution and outliers, and then analyzed using descriptive statistics. The rates of HPV vaccination acceptance was compared to Hepatitis B vaccination acceptance using a two-sided two dependent group McNemar Chi square test. The effect of health beliefs and acculturation on vaccination acceptance was carried out using hierarchical logistic regression models. Educational level, religion, and child's gender were added as covariates in the first step; subjective norms, and personal experience of the disease were added as co-variates in the second step; and health beliefs and acculturation were added in the third step of the logistic regression model. Results: The findings suggested that Asian Indian parents were significantly more likely to accept Hepatitis B vaccination than HPV vaccination (OR = 27.7, P =

Download or read book Prompts for Preventive Care and Human Papillomavirus Vaccine Uptake in 11 17 Year Old Girls written by Nicholas F. Panagon and published by . This book was released on 2011 with total page 27 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: To determine if reminder calls and immunization prompts by physicians, defined as prompts for prevention, is associated with>1st dose HPV vaccination among 11- 17 year old females in San Diego County. Methods: 407 individuals reported immunization information through a random digit dialing (RDD) survey conducted by the San Diego Immunization Branch (SDIB). To determine the association between prompts for prevention and HPV vaccine uptake, SAS 9.2 was used for analysis. The association between race and education level with HPV vaccine uptake were investigated as well. Results: Analysis of the RDD survey revealed 33% of the 11-17 year old females being vaccinated with> 1st dose of the HPV vaccine. The proportion of 11-17 year olds who received high prompt services was 13.5%, followed by 21.4% receiving medium prompt services, and most experienced low services (65.1%). Prompt services were not significantly associated with HPV vaccine uptake. However, race and education level did reveal an association with our outcome (p

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.

Download or read book Parents Human Papillomavirus Vaccine Decision making written by Samara Perez and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "The human papillomavirus (HPV) infects approximately 550,000 Canadians annually. Cancers of the cervix, mouth, genitals, anus, head and neck are caused by various strains of the HPV. The HPV also causes genital warts. The disease and economic burden of HPV infections is high. Three HPV vaccines are available: Cervarix®, Gardasil®, and Gardasil ® 9. Consistent with global practices in developed countries, these vaccines are currently publicly funded for girls and provided in school-based programs in all provinces and territories in Canada. As of September 2016, six provinces provide publicly funded school-based programs for boys. Despite well-documented vaccine efficacy and effectiveness with minimal adverse effects, uptake of the HPV vaccines remains suboptimal in most countries, including Canada. Although HPV immunization rates have increased over the last decade, they remain significantly below the rates of other vaccine-preventable diseases. One of the main challenges for boys' uptake has been to help parents understand that the HPV vaccine is now available, recommended and effective for boys in reducing health risks for themselves and transmission to their partners. With low HPV uptake rates in Canada, success of increased vaccination rates is contingent on parents' awareness, understanding and ultimately their decision-making process. Of the HPV vaccination research that has targeted parents of boys, most studies examined demographic and descriptive factors associated with vaccination intentions. While this research is informative, it treats decision-making as binary, when there are likely multiple stages of vaccination decision-making. Conceptualizing vaccine decision-making as distinct stages would allow us to examine those individuals who are vaccine hesitant, as well as parents who are not yet aware or engaged in HPV vaccine decision-making. Moreover, much of the existing research on the correlates and factors associated with vaccination intentions are unreliable, which is likely due to differences in the conceptualization of the factors and inconsistent and unstable measures. This in turn provides limited insight about leverage points of how to move individuals along the HPV vaccine decision-making trajectory and ultimately increase HPV vaccine uptake.This dissertation addresses some of these research gaps by using theory-based research, as well as the development of two psychometrically validated scales, an extended HPV and HPV vaccine knowledge scale and the HPV Attitudes and Beliefs Scale (HABS) to identify the factors that are associated with HPV vaccination decision-making among a nationally representative sample of Canadian parents of 9-16-year-old boys using a longitudinal design. The unique contributions of the four manuscripts in this thesis are that by conceptualizing HPV vaccine decision-making as a series of distinct stages, by using theory, psychometrically-tested and validated measures, as well as multinomial logistic regression models, we can have a greater understanding about what influences parents' HPV vaccine decision-making for their sons. This more nuanced understanding will help to better target our efforts to increase HPV vaccine uptake for boys. Future research directions and recommendations for better informed and targeted interventions are made." --

Download or read book Parental Education on Human Papillomavirus Vaccine Use written by Chika Okechukwu and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Human Papillomavirus (HPV) is a universal health problem that is transmitted sexually, affecting both male and female. Evidence indicates that about 79 million people are affected in the United States. Every year, about 14 million Americans are infected with HPV (CDC, 2016c). It is associated with multiple diseases such as cervical cancer, vaginal and vulvar cancers, anal cancers, throat cancer and penile cancers. A safe and efficient vaccine has been approved for both boys and girls. The Center for Disease Control and Prevention announced that teens and young adult under age 26 are at a particular risk for HPV. It is essential to start the vaccination series between 9 and 17 years of age. Parental and caregivers acceptance of HPV vaccine for their children has been a problem. Despite, the HPV vaccine promotions and availability, the vaccination rates of HPV continue to low. The focus should be on parents and caregivers because parental attitudes, beliefs, knowledge, intention to vaccinate and behaviors appear to contribute to low parental acceptance of the vaccine (Gamble et al., 2010). Parental and caregiver education improved parental knowledge, intention to vaccinate and attitude towards HPV vaccination. The purpose of this project was to develop an evidence-based parental and caregiver educational intervention to improve knowledge, intention to vaccinate and attitude towards HPV vaccine, hoping to influence parents and caregivers of children ages 9 to 17 to consent to the HPV vaccine. Parental education as an intervention, focusing on HPV and HPV vaccine was found to have positive impact on parental knowledge, intention to vaccinate and parental attitude toward HPV vaccine. There was a 40%, 73%, and 33% improvement respectively on parental knowledge, attitude, and intention to vaccinate which was higher than the benchmark. Key words: Human Papillomavirus, vaccine, parent education, knowledge, attitude, intention" -- Abstract

Download or read book HPV Vaccine Awareness and Acceptance written by Jamie Phillipich and published by . This book was released on 2014 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: Many studies have assessed the public’s perceptions and acceptability of the Human Papillomavirus (HPV) vaccine, while others have analyzed the media’s coverage of the vaccine, however few have specifically assessed the media influence on the perception HPV and vaccine compliance. College freshman in fall 2013 were the first group of adolescent females targeted by the proposed Gardasil vaccine guidelines in 2006 for 11-12 year old girls, and the first group of adolescent males targeted in 2009 for 15-16 year old boys. Thus, there is limited data evaluating how this population was educated about HPV and if the media has influenced their perception and acceptance of the vaccine. The aim of this study was to evaluate this population’s education about HPV/Gardasil and determine if the media had in increased role in their reception of HPV knowledge and if the media influenced their reception of the HPV vaccine, Gardasil. Methods: One thousand randomly selected 18-19 year old freshman students at Grand Valley State University were invited to participate in this cross-sectional quantitative pilot study using an on-line, anonymous questionnaire. The 48 question survey evaluated participant demographics, basic STD knowledge and perceptions, HPV knowledge, personal sexual behaviors, acquisition of sexual health information, knowledge about Gardasil, vaccination barriers, and vaccination status. Pearson Chi-Square tests, score developments, Mann-Whitney, and Spearman’s rank correlation were used to analyze data. Results: One hundred forty six students completed the survey. The majority of participants were female (69.2%) and white, non-Hispanics (87.7%). The study revealed 68% of respondents reported obtaining HPV and Gardasil related information from the media, and 37% of respondents felt that the information presented in the media was not believable. Respondents reported receiving the most believable HPV –related information from health education classes and healthcare providers. An HPV knowledge score was developed and Mann-Whitney analysis revealed that neither gender (p-value=0.619), vaccination status (p-value=0.417), nor parent’s having a college degree (p-value=0.210) had a significant impact on HPV knowledge. Additionally, a health score analyzed the amount of interaction between healthcare providers and media exposure students received. A Mann-Whitney test revealed gender had a significant impact (p-value=0.001) on the health score, with females outscoring (M=3.27. SD=1.054) males (M=2.36, SD=1.125). Individuals who received the vaccine scored significantly higher (M=3.64, SD=0.586, p-value,0.001) than those who did not receive the vaccine ((M=2.45, SD=1.234). Additionally, 41% of the respondents had a health score of 100% with 25% of this subset reporting receiving the vaccine. Thus, despite receiving all the health information about Gardasil, 75% had not been vaccinated. Conclusion: The result of this study suggests that regardless of the amount of interaction students had with healthcare providers and /or the media, it did not affect their overall knowledge of HPV or Gardasil. It is imperative as providers, to impact accurate, honest information with patients and their families so they have information necessary to make informed decisions about their health, particularly in regards to HPV information and Gardasil vaccine.

Download or read book Acceptance of the Human Papillomavirus Vaccine Among Latino Parents written by Katherine Raven Murray and published by . This book was released on 2009 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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 Two Shots to Cancer Prevention written by Julie Dang and published by . This book was released on 2018 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: The current HPV vaccine uptake rate is not on track to achieve the Healthy People 2020 goal of 80%, nor attain the desired reduction in HPV-related cancer burden that could be achieved through optimal uptake. Increasing the HPV vaccination rates to 80% could prevent an additional 53,000 future cervical cancer cases in the U.S among girls who are 12 years or younger over the course of their lifetime as well as many additional cases of other cancers, precancers, and genital warts in both sexes. Understanding the current HPV vaccination trends, determining predictors of vaccination, and identifying the characteristics of primary care visits that are missed opportunities for HPV vaccination allows for the development of more effective strategies that can accelerate HPV vaccine uptake. My dissertation, comprised of three papers, examines the multiple levels of influence associated with uptake of the HPV vaccine among preadolescents ages 11-12 at the provider, patient/parent, and visit levels. The findings will help elucidate salient factors that influence the provider’s decision to recommend the HPV vaccine to their patients, the parent’s decision to accept and follow through with that recommendation, the processes of care that are required to ensure that recommendation is carried out, and the relationships among these various factors. The first and second paper utilizes electronic medical records and administrative data to identify: 1) patient and provider factors associated with HPV vaccine uptake and 2) patient, provider and visit factors associated with missed clinical opportunities to recommend and administer the HPV vaccine. The third paper explores the clinic, primary care team and parent level factors that affect uptake of the HPV vaccine through semi-structured key-informant interviews. The primary conclusions from this research highlight the importance of developing and implementing multi-level interventions that engage parents, all clinic staff (e.g. providers and support staff) and health care systems. Education, training and communication for HPV vaccines should focus on emphasizing the importance of timely vaccinations, bundling the HPV vaccines with other vaccines due at the same time, and ensuring that all clinic staff provide a strong and consistent HPV vaccination recommendation.

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 Provider Recommendations for Human Papillomavirus Vaccine HPV Among Adolescent Males in Southwest Georgia Counties and the Associated Hpv Prevalence in This Population written by Benjamin K. Poku and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Author's abstract: Objective: The purpose of this research study was to examine the variation in healthcare providers’ behavior in recommending the Human Papillomavirus (HPV) vaccine to young male adolescents (aged 11-12), middle male adolescents (aged 13-17) and late male adolescents (aged 18-26) in rural Southwest Georgia counties. This research also aimed to identify factors associated with providers’ behaviors concerning HPV vaccination recommendation to youth in various age groups. Methods: Upon IRB approval, secondary data were obtained from Albany Area Primary Care for a paper-based survey that was conducted in 2014 using a representative random sample of family physicians (n=12), pediatricians (n=6), and nurse practitioners (n=33). The survey had a response rate of 76% and the researcher employed descriptive statistics, paired t tests and analysis of variance (ANOVA) to describe the pediatricians’ (Peds), nurse practitioners’ (NPs/Nurses), and family physicians’ (FPs) recommendations to HPV vaccinations and the association of HPV prevalence in Rural Southwest GA. Results: Statistical testing and analysis show barriers such as healthcare providers’ and parents’ discomfort with the vaccination of pre-teens when it concerns a sexually transmitted disease, lack of awareness to the role that males play in the spread of HPV, absence of government mandates, and non-completion of the three-dose series of vaccination due to financial or logistical reasons. Provider specialty, age, ethnicity, and reported barriers were significantly associated with recommendations and association to HPV prevalence. Conclusions: Findings suggest missed HPV vaccination opportunities for adolescent males. Perceived barriers and support to HPV vaccination to providers may drive decisions about HPV vaccine uptake and completion of vaccination series. Findings also suggest the need for policy level interventions to increase HPV vaccination among US adolescent males.