An Increase in HPV-related Knowledge and Vaccination Intent Among Parental and Non-parental Caregivers of Adolescent Girls, Age 9-17 Years, in Appalachian Pennsylvania

Overview

Journal J Cancer Educ

Publisher Springer

Specialties Medical Education
Oncology

Date 2011 Dec 2

PMID 22131065

Citations 26

Authors

Angela M Spleen

Brenda C Kluhsman

Allison D Clark

Mark B Dignan

Eugene J Lengerich

Affiliations

Soon will be listed here.

Abstract

A theory and community-based educational intervention was designed to increase HPV-related knowledge and intent to vaccinate adolescent girls, against human papillomavirus (HPV) in Appalachia, a region with high cervical cancer incidence and mortality. An HPV educational session was conducted with immediate pre-/post-test questionnaires and 1-month follow-up telephone interview. McNemar tests and paired t tests evaluated change in individual knowledge variables and change in overall knowledge and intent to vaccinate against HPV, respectively. Of 117 attendees, 38 (32.5%) were parents of vaccine-eligible daughters and 79 (67.5%) non-parental caregivers. HPV-related knowledge increased for all participants (p < 0.0001) and among parents (p < 0.0001). Intent to vaccinate daughters within 1 month increased among parents (p = 0.002). Of nine (23.7%) parents who completed the follow-up interview, 100% reported the intervention as helpful and 44.4% reported that they started vaccination. Our education intervention was associated with increased HPV-related knowledge and intent to vaccinate girls in Appalachia against HPV.

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References

Brewer N, Gottlieb S, Reiter P, McRee A, Liddon N, Markowitz L . Longitudinal predictors of human papillomavirus vaccine initiation among adolescent girls in a high-risk geographic area. Sex Transm Dis. 2010; 38(3):197-204. PMC: 3025264. DOI: 10.1097/OLQ.0b013e3181f12dbf. View

Rosenstock I . Why people use health services. Milbank Mem Fund Q. 1966; 44(3):Suppl:94-127. View

Brabin L, Roberts S, Farzaneh F, Kitchener H . Future acceptance of adolescent human papillomavirus vaccination: a survey of parental attitudes. Vaccine. 2006; 24(16):3087-94. DOI: 10.1016/j.vaccine.2006.01.048. View

Katz M, Reiter P, Heaner S, Ruffin M, Post D, Paskett E . Acceptance of the HPV vaccine among women, parents, community leaders, and healthcare providers in Ohio Appalachia. Vaccine. 2009; 27(30):3945-52. PMC: 2700122. DOI: 10.1016/j.vaccine.2009.04.040. View

Guerry S, De Rosa C, Markowitz L, Walker S, Liddon N, Kerndt P . Human papillomavirus vaccine initiation among adolescent girls in high-risk communities. Vaccine. 2011; 29(12):2235-41. DOI: 10.1016/j.vaccine.2011.01.052. View

Gerend M, Weibley E, Bland H . Parental response to human papillomavirus vaccine availability: uptake and intentions. J Adolesc Health. 2009; 45(5):528-31. DOI: 10.1016/j.jadohealth.2009.02.006. View

Dempsey A, Abraham L, Dalton V, Ruffin M . Understanding the reasons why mothers do or do not have their adolescent daughters vaccinated against human papillomavirus. Ann Epidemiol. 2009; 19(8):531-8. PMC: 2880849. DOI: 10.1016/j.annepidem.2009.03.011. View

Barnack J, Reddy D, Swain C . Predictors of parents' willingness to vaccinate for human papillomavirus and physicians' intentions to recommend the vaccine. Womens Health Issues. 2010; 20(1):28-34. DOI: 10.1016/j.whi.2009.08.007. View

Markowitz L, Dunne E, Saraiya M, Lawson H, Chesson H, Unger E . Quadrivalent Human Papillomavirus Vaccine: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2007; 56(RR-2):1-24. View

10.

Caskey R, Lindau S, Alexander G . Knowledge and early adoption of the HPV vaccine among girls and young women: results of a national survey. J Adolesc Health. 2009; 45(5):453-62. DOI: 10.1016/j.jadohealth.2009.04.021. View

11.

Salz T, Gottlieb S, Smith J, Brewer N . The association between cervical abnormalities and attitudes toward cervical cancer prevention. J Womens Health (Larchmt). 2010; 19(11):2011-6. DOI: 10.1089/jwh.2009.1790. View

12.

Huey N, Clark A, Kluhsman B, Lengerich E . HPV vaccine attitudes and practices among primary care providers in Appalachian Pennsylvania. Prev Chronic Dis. 2009; 6(2):A49. PMC: 2687855. View

13.

Kahn J, Rosenthal S, Hamann T, Bernstein D . Attitudes about human papillomavirus vaccine in young women. Int J STD AIDS. 2003; 14(5):300-6. DOI: 10.1258/095646203321605486. View

14.

Allen J, Othus M, Shelton R, Li Y, Norman N, Tom L . Parental decision making about the HPV vaccine. Cancer Epidemiol Biomarkers Prev. 2010; 19(9):2187-98. DOI: 10.1158/1055-9965.EPI-10-0217. View