Understanding Medical Mistrust and HPV Vaccine Hesitancy Among Multiethnic Parents in Los Angeles

Overview

Journal J Behav Med

Specialty Social Sciences

Date 2022 Feb 2

PMID 35107656

Authors

Jennifer Tsui

Bibiana Martinez

Michelle B Shin

Alec Allee-Munoz

Ivonne Rodriguez

Jazmin Navarro

Kim R Thomas-Barrios

W Martin Kast

Lourdes Baezconde-Garbanati

Affiliations

Soon will be listed here.

Abstract

Determinants of parental HPV vaccine hesitancy, including medical mistrust and exposure to negative vaccine information, are understudied in racial/ethnic minority communities where vaccine uptake is low. We conducted a cross-sectional survey (March 2021) among parents of adolescents, ages 9-17 years, from an academic enrichment program serving low-income, first-generation, underrepresented minority families in Los Angeles to understand determinants of parental HPV vaccine hesitancy. Parents completed self-administered surveys, including a 9-item HPV vaccine hesitancy scale, in either English, Spanish, or Chinese. Logistic regression was used to identify individual and interpersonal factors associated with parental hesitancy and adolescent HPV vaccination. One-fifth of parents (n = 357) reported high HPV vaccine hesitancy and > 50% reported concerns about safety or side effects. High medical mistrust was associated with high parental HPV vaccine hesitancy (adjusted-OR 1.69, 95% CI: 1.13, 2.37). Community-tailored and multilevel strategies to increase vaccine confidence are needed to improve HPV and other adolescent vaccinations.

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