ASPO Abstracts
Individual and Interpersonal Factors Driving Adolescent HPV Vaccine Uptake among High and Low Acculturated Latinos in a Community at High Risk for Cervical Cancer
Category: Cancer Health Disparities
Conference Year: 2023
Abstract Body:
Purpose: To identify factors impacting adolescent HPV vaccination in high and low acculturated Latino parents in a community at high risk for cervical cancer. Methods: Surveys examining HPV vaccine hesitancy in an urban community with low HPV vaccine uptake and high cervical cancer incidence were completed online by parents of adolescents (N=357). Bivariate logistic regressions examined factors impacting HPV vaccine uptake among Latino adolescents ages 11 and older; the moderating effect of parental acculturation was explored. Multivariable logistic regressions included factors significant at p<.01 in bivariate analyses, stratifying by acculturation. Results: 151 parents of children aged 11 and older identified as Latino; 72% were low acculturated and 28% had high acculturation scores. Factors associated with HPV vaccination in bivariate analyses included: HPV vaccine awareness (OR= 2.8, 95%CI:1.4,5.7), HPV vaccine hesitancy (OR=2.1, 95%CI:0.9,4.9), Tdap uptake (OR= 2.6, 95%CI:1.1,5.7), female parental gender (OR= 2.4, 95%CI:0.8, 6.9), female adolescent gender (OR= 2.5, 95%CI1.3-4.7), and provider recommendation of HPV vaccination (OR= 17.8, 95%CI:7.9,40.6). Multivariable models including these variables found that parents with low acculturation were more likely to report a child vaccinated against HPV if the parent was female (OR=5.4, 95%CI:1.2,23.9), a provider recommended HPV vaccination (OR=16.3, 95%CI:4.9,53.8), and their children received Tdap vaccination (OR=3.3, 95%CI: 1.1,10.1). Among parents with high acculturation only a provider recommendation of HPV vaccination was significantly associated with increased HPV vaccine uptake (OR=59.5, 95%CI:4.7,746.1). Conclusions: Our findings align with research identifying provider recommendations as the most important factor impacting adolescent HPV vaccination. It contributes to the literature by confirming the positive impact of provider recommendations among Latino acculturation subgroups, highlighting the need to invest in interventions to improve provider recommendations for HPV vaccination. More education is needed among low acculturated male parents about the importance of HPV vaccination; co-administration with Tdap vaccination presents an opportunity to improve HPV vaccination among this group.
Keywords: Human Papillomavirus Vaccination, Latinos, Acculturation