U.S. Vietnamese parents’ HPV vaccine decision-making for their adolescents: an exploration of practice-, provider-, and patient-level influences
| Autor: | Victoria N. Huynh, Milkie Vu, Cam Escoffery, Robert A. Bednarczyk, Danny Ta, Carla J. Berg |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Parents medicine.medical_specialty Sexual activity Health Knowledge Attitudes Practice Adolescent Vietnamese Population Psychological intervention Receiving provider Adolescents Article Negatively associated medicine Humans Papillomavirus Vaccines education Child General Psychology Sti prevention HPV vaccine education.field_of_study business.industry Papillomavirus Infections Vaccination Provider recommendation Acculturation language.human_language Psychiatry and Mental health Health psychology Cross-Sectional Studies Family medicine language Female business |
| Zdroj: | Journal of Behavioral Medicine |
| ISSN: | 1573-3521 0160-7715 |
| Popis: | U.S. Vietnamese have high cervical cancer incidence and low human papillomavirus (HPV) vaccine initiation. Using the P3 model, we explored practice-, provider-, and patient-level determinants of U.S. Vietnamese parents’ HPV vaccine decision-making for their adolescents. We conducted a cross-sectional, online survey (04/2020–12/2020) with U.S. Vietnamese parents who had ≥ 1 adolescent ages 9–18. We assessed HPV vaccination outcomes (initiation, willingness to initiate, completion) and provider recommendation. Modified Poisson regressions were used to identify practice-, provider- and patient-level correlates of outcomes. The sample (n = 408) was 44 years old on average; 83% were female and 85% had a Bachelor’s degree. Around half of adolescents were female (51%) and 13–18 year old (54%). Only 41 and 23% of parents had initiated and completed the HPV vaccine series for their child, respectively. Initiation was associated with receiving provider recommendation (either low- or high-quality), while willingness to initiate was associated with receiving high-quality recommendation. Both initiation and willingness to initiate was negatively associated with parental perception that their child was too young for a “sexually transmitted infection (STI)-preventing vaccine.” Provider recommendation was associated with higher parental U.S. acculturation and the child being older and female. Provider-facing interventions should promote high-quality, age-based, gender-neutral HPV vaccine recommendation. These and population- and individual-facing interventions should recognize the need for additional parental education, particularly related to misconceptions regarding STI prevention. Supplementary Information The online version contains supplementary material available at 10.1007/s10865-021-00265-3. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink