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Gepubliceerd in:

18-11-2021

U.S. Vietnamese parents’ HPV vaccine decision-making for their adolescents: an exploration of practice-, provider-, and patient-level influences

Auteurs: Milkie Vu, Robert A. Bednarczyk, Cam Escoffery, Danny Ta, Victoria N. Huynh, Carla J. Berg

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2022

Abstract

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.

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Titel: U.S. Vietnamese parents’ HPV vaccine decision-making for their adolescents: an exploration of practice-, provider-, and patient-level influences
Auteurs: Milkie Vu
Robert A. Bednarczyk
Cam Escoffery
Danny Ta
Victoria N. Huynh
Carla J. Berg
Publicatiedatum: 18-11-2021
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2022
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-021-00265-3

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