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- Title
Understanding medical mistrust and HPV vaccine hesitancy among multiethnic parents in Los Angeles.
- Authors
Tsui, Jennifer; Martinez, Bibiana; Shin, Michelle B.; Allee-Munoz, Alec; Rodriguez, Ivonne; Navarro, Jazmin; Thomas-Barrios, Kim R.; Kast, W. Martin; Baezconde-Garbanati, Lourdes
- 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.
- Subjects
UNITED States; VACCINATION; PARENT attitudes; SAFETY; MINORITIES; SOCIAL determinants of health; CONFIDENCE intervals; ATTITUDE (Psychology); MEDICAL mistrust; CROSS-sectional method; ADOLESCENT health; SURVEYS; HUMAN papillomavirus vaccines; VACCINE hesitancy; LOGISTIC regression analysis; ODDS ratio; PARENTS
- Publication
Journal of Behavioral Medicine, 2023, Vol 46, Issue 1/2, p100
- ISSN
0160-7715
- Publication type
Article
- DOI
10.1007/s10865-022-00283-9