Details:

Alternative Title:
J Prim Prev
Personal Author:
Casey, Baretta R. ; Crosby, Richard A. ; Vanderpool, Robin C. ; Dignan, Mark ; Bates, Wallace
Casey, Baretta R. ; Crosby, Richard A. ; Vanderpool, Robin C. ; Dignan, Mark ; Bates, Wallace Less -
Description:
Women in Appalachian Kentucky experience a high burden of cervical cancer and have low rates of human papillomavirus (HPV) vaccination. The purpose of this study was to identify normative influences predicting initial HPV vaccine uptake among a sample of young women in southeastern Kentucky. Women (N = 495), ages 18 through 26 years, were recruited from clinics and community colleges. After completing a questionnaire, women received a free voucher for HPV vaccination. Whether women redeemed the voucher for Dose 1 served as the primary outcome variable. Hierarchical logistic regression was used to estimate the influence of healthcare providers, friends, mothers, and fathers on vaccine uptake. One-quarter of the total sample (25.9%) received Dose 1. Uptake was higher in the clinic sample (45.1%) than in the college sample (6.9%). On multivariate analysis, women indicating that their healthcare provider suggested the vaccine, that their friends would "definitely" want them to be vaccinated, and that their fathers would "definitely" want them to receive the vaccine all were 1.6 times more likely to receive Dose 1. Interaction effects occurred between recruitment site (clinic vs. community college) and all three of the normative influences retaining multivariate significance, indicating that the associations only applied to the clinic sample. HPV vaccine interventions may benefit from highlighting paternal endorsement, healthcare provider recommendation, and peer support.
Subjects:
[+]
Adolescent Adult Article Attitude To Health Female Humans Papillomavirus Infections Papillomavirus Vaccines Patient Acceptance Of Health Care Rural Population Surveys And Questionnaires Uterine Cervical Neoplasms
Source:
J Prim Prev. 34(0):71-80.
Pubmed ID:
23325057
Pubmed Central ID:
PMC4758115
Document Type:
Journal Article
Funding:
1U48DP00193201/DP/NCCDPHP CDC HHS/United States ; U48 DP001932/DP/NCCDPHP CDC HHS/United States
1U48DP00193201/DP/NCCDPHP CDC HHS/United States ; U48 DP001932/DP/NCCDPHP CDC HHS/United States Less -
Place as Subject:
Appalachian Region ; Kentucky
Appalachian Region ; Kentucky Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:7c1108f925fafb98e16b283826be7f22e0b8585a060be8f8444c0bebe2b56fd6
Download URL:
https://stacks.cdc.gov/view/cdc/38084/cdc_38084_DS1.pdf
File Type:

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