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Knowledge of HPV vaccination and associated HNC and treatment decision-making among minority populations.
Lin, Matthew E; Ayo-Ajibola, Oluwatobiloba; Davis, Ryan; Gallagher, Tyler J; Castellanos, Carlos X; West, Jonathan D; Nurimba, Margaret; Kokot, Niels C; Chambers, Tamara.
Afiliación
  • Lin ME; Department of Head and Neck Surgery, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA, USA.
  • Ayo-Ajibola O; Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
  • Davis R; Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
  • Gallagher TJ; Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
  • Castellanos CX; Department of Head and Neck Surgery, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA, USA.
  • West JD; Caruso Department of Otolaryngology-Head & Neck Surgery, Keck, School of Medicine of the University of Southern California, Los Angeles, CA, USA.
  • Nurimba M; Caruso Department of Otolaryngology-Head & Neck Surgery, Keck, School of Medicine of the University of Southern California, Los Angeles, CA, USA.
  • Kokot NC; Caruso Department of Otolaryngology-Head & Neck Surgery, Keck, School of Medicine of the University of Southern California, Los Angeles, CA, USA.
  • Chambers T; Caruso Department of Otolaryngology-Head & Neck Surgery, Keck, School of Medicine of the University of Southern California, Los Angeles, CA, USA. Electronic address: Tamara.Chambers@med.usc.edu.
Am J Otolaryngol ; 45(6): 104458, 2024 Aug 03.
Article en En | MEDLINE | ID: mdl-39116721
ABSTRACT

OBJECTIVE:

Understand vaccination knowledge and barriers to vaccination among minority adults. STUDY

DESIGN:

Cross-sectional survey.

SETTING:

Otolaryngology clinics at a safety net hospital and a tertiary academic center and a head and neck cancer screening event.

METHODS:

Survey was administered to consenting patients. Descriptive statistics and significance testing were used to characterize the data, with non-minority respondents as controls. Multivariate logistic regression was used to understand factors associated with vaccination.

RESULTS:

HPV vaccination among our 241 respondents (n = 41, 17.67 %) and their qualifying children (n = 52, 33.55 %) was low. Non-vaccinated minorities were significantly more likely to express interest in HPV vaccination (28.66 % vs 8.66 %, p = 0.016). Minority patients were significantly less knowledgeable about HPV causing cervical (88.64 % vs 72.45 %, p = 0.024) and head and neck (68.18 % vs 44.90 %, p = 0.005) cancer and were also less aware of HPV infection (95.45 % vs 81.12 %, p = 0.020) among non-women. Lack of knowledge about the HPV vaccine was the most cited reason why minority patients did not or were uninterested in vaccination for themselves or their children. In a multivariable logistic regression of factors associated with HPV vaccination, only increased age demonstrated a significant association with vaccination likelihood (OR = 0.91, 95 % CI = [0.88-0.95], p < 0.001).

CONCLUSION:

Reported HPV vaccination rates were low for both white and minority patients but did not significantly vary on univariate or multivariate analysis. However, minority respondents were significantly less knowledgeable about HPV and its manifestations; they most often cited inadequate knowledge as why did not receive or were uninterested in HPV vaccination. As such, HPV vaccination educational interventions may raise vaccination rates among minority populations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Otolaryngol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Otolaryngol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos