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3. Understanding medical mistrust and HPV vaccine hesitancy among multiethnic parents in Los Angeles

Author

Tsui, Jennifer, Martinez, Bibiana, Shin, Michelle B., Allee-Munoz, Alec, Rodriguez, Ivonne, Navarro, Jazmin, and Thomas-Barrios, Kim R.

Subjects
Los Angeles, California -- Health policy, Parents -- Demographic aspects -- Beliefs, opinions and attitudes -- Health aspects, Psychology and mental health
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., Author(s): Jennifer Tsui [sup.1] , Bibiana Martinez [sup.1] , Michelle B. Shin [sup.1] , Alec Allee-Munoz [sup.2] , Ivonne Rodriguez [sup.3] , Jazmin Navarro [sup.3] , Kim R. Thomas-Barrios [sup.3] [...]

Published
2023
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5. Multilevel perspectives on school-based opportunities to improve HPV vaccination among medically underserved adolescents: Beyond school entry mandates

Author

Shin, Michelle B., primary, Sloan, Kylie, additional, Baezconde-Garbanati, Lourdes, additional, Dang, Emily, additional, Garcia, Samantha, additional, Palinkas, Lawrence A., additional, Unger, Jennifer B., additional, Willgerodt, Mayumi, additional, Crabtree, Benjamin F., additional, and Tsui, Jennifer, additional

Published
2023
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6. Evaluation of Women's Empowerment in a Community-Based Human Papillomavirus Self-Sampling Social Entrepreneurship Program (Hope Project) in Peru: A Mixed-Method Study

Author

Shin, Michelle B., primary, Garcia, Patricia J., additional, Dotson, Mary Elizabeth, additional, Valderrama, María, additional, Chiappe, Marina, additional, Ramanujam, Nimmi, additional, Krieger, Marlee, additional, Ásbjörnsdóttir, Kristjana, additional, Barnabas, Ruanne V., additional, Iribarren, Sarah J., additional, and Gimbel, Sarah, additional

Published
2022
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