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Factors Associated with HPV Vaccination among Cambodian American Teenagers
Author(s) -
Lee Haeok,
Kim Minjin,
Kiang Peter,
Shi Ling,
Tan Kevin,
Chea Phala,
Peou Sonith,
GriggSaito Dorcas C.
Publication year - 2016
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/phn.12294
Subject(s) - vaccination , outreach , logistic regression , cervical cancer , medicine , public health , cross sectional study , hpv infection , ethnic group , odds , odds ratio , family medicine , demography , environmental health , psychology , immunology , cancer , nursing , pathology , sociology , political science , anthropology , law
Objectives Parents have general influence over their children's health and health behavior. However, given the dearth of specific literature regarding knowledge level and social and cultural factors influencing HPV vaccination behaviors among Cambodian American ( CA ) parent, it is difficult to develop an effective, evidence‐based public health HPV vaccination program. Therefore, the objectives of this study were to determine the HPV vaccine uptakes among CA teenagers and to examine factors influencing HPV vaccine uptakes. Design and Sample A descriptive, cross‐sectional survey design and a combination of network and targeted sampling methods were used. Results CA mothers ( n = 130) completed a health survey through face‐to‐face interviews in either English or Khmer language. Girls vaccination rates were 29% while that of boys was 16%. Awareness and knowledge of HPV among CA mothers was very low, and many believed that their daughters, who speak English and were educated in the U.S., had more knowledge about health than they did. Logistic regression analysis showed that CA girls had significantly higher odds of vaccination when their mothers possessed a higher level of English reading ability and had greater awareness and knowledge of HPV . Conclusions The strikingly low rates of HPV vaccination among CA girls and boys underscore the need to improve vaccination outreach, education, and uptake. The findings can be used to develop targeted public health HPV vaccination programs for CA s, which will reduce cervical cancer disparities.