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02.02.2022

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

verfasst von: Jennifer Tsui, Bibiana Martinez, Michelle B. Shin, Alec Allee-Munoz, Ivonne Rodriguez, Jazmin Navarro, Kim R. Thomas-Barrios, W. Martin Kast, Lourdes Baezconde-Garbanati

Erschienen in: Journal of Behavioral Medicine | Ausgabe 1-2/2023

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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.

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Titel: Understanding medical mistrust and HPV vaccine hesitancy among multiethnic parents in Los Angeles
verfasst von: Jennifer Tsui
Bibiana Martinez
Michelle B. Shin
Alec Allee-Munoz
Ivonne Rodriguez
Jazmin Navarro
Kim R. Thomas-Barrios
W. Martin Kast
Lourdes Baezconde-Garbanati
Publikationsdatum: 02.02.2022
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 1-2/2023
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-022-00283-9

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

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