Associations of trust and healthcare provider advice with HPV vaccine acceptance among African American parents. Issue 5 (1st February 2017)

• Record Type: Journal Article
• Authors: Fu, Linda Y.; Zimet, Gregory D.; Latkin, Carl A.; Joseph, Jill G.
• Is Part Of: Vaccine. Volume 35:Issue 5(2017)
• Page Start: 802
• Page End: 807
• Publication Date: 2017-02-01
• Subjects: CDC Centers for Disease Control and Prevention -- HCP Healthcare provider -- HPV Human papillomavirus; Human papillomavirus vaccines -- African Americans -- Directive counseling -- Health knowledge, attitudes, practice; Vaccines -- Periodicals; 615.372
• DOI: 10.1016/j.vaccine.2016.12.045
• Languages: English
• ISSNs: 0264-410X

Abstract

Abstract: Objective: Healthcare providers (HCPs) are advised to give all parents a strong recommendation for HPV vaccination. However, it is possible that strong recommendations could be less effective at promoting vaccination among African Americans who on average have greater mistrust in the healthcare system. This study examines the associations of parental trust in HCPs and strength of HCP vaccination recommendation on HPV vaccine acceptance among African American parents. Methods: Participants were recruited from an urban, academic medical center between July 2012 and July 2014. We surveyed 400 African American parents of children ages 10–12 years who were offered HPV vaccine by their HCPs to assess sociodemographic factors, vaccine beliefs, trust in HCPs, and the HPV vaccine recommendation received. Medical records were reviewed to determine vaccination receipt. Results: In multivariable analysis, children whose parents were "very strongly" recommended the HPV vaccine had over four times higher odds of vaccine receipt compared with those whose parents were "not very strongly" recommended the vaccine. Having a parent with "a lot of" versus "none" or only "some" trust in HCPs was associated with over twice the odds of receiving HPV vaccine. Very strong HCP recommendations were associated with higher odds of vaccination among all subgroups, including those with more negative baseline attitudes toward HPV vaccine and those with lower levels of trust. Adding the variables strength of HCP recommendation and parental trust in HCPs to a multivariable model already adjusted for sociodemographic factors and parental vaccine beliefs improved the pseudo R 2 from 0.52 to 0.55. Conclusions: Among participants, receiving a strong vaccine recommendation and having a higher level of trust in HCPs were associated with higher odds of HPV vaccination, but did not add much to the predictive value of a model that already adjusted for baseline personal beliefs and sociodemographic factors.