SACM - United States of America

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    ASSOCIATION BETWEEN PARENTS’ PERCEPTIONS ABOUT HUMAN PAPILLOMAVIRUS (HPV) AND CORONAVIRUS DISEASE-19 (COVID-19) VACCINES AND THEIR DECISION TO VACCINATE THEIR CHILD AGAINST HPV
    (2023) Almatruk, Ziyad; Axon, David R; Warholak, Terri
    BACKGROUND: The WHO classified vaccine hesitancy as one of the top ten threats to global health. During the COVID-19 pandemic, many people had doubt about vaccines. The HPV can lead to several types of cancer. The COVID-19 impact on US HPV vaccination reluctance is unknown. Thus, the aim of the study is to investigate parents' perceptions of Coronavirus Disease-19 (COVID-19), the Human Papillomavirus (HPV) vaccine, and HPV vaccination decisions. METHODS: A cross-sectional observational survey was administered using Qualtrics to United States parents with at least one child aged 9–18. The survey consisted of five sections: screening, parent’s perception of general Vaccination, COVID-19, HPV, and demographics. Rasch analysis was used to evaluate the instrument reliability and validity, which included principal component analysis (PCA), scale functionality, person measure, item reliability, and person reliability. A logistic regression model with variables selected using backward elimination (p<0.05) was used to evaluate the associations between parents’ perception of COVID-19 and HPV vaccine decisions. RESULTS: The study included 508 parents. The instrument contained four domains: General Vaccination, COVID-19, HPV, and Parents’ COVID-19 Experience. Except for General Vaccination, PCA showed unidimensionality. Response options satisfied scale functionality analysis. Average person measure was 0.7±8.0 logits. Person reliability was 0.7-0.9, whereas item reliability was 0.9-1.0. Item fit ranged from 0.7-2.1. A few of the difficult items to endorse with were I trust social media and/or TV to tell me the truth about vaccines, I would have my 11 children vaccinated for COVID-19 if their school required it, vaccinating my child against HPV helps to protect others from getting HPV, and I believe the COVID-19 vaccine was approved in a reasonable amount of time. A few of the easy items to endorse were physicians’ address vaccine concerns, there are safe COVID-19 vaccines for children, and I believe in vaccines. The multivariate logistic regression model with backward elimination showed that HPV Domain (adjusted odds ratio [AOR] = 1.89, 95% CI = 1.61 – 2.21), Parents COVID-19 Experience Domain (AOR = 1.32, 95% CI = 1.18 – 1.47), and men compared to women (AOR = 2.48, 95% CI = 1.37 – 4.47) were significantly associated with parents’ planning not to vaccinate their children with HPV. CONCLUSIONS: Our research offers insight into variables associated with parents’ decisions about children’s COVID-19 and HPV vaccines. More research is needed to improve the HPV vaccine uptake.
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    EXPLORING THE EFFECT OF HBM CONSTRUCTS AND KNOWLEDGE ON HPV VACCINATION UPTAKE AND WILLINGNESS TO RECEIVE THE HPV VACCINE AMONG COLLEGE STUDENTS
    (2023) Alsulami, Fahad T; Sánchez, Jesús
    HPV is the most common STD in the U.S. About 43 million people with HPV infections. Although the HPV vaccine has been available for over ten years and is the most effective approach to preventing HPV infection, vaccination rates are low among college students. This study aimed to measure HPV vaccination rates, HPV and HPV vaccine knowledge, and cognitive beliefs among college students across different sociodemographic characteristics. Additionally, it aimed to assess the effect of HBM constructs on HPV vaccination uptake and the willingness of non-HPV vaccinated to get the vaccine among college students. Furthermore, it aimed to assess the effect of acculturation on the HPV vaccination uptake among foreign-born college students. A cross-sectional web-based self-administered survey was used to collect data on 2,843 eligible college students. Chi-square test, independent samples t-test, one-way ANOVA, and hierarchical logistic regression analysis were used to address the research questions. This study found that about 72% of the college students were HPV-vaccinated, and about 56% of the non-HPV vaccinated college students were willing to receive the vaccine. College students had moderate knowledge of HPV and the HPV vaccine. Hierarchical logistic regression indicated that being male, Black, 26 years old, and with a graduate degree college students, high levels of perceived severity, high levels of perceived barriers, low levels of perceived susceptibly, and low levels of cues to action were significantly associated with decreased odds of being HPV-vaccinated. Among non-HPV vaccinated college students, being male, Black, Hispanic, and Asian college students, high levels of perceived susceptibly, high levels of perceived benefits, and high levels of cues to action were significantly associated with increased odds of willingness to receive the HPV vaccine. Among foreign-born college students, the hierarchical logistic regression final model indicated that age category, perceived susceptibility to HPV, perceived barriers to receiving the HPV vaccine, and cue to receiving the HPV vaccine variables were significantly associated with the HPV vaccination uptake. The results of this study provided significant insights into the HPV vaccination behavior among college students. Further, these findings can be used to develop interventions to increase HPV vaccination rates among college students.
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