Attitudes toward HPV Vaccination among Rural American Indian Women and Urban White Women in the Northern Plains

Autor/inn/en	Buchwald, Dedra; Muller, Clemma; Bell, Maria; Schmidt-Grimminger, Delf
Titel	Attitudes toward HPV Vaccination among Rural American Indian Women and Urban White Women in the Northern Plains
Quelle	In: Health Education & Behavior, 40 (2013) 6, S.704-711 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198113477111
Schlagwörter	Females; Cancer; Immunization Programs; Sexually Transmitted Diseases; Surveys; Statistical Analysis; Regression (Statistics); Comparative Analysis; Whites; Reservation American Indians; Intervention; Knowledge Level; Measures (Individuals); Individual Characteristics; Rural Areas; Urban Areas; Screening Tests; Attitude Measures; South Dakota + Suchen Sie Ihr Suchwort? Weibliches Geschlecht; Carcinoma; Karzinom; Krebs (med); Krebserkrankung; Immunisierung; Sexual transmitted disease; Geschlechtskrankheit; Survey; Umfrage; Befragung; Statistische Analyse; Regression; Regressionsanalyse; White; Weißer; Wissensbasis; Messdaten; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Rural area; Ländlicher Raum; Urban area; Stadtregion; Screening-Verfahren; South-Dakota
Abstract	Background: American Indian women in the Northern Plains have a high incidence of cervical cancer. We assessed attitudes on vaccination against human papillomavirus (HPV) in this population. Method: In partnership with two tribal communities, from 2007 to 2009, we surveyed women 18 to 65 years old attending two reservation clinics ("n" = 118 and "n" = 76) and an urban clinic in the same region serving primarily White women ("n" = 158) on HPV knowledge, vaccine familiarity, and willingness to vaccinate children against HPV. We used chi-square tests and binary logistic regression to compare groups and identify correlates of willingness to vaccinate. Results: American Indian women were less knowledgeable about HPV than White women ("p" < 0.001), especially its role in cervical cancer. Willingness to vaccinate children was differentially distributed across the three clinic samples ("p" < 0.001), but this association did not persist after adjusting for demographics and HPV knowledge. Among all samples, more correct answers to HPV knowledge questions was the only factor positively correlated with willingness to vaccinate (odds ratios = 1.2-1.5; "p" < 0.00-0.05). Conclusions: These findings underscore the importance of locally relevant educational interventions to increase HPV vaccination rates among American Indian women. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10