학술논문
Understanding medical mistrust and HPV vaccine hesitancy among multiethnic parents in Los Angeles.
Document Type
Article
Author
Source
Subject
*Vaccination
*Parent attitudes
*Safety
*Minorities
*Social determinants of health
*Confidence intervals
*Attitude (Psychology)
*Medical mistrust
*Cross-sectional method
*Adolescent health
*Surveys
*Human papillomavirus vaccines
*Vaccine hesitancy
*Logistic regression analysis
*Odds ratio
*Parents
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Language
ISSN
0160-7715
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. [ABSTRACT FROM AUTHOR]