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
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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]