U.S. Vietnamese parents' HPV vaccine decision-making for their adolescents: an exploration of practice-, provider-, and patient-level influences

Authors

Milkie Vu, Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, USA. milkie.vu@emory.edu.
Robert A. Bednarczyk, Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Cam Escoffery, Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Danny Ta, Neil Hodgson Woodruff School of Nursing, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Victoria N. Huynh, Emory College of Arts and Sciences, Emory University, Atlanta, GA, USA.
Carla J. Berg, Department of Prevention and Community Health, Milken Institute of Public Health, George Washington University, Washington, DC, USA.

Document Type

Journal Article

Publication Date

4-1-2022

Journal

Journal of behavioral medicine

Volume

45

Issue

2

DOI

10.1007/s10865-021-00265-3

Keywords

Adolescents; HPV vaccine; Provider recommendation; Sexual activity; Vietnamese

Abstract

U.S. Vietnamese have high cervical cancer incidence and low human papillomavirus (HPV) vaccine initiation. Using the P3 model, we explored practice-, provider-, and patient-level determinants of U.S. Vietnamese parents' HPV vaccine decision-making for their adolescents. We conducted a cross-sectional, online survey (04/2020-12/2020) with U.S. Vietnamese parents who had ≥ 1 adolescent ages 9-18. We assessed HPV vaccination outcomes (initiation, willingness to initiate, completion) and provider recommendation. Modified Poisson regressions were used to identify practice-, provider- and patient-level correlates of outcomes. The sample (n = 408) was 44 years old on average; 83% were female and 85% had a Bachelor's degree. Around half of adolescents were female (51%) and 13-18 year old (54%). Only 41 and 23% of parents had initiated and completed the HPV vaccine series for their child, respectively. Initiation was associated with receiving provider recommendation (either low- or high-quality), while willingness to initiate was associated with receiving high-quality recommendation. Both initiation and willingness to initiate was negatively associated with parental perception that their child was too young for a "sexually transmitted infection (STI)-preventing vaccine." Provider recommendation was associated with higher parental U.S. acculturation and the child being older and female. Provider-facing interventions should promote high-quality, age-based, gender-neutral HPV vaccine recommendation. These and population- and individual-facing interventions should recognize the need for additional parental education, particularly related to misconceptions regarding STI prevention.

APA Citation

Vu, Milkie; Bednarczyk, Robert A.; Escoffery, Cam; Ta, Danny; Huynh, Victoria N.; and Berg, Carla J., "U.S. Vietnamese parents' HPV vaccine decision-making for their adolescents: an exploration of practice-, provider-, and patient-level influences" (2022). GW Authored Works. Paper 867.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/867

Department

Prevention and Community Health