Parent attitudes about school requirements for human papillomavirus vaccine in high-risk communities of Los Angeles, California

Rachel A Robitz, Sami L. Gottlieb, Christine J. De Rosa, Sarah L. Guerry, Nicole Liddon, Akbar Zaidi, Susan Walker, Jennifer S. Smith, Noel T. Brewer, Lauri E. Markowitz

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background: Human papillomavirus (HPV) immunization requirements for school entry could increase HPV vaccine uptake but are controversial. This study assessed parents' attitudes about HPV immunization requirements. Methods: During October 2007 to June 2008, we conducted telephone surveys with 484 parents of girls attending middle/high schools serving communities in Los Angeles County with elevated cervical cancer rates. Results: Parents were mostly Hispanic (81%) or African American (15%); 71% responded in Spanish. Many parents did not know if HPV vaccine works well (42%) or is unsafe (41%). Overall, 59% of parents agreed that laws requiring HPV vaccination for school attendance "are a good idea." In multivariable analysis, African Americans and Hispanics responding in English were less likely than Hispanics responding in Spanish to agree (aOR 0.1, 95% CI: 0.1-0.3; aOR 0.4, 95% CI: 0.2-0.8, respectively). Parents were less likely to agree with these laws if they did not believe the vaccine works well (aOR 0.2, 95% CI: 0.1-0.5) but more likely to agree if they believed the vaccine is not "too new for laws like these" (aOR 4.5, 95% CI: 2.6-8.0). Agreement with laws increased to 92% when including agreement that "these laws are okay only if parents can opt out." Conclusions: In this at-risk community, more than half of the parents agreed with HPV immunization requirements generally, and the vast majority agreed when including opt-out provisions. Impact: Support for HPV vaccine requirements may depend on race/ethnicity and inclusion of opt-out provisions. Information about vaccine efficacy and safety may increase support and reduce uncertainty about HPV vaccine in high-risk populations.

Original languageEnglish (US)
Pages (from-to)1421-1429
Number of pages9
JournalCancer Epidemiology Biomarkers and Prevention
Volume20
Issue number7
DOIs
StatePublished - Jul 1 2011
Externally publishedYes

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Papillomavirus Vaccines
Los Angeles
Parents
Hispanic Americans
Immunization
Vaccines
African Americans
Telephone
Uterine Cervical Neoplasms
Uncertainty
Vaccination
Safety

ASJC Scopus subject areas

  • Epidemiology
  • Oncology

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Parent attitudes about school requirements for human papillomavirus vaccine in high-risk communities of Los Angeles, California. / Robitz, Rachel A; Gottlieb, Sami L.; De Rosa, Christine J.; Guerry, Sarah L.; Liddon, Nicole; Zaidi, Akbar; Walker, Susan; Smith, Jennifer S.; Brewer, Noel T.; Markowitz, Lauri E.

In: Cancer Epidemiology Biomarkers and Prevention, Vol. 20, No. 7, 01.07.2011, p. 1421-1429.

Research output: Contribution to journalArticle

Robitz, RA, Gottlieb, SL, De Rosa, CJ, Guerry, SL, Liddon, N, Zaidi, A, Walker, S, Smith, JS, Brewer, NT & Markowitz, LE 2011, 'Parent attitudes about school requirements for human papillomavirus vaccine in high-risk communities of Los Angeles, California', Cancer Epidemiology Biomarkers and Prevention, vol. 20, no. 7, pp. 1421-1429. https://doi.org/10.1158/1055-9965.EPI-10-1236
Robitz, Rachel A ; Gottlieb, Sami L. ; De Rosa, Christine J. ; Guerry, Sarah L. ; Liddon, Nicole ; Zaidi, Akbar ; Walker, Susan ; Smith, Jennifer S. ; Brewer, Noel T. ; Markowitz, Lauri E. / Parent attitudes about school requirements for human papillomavirus vaccine in high-risk communities of Los Angeles, California. In: Cancer Epidemiology Biomarkers and Prevention. 2011 ; Vol. 20, No. 7. pp. 1421-1429.
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abstract = "Background: Human papillomavirus (HPV) immunization requirements for school entry could increase HPV vaccine uptake but are controversial. This study assessed parents' attitudes about HPV immunization requirements. Methods: During October 2007 to June 2008, we conducted telephone surveys with 484 parents of girls attending middle/high schools serving communities in Los Angeles County with elevated cervical cancer rates. Results: Parents were mostly Hispanic (81{\%}) or African American (15{\%}); 71{\%} responded in Spanish. Many parents did not know if HPV vaccine works well (42{\%}) or is unsafe (41{\%}). Overall, 59{\%} of parents agreed that laws requiring HPV vaccination for school attendance {"}are a good idea.{"} In multivariable analysis, African Americans and Hispanics responding in English were less likely than Hispanics responding in Spanish to agree (aOR 0.1, 95{\%} CI: 0.1-0.3; aOR 0.4, 95{\%} CI: 0.2-0.8, respectively). Parents were less likely to agree with these laws if they did not believe the vaccine works well (aOR 0.2, 95{\%} CI: 0.1-0.5) but more likely to agree if they believed the vaccine is not {"}too new for laws like these{"} (aOR 4.5, 95{\%} CI: 2.6-8.0). Agreement with laws increased to 92{\%} when including agreement that {"}these laws are okay only if parents can opt out.{"} Conclusions: In this at-risk community, more than half of the parents agreed with HPV immunization requirements generally, and the vast majority agreed when including opt-out provisions. Impact: Support for HPV vaccine requirements may depend on race/ethnicity and inclusion of opt-out provisions. Information about vaccine efficacy and safety may increase support and reduce uncertainty about HPV vaccine in high-risk populations.",
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AU - Guerry, Sarah L.

AU - Liddon, Nicole

AU - Zaidi, Akbar

AU - Walker, Susan

AU - Smith, Jennifer S.

AU - Brewer, Noel T.

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AB - Background: Human papillomavirus (HPV) immunization requirements for school entry could increase HPV vaccine uptake but are controversial. This study assessed parents' attitudes about HPV immunization requirements. Methods: During October 2007 to June 2008, we conducted telephone surveys with 484 parents of girls attending middle/high schools serving communities in Los Angeles County with elevated cervical cancer rates. Results: Parents were mostly Hispanic (81%) or African American (15%); 71% responded in Spanish. Many parents did not know if HPV vaccine works well (42%) or is unsafe (41%). Overall, 59% of parents agreed that laws requiring HPV vaccination for school attendance "are a good idea." In multivariable analysis, African Americans and Hispanics responding in English were less likely than Hispanics responding in Spanish to agree (aOR 0.1, 95% CI: 0.1-0.3; aOR 0.4, 95% CI: 0.2-0.8, respectively). Parents were less likely to agree with these laws if they did not believe the vaccine works well (aOR 0.2, 95% CI: 0.1-0.5) but more likely to agree if they believed the vaccine is not "too new for laws like these" (aOR 4.5, 95% CI: 2.6-8.0). Agreement with laws increased to 92% when including agreement that "these laws are okay only if parents can opt out." Conclusions: In this at-risk community, more than half of the parents agreed with HPV immunization requirements generally, and the vast majority agreed when including opt-out provisions. Impact: Support for HPV vaccine requirements may depend on race/ethnicity and inclusion of opt-out provisions. Information about vaccine efficacy and safety may increase support and reduce uncertainty about HPV vaccine in high-risk populations.

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