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Disparities in HPV knowledge by race/ethnicity and socioeconomic position: Trusted sources for the dissemination of HPV information

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Abstract

Purpose

To examine the differences in HPV and HPV vaccine awareness, knowledge, and beliefs by race/ethnicity and socioeconomic position (SEP) among a national sample of non-Hispanic whites (NH-Whites), non-Hispanic Blacks (NH-Blacks), and Hispanics in the United States. We also examine differences in trusted health information sources by race/ethnicity and SEP.

Methods

Data were obtained from the Health Information National Trends Survey, Cycle 1, conducted from January to April 2017. Descriptive statistics, bivariate analyses, multivariate logistic regression, and listwise deletion were used to examine HPV and HPV vaccine awareness and knowledge-related items, and trust in health information sources among NH-Whites, NH-Blacks, and Hispanics 18–49 years old.

Results

HPV vaccine awareness was moderate with no significant differences across racial/ethnic groups. NH-Whites had significantly higher knowledge that HPV causes cervical cancer than NH-Blacks and Hispanics (p < 0.001). High SEP NH-Blacks (OR = 0.42, 95% CI = [0.24–0.73], p = 0.002]) and Hispanics (OR = 0.49, 95% CI = [0.31–0.79, p = 0.003]) had lower odds of knowing HPV causes a sexually transmitted disease than their white counterparts. Low SEP NH-Blacks (OR = 11.03, 95% CI = [3.05–39.86, p < 0.001]) had 11 times the odds of ever hearing about the HPV vaccine than low SEP NH-Whites. NH-Blacks had twice the odds of trusting health information from television (OR = 2.39, 95% CI = [1.52–3.78]. p < 0.001), and almost six times the odds of trusting health information from religious organizations than low SEP NH-Whites (OR = 5.76, 95% CI = [2.02–16.44, p < 0.001]).

Conclusion

Tailored communication strategies may address the low HPV knowledge among NH-Blacks and Hispanics from high and low SEP.

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Acknowledgments

This project was supported by NIH grant number 3R25CA057711. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH.

Funding

This work was supported by the National Institutes of Health/National Cancer Institute under Grant [3R25CA057711‐23].

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Authors and Affiliations

  1. School of Nursing, Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA

    Kayoll V. Galbraith-Gyan

  2. Department of Media and Communication, Konkuk University, Seoul, Republic of Korea

    Stella Juhyun Lee

  3. Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA

    Shoba Ramanadhan & Kasisomayajula Viswanath

  4. Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA, USA

    Kasisomayajula Viswanath

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  1. Kayoll V. Galbraith-Gyan
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  4. Kasisomayajula Viswanath
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Correspondence to Kayoll V. Galbraith-Gyan.

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Galbraith-Gyan, K.V., Lee, S.J., Ramanadhan, S. et al. Disparities in HPV knowledge by race/ethnicity and socioeconomic position: Trusted sources for the dissemination of HPV information. Cancer Causes Control 32, 923–933 (2021). https://doi.org/10.1007/s10552-021-01445-x

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  • DOI: https://doi.org/10.1007/s10552-021-01445-x

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