Abstract
A theory and community-based educational intervention was designed to increase HPV-related knowledge and intent to vaccinate adolescent girls, against human papillomavirus (HPV) in Appalachia, a region with high cervical cancer incidence and mortality. An HPV educational session was conducted with immediate pre-/post-test questionnaires and 1-month follow-up telephone interview. McNemar tests and paired t tests evaluated change in individual knowledge variables and change in overall knowledge and intent to vaccinate against HPV, respectively. Of 117 attendees, 38 (32.5%) were parents of vaccine-eligible daughters and 79 (67.5%) non-parental caregivers. HPV-related knowledge increased for all participants (p < 0.0001) and among parents (p < 0.0001). Intent to vaccinate daughters within 1 month increased among parents (p = 0.002). Of nine (23.7%) parents who completed the follow-up interview, 100% reported the intervention as helpful and 44.4% reported that they started vaccination. Our education intervention was associated with increased HPV-related knowledge and intent to vaccinate girls in Appalachia against HPV.
Similar content being viewed by others
References
Centers for Disease Control and Prevention (2009) “Genital HPV infection: CDC Fact Sheet.” Sexually Transmitted Diseases. http://www.cdc.gov/std/HPV/STDFact-HPV.htm. Accessed March 16, 2011
National Cancer Institute – U.S. National Institutes of Health (2009) Human papillomavirus (HPV) vaccines. http://www.cancer.gov/cancertopics/factsheet/prevention/HPV-vaccine. Accessed March 16, 2011
Markowitz LE, Dunne EF, Saraiya M et al (2007) Quadrivalent Human papillomavirus vaccine—recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 56(RR-2):1–24
U.S. Food and Drug Administration. Vaccines, Blood & Biologics. Human papillomavirus vaccine (2009) http://www.fda.gov/BiologicsBloodVaccines/Vaccines/ApprovedProducts/ucm172678.htm. Accessed September 21, 2011
Caskey R, Lindau ST, Alexander GC (2009) Knowledge and early adoption of the HPV vaccine among girls and young women: results of a national survey. J Adolesc Health 45(5):453–462
Guerry SL, De Rosa CJ, Markowitz LE et al (2011) Human papillomavirus vaccine initiation among adolescent girls in high-risk communities. Vaccine 29(12):2235–2241
Allen JD, Othus MK, Shelton RC et al (2010) Parental decision making about the HPV vaccine. Cancer Epidemiol Biomarkers Prev 19(9):2187–2198
Brewer NT, Gottlieb SL, Reiter PL et al (2011) Longitudinal predictors of human papillomavirus vaccine initiation among adolescent girls in a high-risk geographic area. Sex Transm Dis 38(3):197–204
Dempsey AF, Abraham LM, Dalton V et al (2009) Understanding the reasons why mothers do or do not have their adolescent daughters vaccinated against human papillomavirus. Ann Epidemiol 19(8):531–538
Gerend MA, Weibley E, Bland H (2009) Parental response to human papillomavirus vaccine availability: uptake and intentions. J Adolesc Health 45(5):528–531
Appalachian Regional Commission. The Appalachian Region. http://www.arc.gov/appalachian_region/TheAppalachianRegion.asp . Accessed February 4, 2011
Katz ML, Reiter PL, Heaner S et al (2009) Acceptance of the HPV vaccine among women, parents, community leaders, and healthcare providers in Ohio Appalachia. Vaccine 27(30):3945–3952
Appalachia Community Cancer Network. Addressing the cancer burden in Appalachia. http://www.accnweb.com. Accessed April 7, 2011
ACTION Health. http://actionhealthpa.org/blog/. Accessed March 16, 2011
CRCHD—Center to Reduce Cancer Health Disparities. http://crchd.cancer.gov/. Accessed April 7, 2011
Rosenstock IM (1966) Why people use health services. Milbank Mem Fund Q 44(3):94–127
Glanz K, Lewis FM, Rimer BK (2002) Health behavior and health education. Jossey-Bass, San Francisco, ISBN 0787957151
Kahn JA, Rosenthal SL, Hamann T et al (2003) Attitudes about human papillomavirus vaccine in young women. Int J STD AIDS 14(5):300–306
Huey NL, Clark AD, Kluhsman BC et al (2009) HPV vaccine attitudes and practices among primary care providers in Appalachian Pennsylvania. Prev Chronic Dis 6(2):A49
Barnack JL, Reddy DM, Swain C (2010) Predictors of parents' willingness to vaccinate for human papillomavirus and physicians' intentions to recommend the vaccine. Womens Health Issues 20(1):28–34
Brabin L, Roberts SA, Farzaneh F et al (2006) Future acceptance of adolescent human papillomavirus vaccination: a survey of parental attitudes. Vaccine 24(16):3087–3094
Salz T, Gottlieb SL, Smith JS et al (2010) The association between cervical abnormalities and attitudes toward cervical cancer prevention. J Womens Health 19(11):2011–2016
Acknowledgments
The authors wish to acknowledge the following for their contributions: Erik Lehman M.S., Appalachia Community Cancer Network and the Northern Appalachia Cancer Network. This publication/presentation was made possible with funding from U01CA114622 from the National Cancer Institute – Center to Reduce Cancer Health Disparities. This research has been shared via poster presentation at the Society of Behavioral Medicine 32nd Annual Meeting & Scientific Sessions; Washington, D.C. April 30, 2011 and the National Cancer Institute Center to Reduce Cancer Health Disparities, Cancer Health Disparities Program meetings, Rockville, MD, July 13, 2011.
Author information
Authors and Affiliations
Consortia
Corresponding author
Rights and permissions
About this article
Cite this article
Spleen, A.M., Kluhsman, B.C., Clark, A.D. et al. An Increase in HPV-Related Knowledge and Vaccination Intent Among Parental and Non-parental Caregivers of Adolescent Girls, Age 9–17 Years, in Appalachian Pennsylvania. J Canc Educ 27, 312–319 (2012). https://doi.org/10.1007/s13187-011-0294-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13187-011-0294-z