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HPV Knowledge, Attitudes, and Beliefs Among Northern Plains American Indian Adolescents, Parents, Young Adults, and Health Professionals

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Abstract

Native American women in the Northern Plains have a high prevalence of human papillomavirus (HPV) and high incidence of cervical disease and cervical cancer. HPV vaccination coverage is shown to be lower among nonwhite populations and disparity populations. We assessed HPV knowledge, attitudes, and beliefs towards HPV and HPV vaccination during a community-based participatory research project among tribal youth, young adults, parents, and health professionals. In 2009, we recruited a total of 73 individuals to participate in four tribal focus groups: tribal health providers, (n = 10), Indian Health Service providers (n = 7), young adult women ages 19–26 (n = 22), girls (14–18) (n = 18), and parents (n = 16). Of these, 62 (84.93 %) completed a survey, which included 10 healthcare providers, 22 young adults, 14 teens, and 16 parents. We employed a qualitative thematic analysis of focus group transcript data and conducted frequency analysis of survey data, which were both reviewed and triangulated by a Community Advisory Board. Based on the results of this study, the tribal community advisory board identified local tribal settings for interventions to increase HPV vaccination coverage through health education classes and a school-based vaccination clinic. In addition to tribal community-wide education events to increase awareness of HPV disease, the HPV vaccine, provider-specific training was identified as a potential intervention. These community-based focus group findings underscore the importance of locally and cultural tailored educational interventions to further increase HPV knowledge and HPV vaccination among disparate populations like American Indian adolescent and young adult women.

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Acknowledgments

Many thanks are due to the tribal community advisory board and the tribal focus group participants for their time, interest, and enthusiasm to make this study a success. This work was supported by the American Cancer Society, ACS, Midwest Division Community Based Participatory Research Grants Program to Dr. Schmidt-Grimminger

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Authors and Affiliations

  1. Avera Cancer Institute, Sioux Falls, SD, USA

    Delf Schmidt-Grimminger

  2. Department of Obstetrics and Gynecology, Sanford School of Medicine at the University of South Dakota, 1400 West 22nd Street, Sioux Falls, SD, 57105, USA

    Delf Schmidt-Grimminger & Mitchell Dobberpuhl

  3. College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA

    Leah Frerichs & Shinobu Watanabe-Galloway

  4. Cheyenne River Tribal Health, Eagle Butte, SD, USA

    Arlene E. Black Bird

  5. Great Plains Tribal Epidemiology Center, Rapid City, SD, USA

    Karen Workman

Authors
  1. Delf Schmidt-Grimminger
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  2. Leah Frerichs
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  3. Arlene E. Black Bird
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  4. Karen Workman
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  5. Mitchell Dobberpuhl
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  6. Shinobu Watanabe-Galloway
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Correspondence to Delf Schmidt-Grimminger.

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Schmidt-Grimminger, D., Frerichs, L., Black Bird, A.E. et al. HPV Knowledge, Attitudes, and Beliefs Among Northern Plains American Indian Adolescents, Parents, Young Adults, and Health Professionals. J Canc Educ 28, 357–366 (2013). https://doi.org/10.1007/s13187-013-0468-y

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  • DOI: https://doi.org/10.1007/s13187-013-0468-y

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