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Barriers to HPV immunization among blacks and latinos: a qualitative analysis of caregivers, adolescents, and providers

Overview of attention for article published in BMC Public Health, August 2016
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Title
Barriers to HPV immunization among blacks and latinos: a qualitative analysis of caregivers, adolescents, and providers
Published in
BMC Public Health, August 2016
DOI 10.1186/s12889-016-3529-4
Pubmed ID
Authors

Ingrid T. Katz, Laura M. Bogart, Chong Min Fu, Yingna Liu, Joanne E. Cox, Ronald C. Samuels, Tami Chase, Pamela Schubert, Mark A. Schuster

Abstract

Despite recommendations that 11-12-year-olds receive the full three-shot Human papillomavirus (HPV) vaccine series, national HPV immunization coverage rates remain low. Disparities exist, with Blacks and Latinos being less likely than Whites to complete the series. We aimed to identify and compare barriers to HPV immunization perceived by healthcare providers, Black and Latino adolescents, and their caregivers to inform a clinic-based intervention to improve immunization rates. We conducted semi-structured interviews between March and July 2014 with Black and Latino adolescents (n = 24), their caregivers (n = 24), and nurses (n = 18), and 2 focus groups with 18 physicians recruited from two pediatric primary care clinics. Qualitative protocol topics included: general perceptions and attitudes towards vaccines; HPV knowledge; and perceived individual and systems-level barriers affecting vaccine initiation and completion. Themes were identified and organized by individual and systems-level barriers to HPV immunization. Adolescents and their caregivers, particularly Blacks, expressed concerns about HPV being an untested, "newer" vaccine. All families felt they needed more information on HPV and found it difficult to return for multiple visits to complete the vaccine series. Providers focused on challenges related to administering multiple vaccines simultaneously, and perceptions of parental reluctance to discuss sexually transmitted infections. Optimizing HPV immunization rates may benefit from a multi-pronged approach to holistically address provider, structural, and individual barriers to care. Further research should examine strategies for providing multiple modalities of support for providers, including a routinized system of vaccine promotion and delivery, and for addressing families' concerns about vaccine safety and efficacy.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 143 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 143 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 30 21%
Student > Ph. D. Student 13 9%
Student > Doctoral Student 11 8%
Student > Bachelor 11 8%
Researcher 10 7%
Other 20 14%
Unknown 48 34%
Readers by discipline Count As %
Nursing and Health Professions 27 19%
Medicine and Dentistry 26 18%
Social Sciences 10 7%
Psychology 8 6%
Agricultural and Biological Sciences 3 2%
Other 15 10%
Unknown 54 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 August 2016.
All research outputs
#14,949,631
of 22,994,508 outputs
Outputs from BMC Public Health
#10,984
of 14,980 outputs
Outputs of similar age
#207,857
of 340,879 outputs
Outputs of similar age from BMC Public Health
#307
of 407 outputs
Altmetric has tracked 22,994,508 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 14,980 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.0. This one is in the 23rd percentile – i.e., 23% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 340,879 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 36th percentile – i.e., 36% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 407 others from the same source and published within six weeks on either side of this one. This one is in the 21st percentile – i.e., 21% of its contemporaries scored the same or lower than it.