Browsing by Subject "HPV vaccine"
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Item Open Access HPV Vaccine Distribution: An Ethical Tug-of-War. Perceptions Among Latina Mothers Living in Durham, NC(2009-12) Remtulla, ZahraThis research project examined the views of Latina mothers living in Durham, North Carolina on four major ethical dilemmas surrounding HPV vaccine distribution: mandating the vaccine for school entry, vaccinating males as well as females, allowing adolescent access to the vaccine without parental permission and requiring the vaccine for new female immigrants to the United States. Forty-five self-identified Latina mothers living in Durham, NC participated in six focus groups conducted in Spanish between September – October 2009. Latina mothers showed high acceptance of the vaccine in general, but voiced low desire to vaccinate their own daughters. Participants also favored conservative approaches to its distribution. Mothers opposed a school mandate, believing parental and individual autonomy should be respected, but were in favor of vaccinating males to protect them from HPV and related diseases. Participants also believed parental consent should be required for adolescent vaccination, because parents have a right and responsibility to be involved in the decision. Lastly, Latina mothers disagreed with the immigrant requirement, calling it a form of discrimination and racism. Cultural factors did influence some of participants’ views; however, the majority of opinions expressed were similar to those encountered in the literature for other groups. The HPV vaccine has the potential to reduce cervical cancer incidence among Latinos; however, mothers must be better informed about the vaccine, which could increase their desire to vaccinate their own daughters. The vaccine’s affordability within the Latino community must also be considered.Item Open Access Human Papillomavirus Awareness in Haiti: Preparing for a National HPV Vaccination Program.(J Pediatr Adolesc Gynecol, 2017-02) Boggan, J; Gichane, MW; Calo, WM; McCarthy, SH; Walmer, KA; Brewer, NTSTUDY OBJECTIVE: Cervical cancer morbidity and mortality are pressing public health issues that affect women in Haiti. To inform efforts to develop a human papillomavirus (HPV) vaccination program in Haiti, we sought to understand HPV awareness and willingness to get HPV vaccination in Haiti. DESIGN, SETTING, AND PARTICIPANTS: We interviewed a convenience sample of 475 women and men in 2 clinical settings in Port-au-Prince and Léogâne, Haiti between April and July 2014. INTERVENTIONS AND MAIN OUTCOME MEASURES: HPV awareness and willingness to get HPV vaccine for daughters. RESULTS: Few participants (27%, 130/475) had heard of HPV. Awareness of HPV was higher among respondents with a previous sexually transmitted infection compared with those without a previous sexually transmitted infection (odds ratio, 2.38; 95% confidence interval, 1.10-5.13). Adults who had heard of genital warts were also more likely to be aware of HPV compared with those who had not (odds ratio, 4.37; 95% confidence interval, 2.59-7.38). Only 10% (24/250) of parents had previously heard of HPV vaccine; however, after researchers explained the purpose of the vaccine, nearly all (96%, 240/250) said they would be willing to get HPV vaccine for their daughters if it were available. CONCLUSION: Despite low awareness of HPV in Haiti, interest in HPV vaccination was nearly universal in our study of health care-seeking adults. This high acceptability suggests that HPV vaccination programs instituted in Haiti would be well received.Item Open Access