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HPV Vaccine recommendations: does a health care provider's gender and ethnicity matter to Unvaccinated Latina college women?
- Source :
-
Ethnicity & Health . Aug2019, Vol. 24 Issue 6, p645-661. 17p. 2 Charts. - Publication Year :
- 2019
-
Abstract
- Objectives: There are disparities in the uptake of HPV vaccine among racial/ethnic minority women. The strongest predictor of HPV vaccine uptake among adult women is health care provider (HCP) recommendation; however, it is unclear how issues relating to race/ethnicity may mitigate these recommendations. Research shows that racial/ethnic and gender concordance between a patient and HCP can improve patient satisfaction, access and quality of care. If concordance contributes to improved patient-provider interactions, then it may be a factor in patient decisions regarding HPV vaccination. The objectives of this study were to (1) explore gender and ethnicity HCP preference regarding HPV vaccination among unvaccinated; and (2) understand factors associated with those preferences. Design: Unvaccinated Latina college students (n = 187) completed a survey that assessed HCP preferences, medical mistrust, cultural assimilation and HPV vaccine recommendation. Logistic regression models evaluated associations between above variables with HPV knowledge and preference for a female and/or Latina HCP. Results: Most respondents had health insurance (71%), a regular HCP (64%), were US-born (67%), with foreign-born parents (74%). Thirty-four percent and 18% agreed that they would be more likely to get the HPV vaccine if the recommending HCP was female and Latino, respectively. Latina women reporting higher medical mistrust preferred a HPV vaccine recommendation from a Latino/a provider. Conclusions: Latinas' preferences regarding gender and ethnicity of their HCPs may affect patient-provider interactions. Increasing diversity and cultural awareness among HCPs, and providing linguistically and culturally-appropriate information may decrease patient-provider mistrust, increase uptake of the HPV vaccine, and decrease persistent cervical cancer disparities. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HUMAN papillomavirus vaccines
*ATTITUDE (Psychology)
*CHI-squared test
*PSYCHOLOGY of college students
*COMMUNICATION
*CULTURE
*HEALTH services accessibility
*PSYCHOLOGY of Hispanic Americans
*MEDICAL quality control
*PSYCHOLOGY of Minorities
*PATIENT satisfaction
*PHYSICIAN-patient relations
*QUESTIONNAIRES
*RACE
*RESEARCH funding
*STATISTICAL sampling
*SEX distribution
*STATISTICS
*TRUST
*VACCINATION
*WOMEN'S health
*ETHNOLOGY research
*LOGISTIC regression analysis
*HEALTH literacy
*DATA analysis software
*THERAPEUTICS
PAPILLOMAVIRUS disease prevention
Subjects
Details
- Language :
- English
- ISSN :
- 13557858
- Volume :
- 24
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Ethnicity & Health
- Publication Type :
- Academic Journal
- Accession number :
- 137165673
- Full Text :
- https://doi.org/10.1080/13557858.2017.1367761