View in EDS HTML Full Text PDF Full Text

A Multilevel Intervention to Increase HPV Vaccination among Asian American Adolescents.

Saved in:
Bibliographic Details
Title: A Multilevel Intervention to Increase HPV Vaccination among Asian American Adolescents.
Authors: Ma, Grace X.1,2,3 grace.ma@temple.edu, Zhu, Lin1, Tan, Yin1, Zhai, Shumenghui1, Lin, Timmy R.1, Zambrano, Cristina4, Siu, Philip5, Lai, Sarah5, Wang, Min Qi6
Source: Journal of Community Health. Feb2022, Vol. 47 Issue 1, p9-16. 8p. 4 Charts.
Subject Terms: *Immunization, *Health promotion, *Cultural awareness, *Longitudinal method, *Adolescence, Pilot projects, Analysis of variance, Medical protocols, Randomized controlled trials, Medical care research, Health literacy, Medical care use, Sex distribution, Papillomavirus diseases, Human papillomavirus vaccines, Repeated measures design, Statistical sampling, Logistic regression analysis, Insurance
Geographic Terms: Pennsylvania
Abstract: Human papillomavirus (HPV) is the most common sexually transmitted infection in the US. HPV vaccine is a viable source of prevention against high-risk strains that are likely to cause cancer. However, particularly among racial and ethnic minorities such as Chinese Americans, HPV vaccination rates are suboptimal. The goal of this study was to evaluate the effect of a culturally tailored intervention on HPV vaccine uptake in Chinese Americans. We designed and implemented a multilevel longitudinal pilot study to examine the efficacy of the HPV intervention among Chinese American parents/guardians. We recruited 180 participants from federally qualified health center and community-based clinics that serve predominantly low-income Chinese Americans in Philadelphia. Participants were randomized into an intervention group (n = 110) or a control group (n = 70). The intervention group received an HPV specific intervention, while the control group received a general health intervention. The primary outcome was medical record-confirmed receipt of first shot and completion of HPV vaccine within six months of receiving the interventions. Repeated measure ANOVA was utilized to examine the intervention effect on knowledge between intervention and control groups. Knowledge differed significantly, with participants in the intervention group demonstrating the greatest improvement following the intervention. A multivariable logistic regression was used to examine the association between HPV vaccine initiation and study group assignment. There was a significant effect of provider recommendation, parent's gender, and health insurance status on HPV vaccine uptake. This study demonstrated positive impact of a culturally tailored intervention on HPV vaccination uptake among Chinese Americans. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: ehh
DbLabel: Education Research Complete
An: 155126861
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: A Multilevel Intervention to Increase HPV Vaccination among Asian American Adolescents.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Ma%2C+Grace+X%2E%22">Ma, Grace X.</searchLink><relatesTo>1,2,3</relatesTo><i> grace.ma@temple.edu</i><br /><searchLink fieldCode="AR" term="%22Zhu%2C+Lin%22">Zhu, Lin</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Tan%2C+Yin%22">Tan, Yin</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Zhai%2C+Shumenghui%22">Zhai, Shumenghui</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Lin%2C+Timmy+R%2E%22">Lin, Timmy R.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Zambrano%2C+Cristina%22">Zambrano, Cristina</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Siu%2C+Philip%22">Siu, Philip</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Lai%2C+Sarah%22">Lai, Sarah</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Wang%2C+Min+Qi%22">Wang, Min Qi</searchLink><relatesTo>6</relatesTo>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Journal+of+Community+Health%22">Journal of Community Health</searchLink>. Feb2022, Vol. 47 Issue 1, p9-16. 8p. 4 Charts.
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: *<searchLink fieldCode="DE" term="%22Immunization%22">Immunization</searchLink><br />*<searchLink fieldCode="DE" term="%22Health+promotion%22">Health promotion</searchLink><br />*<searchLink fieldCode="DE" term="%22Cultural+awareness%22">Cultural awareness</searchLink><br />*<searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br />*<searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+research%22">Medical care research</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+use%22">Medical care use</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Papillomavirus+diseases%22">Papillomavirus diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Human+papillomavirus+vaccines%22">Human papillomavirus vaccines</searchLink><br /><searchLink fieldCode="DE" term="%22Repeated+measures+design%22">Repeated measures design</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Insurance%22">Insurance</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Pennsylvania%22">Pennsylvania</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Human papillomavirus (HPV) is the most common sexually transmitted infection in the US. HPV vaccine is a viable source of prevention against high-risk strains that are likely to cause cancer. However, particularly among racial and ethnic minorities such as Chinese Americans, HPV vaccination rates are suboptimal. The goal of this study was to evaluate the effect of a culturally tailored intervention on HPV vaccine uptake in Chinese Americans. We designed and implemented a multilevel longitudinal pilot study to examine the efficacy of the HPV intervention among Chinese American parents/guardians. We recruited 180 participants from federally qualified health center and community-based clinics that serve predominantly low-income Chinese Americans in Philadelphia. Participants were randomized into an intervention group (n = 110) or a control group (n = 70). The intervention group received an HPV specific intervention, while the control group received a general health intervention. The primary outcome was medical record-confirmed receipt of first shot and completion of HPV vaccine within six months of receiving the interventions. Repeated measure ANOVA was utilized to examine the intervention effect on knowledge between intervention and control groups. Knowledge differed significantly, with participants in the intervention group demonstrating the greatest improvement following the intervention. A multivariable logistic regression was used to examine the association between HPV vaccine initiation and study group assignment. There was a significant effect of provider recommendation, parent's gender, and health insurance status on HPV vaccine uptake. This study demonstrated positive impact of a culturally tailored intervention on HPV vaccination uptake among Chinese Americans. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=155126861
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s10900-021-01013-z
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 9
    Subjects:
      – SubjectFull: Immunization
        Type: general
      – SubjectFull: Health promotion
        Type: general
      – SubjectFull: Cultural awareness
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Medical protocols
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Medical care research
        Type: general
      – SubjectFull: Health literacy
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Papillomavirus diseases
        Type: general
      – SubjectFull: Human papillomavirus vaccines
        Type: general
      – SubjectFull: Repeated measures design
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Insurance
        Type: general
      – SubjectFull: Pennsylvania
        Type: general
    Titles:
      – TitleFull: A Multilevel Intervention to Increase HPV Vaccination among Asian American Adolescents.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Ma, Grace X.
      – PersonEntity:
          Name:
            NameFull: Zhu, Lin
      – PersonEntity:
          Name:
            NameFull: Tan, Yin
      – PersonEntity:
          Name:
            NameFull: Zhai, Shumenghui
      – PersonEntity:
          Name:
            NameFull: Lin, Timmy R.
      – PersonEntity:
          Name:
            NameFull: Zambrano, Cristina
      – PersonEntity:
          Name:
            NameFull: Siu, Philip
      – PersonEntity:
          Name:
            NameFull: Lai, Sarah
      – PersonEntity:
          Name:
            NameFull: Wang, Min Qi
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 02
              Text: Feb2022
              Type: published
              Y: 2022
          Identifiers:
            – Type: issn-print
              Value: 00945145
          Numbering:
            – Type: volume
              Value: 47
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Journal of Community Health
              Type: main
ResultId 1