Clinician offering is a key factor associated with HPV vaccine uptake among Mexican mothers in the USA and Mexico: a cross-sectional study

Yvonne N. Flores (), Jorge Salmerón, Beth A. Glenn, Cathy M. Lang, L. Cindy Chang and Roshan Bastani
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Yvonne N. Flores: Instituto Mexicano del Seguro Social
Jorge Salmerón: Instituto Mexicano del Seguro Social
Beth A. Glenn: Fielding School of Public Health
Cathy M. Lang: UCLA Fielding School of Public Health
L. Cindy Chang: Fielding School of Public Health and Jonsson Comprehensive Cancer Center
Roshan Bastani: Fielding School of Public Health

International Journal of Public Health, 2019, vol. 64, issue 3, No 4, 323-332

Abstract: Abstract Objective To compare the knowledge, beliefs, and practices regarding HPV vaccination among mothers of vaccine-eligible girls in Mexico and the USA. Methods Similar samples of Mexican mothers with vaccine-eligible daughters were surveyed at two clinics in Cuernavaca, Morelos, from July to October 2012 (n = 200) and at two clinics in Oxnard, California, from August to November 2013 (n = 200). Results Although mothers in the USA had less knowledge and more negative attitudes toward the vaccine than their counterparts in Mexico, vaccine uptake rates were higher in the USA (49% vs. 40%). US mothers were more likely to have discussed and been offered the HPV vaccine by a clinician than mothers in Mexico. In multivariate analyses, having been offered the HPV vaccine was the most important predictor of vaccine uptake. Conclusions Our results suggest that healthcare access or other system, clinic, or provider factors are the main drivers of vaccine receipt in this binational sample of Mexican mothers. Interventions and programs that encourage clinicians to offer the HPV vaccine should be developed to increase vaccine uptake in both countries.

Keywords: Human papillomavirus; Vaccination; Cervical cancer prevention; Health disparities; Mexico; Latinos (search for similar items in EconPapers)
Date: 2019
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DOI: 10.1007/s00038-018-1176-5

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