Disclosures: The authors have no disclosures to report.
Human Papillomavirus Vaccine Awareness, Uptake, and Parental and Health Care Provider Communication Among 11- to 18-Year-Old Adolescents in a Rural Appalachian Ohio County in the United States
Version of Record online: 8 JUL 2014
© 2014 National Rural Health Association
The Journal of Rural Health
Volume 31, Issue 1, pages 67–75, Winter 2015
How to Cite
Bhatta, M. P. and Phillips, L. (2015), Human Papillomavirus Vaccine Awareness, Uptake, and Parental and Health Care Provider Communication Among 11- to 18-Year-Old Adolescents in a Rural Appalachian Ohio County in the United States. The Journal of Rural Health, 31: 67–75. doi: 10.1111/jrh.12079
Acknowledgments: We would like to thank Ms. Jennifer Burns and Mr. John McCall of the County Children and Family First Council and Ms. Susie Frew and Mr. Nicholas Cascarelli of the County General Health District for their collaboration in conducting the study. We would also like to thank the middle school students and their parents for their participation in and support of the survey.
- Issue online: 26 DEC 2014
- Version of Record online: 8 JUL 2014
- HPV vaccine awareness;
- parental or health care provider communication;
- rural Appalachia;
This study examined human papillomavirus (HPV) vaccine awareness and uptake, and communication with a parent and/or a health care provider among 11- to 18-year-old male and female adolescents in an Appalachian Ohio county.
Five questions regarding the HPV vaccine were added to the 2012 Youth Risk Behavior Surveillance System (YRBSS) surveys administered to middle and high school students in the county. The YRBSS surveys are school-based, anonymous, and voluntary. The questions added were about vaccine awareness and uptake, and communication with a parent or health care provider about the vaccine.
Of the 1,299 participants, 51.9% were male and 90.3% were white. Overall, 49.2%, 23.5%, 19.2%, and 24.6%, respectively, reported vaccine awareness, uptake of at least 1 dose of the HPV vaccine, communication with a parent, and communication with a health care provider. Females and adolescents ≥15 years were significantly more likely to report awareness, uptake, and parental and provider communication than males and adolescents ≤14 years. Adolescents receiving any dose of the vaccine were significantly more likely to have had a parent (OR: 3.74; 95% CI: 2.30-6.06) or a health care provider (OR: 10.91; 95% CI: 6.42-18.6) discuss the vaccine than those who had not received any dose.
Despite the strong link between parental and health care provider communication and HPV vaccine uptake, the levels of communication remain low in this Appalachian population. These findings suggest the need for public health education programs targeting the health care providers, the parents, and the adolescents to improve awareness, knowledge, and HPV vaccine uptake.