Perceptions of the HPV Vaccine in Indian Immigrant Mothers

Authors

  • Ramya Chitturi Santa Clara High School
  • Kate Flowers Rossner

DOI:

https://doi.org/10.47611/jsrhs.v10i2.1757

Keywords:

human papillomavirus, HPV, vaccine acceptance, vaccine perceptions, Indian, immigrants, mothers, vaccination rates, Santa Clara County, California

Abstract

Each year, over 14 millions Americans are infected with human papillomavirus, or HPV. Yet, the 2020 US goal is to vaccinate 80% of all adolescents for HPV is over 25% higher than the actual vaccination rate of teens, which was 54.2% in 2019. In California specifically, Asians were found to have the lowest HPV vaccination rates compared to other ethnic groups. When looking at the major Asian subgroups, the Indian American population has grown by 76% between 2000 and 2010 in Santa Clara County. Yet, no previous studies have been conducted about the Indian immigrant population. Thus, this paper explores the following research question: How do Indian immigrant mothers in Santa Clara County, California perceive vaccinating their daughters for HPV? 

A phenomenological study using one-on-one virtual interviews was conducted using two question frameworks to structure the interview questions: the Socio-Context framework and Andersen's Behavioral Model of Health Services. Indian immigrant mothers’ were found to significantly prioritize their daughter’s safety. Another notable theme was that there was a strong trust in the overall science of vaccines to keep the daughters safe. Although many mothers believed that the HPV vaccine was a decision solely between the parents and the doctor, some mothers believed that their community would be influenced fairly strongly by the actions of their family and friends regarding vaccinating their children for HPV. Overall, this study examined the HPV vaccine perception in an understudied population, Indian immigrant mothers in California.

Downloads

Download data is not yet available.

References or Bibliography

Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: does it matter?. Journal of health and social behavior, 1-10. https://pubmed.ncbi.nlm.nih.gov/7738325/.

Baumgaertner, B., Carlisle, J. E., & Justwan, F. (2018). The influence of political ideology and trust on willingness to vaccinate. PloS one, 13(1), e0191728. https://doi.org/10.1371/journal.pone.0191728.

Berenson, A. B., Laz, T. H., Hirth, J. M., McGrath, C. J., & Rahman, M. (2014). Effect of the decision-making process in the family on HPV vaccination rates among adolescents 9–17 years of age. Human vaccines & immunotherapeutics, 10(7), 1807-1811. https://doi.org/10.4161/hv.28779.

Birnbaum-Weitzman O. (2013) Minority Subgroups. In: Gellman M.D., Turner J.R. (eds) Encyclopedia of Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1005-9_1437.

Cates, J. R., Brewer, N. T., Fazekas, K. I., Mitchell, C. E., & Smith, J. S. (2009). Racial differences in HPV knowledge, HPV vaccine acceptability, and related beliefs among rural, southern women. The Journal of Rural Health, 25(1), 93-97. https://doi.org/10.1111/j.1748-0361.2009.00204.x.

Centers for Disease Control and Prevention. (2017, August 14). NSFG - Listing S - Key Statistics from the National Survey of Family Growth. Centers for Disease Control and Prevention. https://www.cdc.gov/nchs/nsfg/key_statistics/s.htm#vaginalsexual.

Centers for Disease Control and Prevention. (2020, March 17). HPV Vaccine Safety and Effectiveness. Centers for Disease Control and Prevention. https://www.cdc.gov/vaccines/vpd/hpv/hcp/safety-effectiveness.html.

Centers for Disease Control and Prevention. (2020, September 9). Safety Information for HPV Vaccine. Centers for Disease Control and Prevention. https://www.cdc.gov/vaccinesafety/vaccines/hpv-vaccine.html.

Clifford, G., Franceschi, S., Diaz, M., Muñoz, N., & Villa, L. L. (2006). HPV type-distribution in women with and without cervical neoplastic diseases. Vaccine, 24, S26-S34. https://doi.org/10.1128/JCM.01981-07.

Constantine, N. A., & Jerman, P. (2007). Acceptance of human papillomavirus vaccination among Californian parents of daughters: a representative statewide analysis. Journal of Adolescent Health, 40(2), 108-115. https://doi.org/10.1016/j.jadohealth.2006.10.007.

Elam-Evans, L. D., Yankey, D., Singleton, J. A., Sterrett, N., Markowitz, L. E., Williams, C. L., ... & Stokley, S. (2020). National, regional, state, and selected local area vaccination coverage among adolescents aged 13–17 years—United States, 2019. Morbidity and Mortality Weekly Report, 69(33), 1109. http://doi.org/10.15585/mmwr.mm6933a1.

Elliott, S. (2010). Parents' constructions of teen sexuality: Sex panics, contradictory discourses, and social inequality. Symbolic Interaction, 33(2), 191-212. https://doi.org/10.1525/si.2010.33.2.191.

Greenfield, L. S., Page, L. C., Kay, M., Li-Vollmer, M., Breuner, C. C., & Duchin, J. S. (2015). Strategies for increasing adolescent immunizations in diverse ethnic communities. Journal of Adolescent Health, 56(5), S47-S53. https://doi.org/10.1016/j.jadohealth.2014.10.274.

Hussain, S., Nasare, V., Kumari, M., Sharma, S., Khan, M. A., Das, B. C., & Bharadwaj, M. (2014). Perception of human papillomavirus infection, cervical cancer and HPV vaccination in North Indian population. PLoS One, 9(11), e112861. https://doi.org/10.1371/journal.pone.0112861.

Jeudin, P., Liveright, E., Del Carmen, M. G., & Perkins, R. B. (2013). Race, ethnicity and income as factors for HPV vaccine acceptance and use. Human vaccines & immunotherapeutics, 9(7), 1413-1420. https://doi.org/10.4161/hv.24422.

McCaffery, K., Forrest, S., Waller, J., Desai, M., Szarewski, A., & Wardle, J. (2003). Attitudes towards HPV testing: a qualitative study of beliefs among Indian, Pakistani, African-Caribbean and white British women in the UK. British journal of cancer, 88(1), 42-46. https://doi.org/10.1038/sj.bjc.6600686.

McGhee, E. (2021, January 26). California's Political Geography 2020. Public Policy Institute of California. https://www.ppic.org/publication/californias-political-geography/.

Netfa, F., Tashani, M., Booy, R., King, C., Rashid, H., & Skinner, S. R. (2020). Knowledge, Attitudes and Perceptions of Immigrant Parents Towards Human Papillomavirus (HPV) Vaccination: A Systematic Review. Tropical Medicine and Infectious Disease, 5(2), 58. https://doi.org/10.3390/tropicalmed5020058.

Pasick, R. J., Burke, N. J., Barker, J. C., Joseph, G., Bird, J. A., Otero-Sabogal, R., ... & Guerra, C. (2009). Behavioral theory in a diverse society: Like a compass on Mars. Health Education & Behavior, 36(5_suppl), 11S-35S. https://doi.org/10.1177/1090198109338917.

Pew Research Center. Asian Americans. Pew Research Center. https://www.pewresearch.org/topics/asian-americans/.

Ranji, U., & Salganicoff, A. (2014). Balancing on shaking ground: women, work and family health. California: The Henry J Kaiser Family Foundation. https://files.kff.org/attachment/balancing-on-shaky-ground-women-work-and-family-health-data-note.

Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., ... & Jinks, C. (2018). Saturation in qualitative research: exploring its conceptualization and operationalization. Quality & quantity, 52(4), 1893-1907. https://doi.org/10.1007/s11135-017-0574-8.

Stafford, N. (2006). Finding Lost: The Unofficial Guide. Ecw Press.

Subaiya, L. (2008). Premarital sex in India: Issues of class and gender. Economic and Political Weekly, 54-59. https://doi.org/10.2307/40278237.

Sullivan, J. R. (2012). Skype: An appropriate method of data collection for qualitative interviews?. The Hilltop Review, 6(1), 10. https://scholarworks.wmich.edu/hilltopreview/vol6/iss1/10.

U.S. Department of Health and Human Services. (2020, October 8). Immunization and Infectious Diseases. Immunization and Infectious Diseases | Healthy People 2020. https://www.healthypeople.gov/2020/topics-objectives/topic/immunization-and-infectious-diseases/objectives.

White, M. D. (2014). Pros, cons, and ethics of HPV vaccine in teens—Why such controversy?. Translational andrology and urology, 3(4), 429. https://doi.org/10.3978/j.issn.2223-4683.2014.11.02.

Published

08-02-2021

How to Cite

Chitturi, R., & Flowers Rossner, K. (2021). Perceptions of the HPV Vaccine in Indian Immigrant Mothers. Journal of Student Research, 10(2). https://doi.org/10.47611/jsrhs.v10i2.1757

Issue

Section

AP Capstone™ Research