Perceptions and Barriers to Human Papillomavirus Vaccination and Cervical Cancer Screenings: A Survey Study of Underserved Populations in North Texas
ABSTRACT Background Human papillomavirus (HPV) is a common cause of cervical cancer along with several other neoplasms. With the availability of HPV vaccination and cervical cancer screenings, it is more likely for cervical cancers to be prevented or caught early in their course. However, there are...
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Wiley
2024-12-01
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| Series: | Public Health Challenges |
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| Online Access: | https://doi.org/10.1002/puh2.70018 |
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| author | Sofia Eva Olsson Sameep Shah Erin Haase Kelly Pagidas |
| author_facet | Sofia Eva Olsson Sameep Shah Erin Haase Kelly Pagidas |
| author_sort | Sofia Eva Olsson |
| collection | DOAJ |
| description | ABSTRACT Background Human papillomavirus (HPV) is a common cause of cervical cancer along with several other neoplasms. With the availability of HPV vaccination and cervical cancer screenings, it is more likely for cervical cancers to be prevented or caught early in their course. However, there are disparities and barriers preventing all individuals from obtaining proper preventative care. Methods An online survey analyzing compliance, barriers, and subjective perceptions of HPV vaccination and cervical cancer screening was distributed via flyers. These were placed in the half of zip codes with lowest median income in Fort Worth, Texas. Results Respondents with non‐White race, income of $40,000 or less, and a maximum education of high school or less were 4.24, 3.2, and 1.2 times more likely to have incomplete HPV vaccination, respectively. Respondents with an income of $40,000 or less and a maximum education of high school were 3.2 and 2.6 times more likely to be overdue for cervical cancer screening, respectively. The most common barrier for HPV vaccination was lack of knowledge, and for cervical cancer screening, it was cost. Most respondents felt as though cervical cancer screening allows for early cancer detection and decreased mortality but also endorsed feelings of pain, embarrassment, and fear of the test. Conclusions HPV vaccine and cervical cancer screening non‐compliance is likely multifactorial, including lack of knowledge and cost. Interventions such as increased access to pediatric care and increased opportunities for free preventative healthcare may be helpful in both reducing stigma and improving access to care. |
| format | Article |
| id | doaj-art-935dfafd67e24f46b7869b6ae328cb34 |
| institution | OA Journals |
| issn | 2769-2450 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Public Health Challenges |
| spelling | doaj-art-935dfafd67e24f46b7869b6ae328cb342025-08-20T02:32:12ZengWileyPublic Health Challenges2769-24502024-12-0134n/an/a10.1002/puh2.70018Perceptions and Barriers to Human Papillomavirus Vaccination and Cervical Cancer Screenings: A Survey Study of Underserved Populations in North TexasSofia Eva Olsson0Sameep Shah1Erin Haase2Kelly Pagidas3Anne Burnett Marion School of MedicineTexas Christian UniversityFort WorthTexasUSADepartment of Computer ScienceCollege of Science and EngineeringTexas Christian UniversityFort WorthTexasUSAAnne Burnett Marion School of MedicineTexas Christian UniversityFort WorthTexasUSASchool of MedicineLouisiana State University Health Sciences CenterShreveport Louisiana USAABSTRACT Background Human papillomavirus (HPV) is a common cause of cervical cancer along with several other neoplasms. With the availability of HPV vaccination and cervical cancer screenings, it is more likely for cervical cancers to be prevented or caught early in their course. However, there are disparities and barriers preventing all individuals from obtaining proper preventative care. Methods An online survey analyzing compliance, barriers, and subjective perceptions of HPV vaccination and cervical cancer screening was distributed via flyers. These were placed in the half of zip codes with lowest median income in Fort Worth, Texas. Results Respondents with non‐White race, income of $40,000 or less, and a maximum education of high school or less were 4.24, 3.2, and 1.2 times more likely to have incomplete HPV vaccination, respectively. Respondents with an income of $40,000 or less and a maximum education of high school were 3.2 and 2.6 times more likely to be overdue for cervical cancer screening, respectively. The most common barrier for HPV vaccination was lack of knowledge, and for cervical cancer screening, it was cost. Most respondents felt as though cervical cancer screening allows for early cancer detection and decreased mortality but also endorsed feelings of pain, embarrassment, and fear of the test. Conclusions HPV vaccine and cervical cancer screening non‐compliance is likely multifactorial, including lack of knowledge and cost. Interventions such as increased access to pediatric care and increased opportunities for free preventative healthcare may be helpful in both reducing stigma and improving access to care.https://doi.org/10.1002/puh2.70018barriers to carebarriers to healthcarecervical cancer screeninghuman papillomavirus (HPV) vaccinationhuman papillomavirusPap smear |
| spellingShingle | Sofia Eva Olsson Sameep Shah Erin Haase Kelly Pagidas Perceptions and Barriers to Human Papillomavirus Vaccination and Cervical Cancer Screenings: A Survey Study of Underserved Populations in North Texas Public Health Challenges barriers to care barriers to healthcare cervical cancer screening human papillomavirus (HPV) vaccination human papillomavirus Pap smear |
| title | Perceptions and Barriers to Human Papillomavirus Vaccination and Cervical Cancer Screenings: A Survey Study of Underserved Populations in North Texas |
| title_full | Perceptions and Barriers to Human Papillomavirus Vaccination and Cervical Cancer Screenings: A Survey Study of Underserved Populations in North Texas |
| title_fullStr | Perceptions and Barriers to Human Papillomavirus Vaccination and Cervical Cancer Screenings: A Survey Study of Underserved Populations in North Texas |
| title_full_unstemmed | Perceptions and Barriers to Human Papillomavirus Vaccination and Cervical Cancer Screenings: A Survey Study of Underserved Populations in North Texas |
| title_short | Perceptions and Barriers to Human Papillomavirus Vaccination and Cervical Cancer Screenings: A Survey Study of Underserved Populations in North Texas |
| title_sort | perceptions and barriers to human papillomavirus vaccination and cervical cancer screenings a survey study of underserved populations in north texas |
| topic | barriers to care barriers to healthcare cervical cancer screening human papillomavirus (HPV) vaccination human papillomavirus Pap smear |
| url | https://doi.org/10.1002/puh2.70018 |
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