Abstract：
OBJECTIVE: Parental human papillomavirus (HPV) vaccine hesitancy contributes to delays or refusals in adolescent uptake. It is unclear if COVID-19 vaccine hesitancy has further impacted the low HPV vaccine uptake trends among underrepresented minorities. This study examines the relationship between COVID-19 vaccine intent and HPV vaccine hesitancy among parents for their adolescents in communities with low vaccine uptake in Los Angeles County.
METHODS: Parents from a school-based academic enrichment program serving low-income, first-generation immigrant families completed an online cross-sectional survey to understand parental HPV vaccine hesitancy, adolescent HPV vaccine behavior, and attitudes towards other vaccines, including intent to receive COVID-19 vaccines. In March 2021, parents with children ages 9-17 years completed online surveys. Using multivariate logistic regression models, we examined whether low parent intent to vaccinate their adolescent against COVID-19 was associated with hesitancy to vaccinate against HPV.
RESULTS: A total of 291 surveys were completed. Among parents with high HPV vaccine hesitancy for their adolescent, 33 % did not intend to vaccinate their adolescent against COVID-19 compared to 7 % among parents with low HPV vaccine hesitancy. Low parent intention to vaccinate adolescent against COVID-19 was associated with higher HPV vaccine hesitancy (p < 0.01) after controlling for parent nativity status, medical mistrust, receiving the flu vaccination and negative HPV information.
CONCLUSIONS: Our findings indicate associations between low parental COVID-19 vaccine intent and higher HPV vaccine hesitancy for their adolescent. Identifying community-relevant health interventions to address parental vaccine hesitancy across multiple child and adolescent vaccines may help to achieve equitable vaccine uptake.
METHODS: Parents from a school-based academic enrichment program serving low-income, first-generation immigrant families completed an online cross-sectional survey to understand parental HPV vaccine hesitancy, adolescent HPV vaccine behavior, and attitudes towards other vaccines, including intent to receive COVID-19 vaccines. In March 2021, parents with children ages 9-17 years completed online surveys. Using multivariate logistic regression models, we examined whether low parent intent to vaccinate their adolescent against COVID-19 was associated with hesitancy to vaccinate against HPV.
RESULTS: A total of 291 surveys were completed. Among parents with high HPV vaccine hesitancy for their adolescent, 33 % did not intend to vaccinate their adolescent against COVID-19 compared to 7 % among parents with low HPV vaccine hesitancy. Low parent intention to vaccinate adolescent against COVID-19 was associated with higher HPV vaccine hesitancy (p < 0.01) after controlling for parent nativity status, medical mistrust, receiving the flu vaccination and negative HPV information.
CONCLUSIONS: Our findings indicate associations between low parental COVID-19 vaccine intent and higher HPV vaccine hesitancy for their adolescent. Identifying community-relevant health interventions to address parental vaccine hesitancy across multiple child and adolescent vaccines may help to achieve equitable vaccine uptake.
摘要：
目的：父母对人乳头瘤病毒（HPV）疫苗的犹豫有助于青少年摄取的延迟或拒绝。目前尚不清楚COVID-19疫苗的犹豫是否进一步影响了少数族裔中HPV疫苗的低摄取趋势。这项研究调查了洛杉矶县疫苗摄入量低的社区中父母对青少年的COVID-19疫苗意图与HPV疫苗犹豫之间的关系。
方法：来自以学校为基础的学术充实计划的父母为低收入家庭服务，第一代移民家庭完成了一项在线横断面调查，以了解父母对HPV疫苗的犹豫，青少年HPV疫苗行为，以及对其他疫苗的态度，包括接受COVID-19疫苗的意向。2021年3月，有9-17岁孩子的父母完成了在线调查。使用多元逻辑回归模型，我们检查了父母为青少年接种COVID-19疫苗的意愿低是否与接种HPV疫苗的犹豫相关.
结果：共完成291项调查。在对青少年有高HPV疫苗犹豫的父母中，33%的人不打算为青少年接种COVID-19疫苗，相比之下，对HPV疫苗接种犹豫不决的父母只有7%。在控制父母出生状态后，父母对青少年接种COVID-19的意愿较低与较高的HPV疫苗犹豫有关（p<0.01），医学上的不信任,接受流感疫苗接种和HPV阴性信息。
结论：我们的研究结果表明，父母COVID-19疫苗的低意图与青少年对HPV疫苗的高犹豫之间存在关联。确定与社区相关的健康干预措施，以解决父母对多种儿童和青少年疫苗疫苗的犹豫，可能有助于实现公平的疫苗接种。
方法：来自以学校为基础的学术充实计划的父母为低收入家庭服务，第一代移民家庭完成了一项在线横断面调查，以了解父母对HPV疫苗的犹豫，青少年HPV疫苗行为，以及对其他疫苗的态度，包括接受COVID-19疫苗的意向。2021年3月，有9-17岁孩子的父母完成了在线调查。使用多元逻辑回归模型，我们检查了父母为青少年接种COVID-19疫苗的意愿低是否与接种HPV疫苗的犹豫相关.
结果：共完成291项调查。在对青少年有高HPV疫苗犹豫的父母中，33%的人不打算为青少年接种COVID-19疫苗，相比之下，对HPV疫苗接种犹豫不决的父母只有7%。在控制父母出生状态后，父母对青少年接种COVID-19的意愿较低与较高的HPV疫苗犹豫有关（p<0.01），医学上的不信任,接受流感疫苗接种和HPV阴性信息。
结论：我们的研究结果表明，父母COVID-19疫苗的低意图与青少年对HPV疫苗的高犹豫之间存在关联。确定与社区相关的健康干预措施，以解决父母对多种儿童和青少年疫苗疫苗的犹豫，可能有助于实现公平的疫苗接种。
