2018
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Browsing 2018 by Author "Ahmed, Syed"
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Item Assessing Caregiver Health Literacy on HPV and the HPV Vaccine Based on Health Provider Communication(2018-03-14) Fernando, Shane PhD MS; Roane, Brandy Ph.D., CBSM; Whiting, Whitney; Ahmed, Syed; Hurt, EmilyAbstract Purpose: HPV is an easily spread sexual infection that is a leading cause of cervical cancer and contributes to penile, anal and throat cancer. Despite the high success rate of the HPV vaccine in targeting high risk strains of HPV, the rate of use of the vaccine remains low. This project aims to assess patient literacy about HPV and better understand the misconceptions that keep individuals from becoming vaccinated. We will also examine the role of provider education. The goal is to also increase awareness about HPV and the vaccine. Methods: Surveys were administered to parents of pediatric patients recruited at the UNTHSC Patient Care Center. After consenting and completing the multiple choice surveys, participants were given a brief education session concerning questions in the survey about HPV and the vaccine. They were also given a handout ‘What you need to know about Human Papilloma Virus (HPV)’ to keep. 10 days later participants were contacted to complete the same “follow up survey” to determine retention of knowledge. Results: The number of participants that reported prior HPV education by a health care provider equaled the number that denied previous education. On HPV knowledge assessment questions, the number of participants that chose the correct/true statement varied by question and by self-reported HPV education. The group that reported HPV education did not show greater knowledge then the other group. Conclusion: The facts that there is more than one type of HPV and that there is no cure for HPV are less well known. Although participants demonstrated some correct basic knowledge about HPV and the vaccine, there is a lack of complete understanding regarding the magnitude of the disease and the long term consequences. Further work should be aimed at increasing education and exploring the correlation with vaccine acceptance.Item Assessment of Variability in Intent to Vaccinate against HPV among Caregivers of Pediatric Patients(2018-03-14) Fernando, Shane PhD MS; Roane, Brandy PhD; Hurt, Emily; Ahmed, Syed; Whiting, WhitneyPurpose: HPV is the leading STD in the United States and the primary cause of cervical cancer in women worldwide. The HPV vaccine has a high success rate in protecting against high-risk strains of HPV, however vaccination rates are low. The purpose of this study is to identify barriers to vaccination administration by focusing on racial disparities when factoring income, education, and provider recommendation for the vaccine as effect modifiers. Methods: Multiple choice surveys were given to the parents/guardians of pediatric patients of the department of Pediatrics that consisted of 50 questions regarding the patient’s socioeconomic status and knowledge/opinions of HPV and the vaccine. A five to ten-minute education session was given after the encounter and a handout about HPV and the vaccine was given to parent/guardian to take home. Ordinal logistic regression was performed in order to obtain results. Results: Ordinal Regression showed that parents with some higher education, incomes between 40,000-70,000 a year, and who are Non-Hispanic whites had decreased intent to vaccinate their children. Discussion: The study focused on obtaining factors such as income, education, and race as effect modifiers in relation to the intent to vaccinate. Race was the most influential factor, and Non-Hispanic Caucasians appeared to be less likely to vaccinate than Hispanic populations, contrary to multiple studies. Secondly, lower levels of education did not correlate with less intent to vaccinate. Those with some higher education were less likely to want to vaccinate their children, while those with high school or below had more intent. Lastly, the more income an individual had, the less likely they were willing to vaccinate. All findings were contrary to the hypothesis that Hispanic populations, lower income, and lower education levels would have less intent to vaccinate. Some factors in the study did not have enough data to compute a substantiated analysis. Suggestions for further research would be to collect more surveys from missing demographics and clarification of questions to avoid confusion about intent to vaccinate. Barriers were finding subjects with children in target age groups. Conclusion: Race, income, and education did have an effect on whether a parent had intent to vaccinate their child with the HPV vaccine. However, the results showed that those who were Non-Hispanic Caucasians, higher income, and obtained some higher education were less likely to want to vaccinate their children in comparison to other populations. Multiple studies showed that minorities and lower income populations were less likely to get the vaccine series due to lack of knowledge and less provider recommendation, though they do not investigate the intention to vaccinate. Provider recommendation seemed to be the most influential factor in increasing vaccination rates in these studies. This project is a living study and will be edited to provide more target questions for certain demographics and clarify questions that surveyors had difficulty answering.Item Relationship Between Child Gender and Parental Awareness of the HPV Vaccine(2018-03-14) Fernando, Shane PhD MS; Hurt, Emily; Whiting, Whitney; Roane, Brandy PhD; Ahmed, SyedPurpose: While human papillomavirus (HPV) affects both boys and girls, the vaccination rate between the two genders differs. Literacy regarding the HPV vaccine plays a role in vaccination status and parental literacy may influence the variable nature of vaccination rates between boys and girls. This study was designed to assess the role of gender bias in parental vaccine literacy. We believe that parents with daughters will have increased knowledge regarding the HPV vaccine compared to parents with sons. Methods: Data were collected from 53 participants at the UNTHSC Patient Care Center Pediatric Department. Parents were asked to complete a survey regarding the HPV vaccine and were educated about the vaccine after completing the survey. A flyer with information about the vaccine was given to the participants who were called approximately 10 days after completing the survey to gauge retention of information. Data was assessed using a chi-squared analysis for possible connections between child gender and the accuracy of survey answers. Results: 81% of parents of female children (POFC) answered that they understood how HPV was spread compared to 72% of parents of male children (POMC). 44% of POMC and 39% of POFC were unsure about whether condoms fully protect against HPV. Only 52% of POMC correctly answered that there is an HPV vaccine for boys compared to 74% of POFC. 35% of POMC reported having a healthcare provider speak to them about the HPV vaccine compared to 44% of POFC. Conclusions: Both sets of parents displayed variable understanding regarding different aspects of HPV and the HPV vaccine. POMC displayed a greater lack of understanding about how HPV is spread as well as the incorrect belief that HPV is spread only through sexual contact. POMC were also less likely to be aware of a male HPV vaccine. This variance in knowledge may indicate that there is a reduced likelihood that POMC will learn about vaccines from healthcare providers compared to POFC. Misbelief among POMC as well as a lack of education from providers could play a role in reduced vaccination rates among boys. Future studies should investigate the need for unique training for providers regarding speaking with POMC about the HPV vaccine.