Examining the Integrative Effects of Adolescent, Parent, Provider, and Practice Level Factors on Adolescents' HPV Vaccine Uptake across Six Asian American Subgroups
检查青少年、家长、提供者和实践水平因素对六个亚裔美国人亚群体青少年 HPV 疫苗接种的综合影响
基本信息
- 批准号:10371334
- 负责人:
- 金额:$ 8.32万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-02-01 至 2024-01-31
- 项目状态:已结题
- 来源:
- 关键词:12 year old17 year old9 year oldAddressAdolescentAdvisory CommitteesAffectAgeAnogenital venereal wartsAsianAsian AmericansAsian IndianAwarenessCenters for Disease Control and Prevention (U.S.)Cervix UteriCessation of lifeCharacteristicsChildChineseClinicClinicalClinical ResearchComplexDataDevelopmentDiseaseEligibility DeterminationEmpirical ResearchEquationEthnic OriginFamily PracticeFemale AdolescentsFilipinoGoalsGoldHealthHospitalsHuman Papilloma Virus VaccinationHuman Papilloma Virus VaccineHuman PapillomavirusHuman papillomavirus 16Human papillomavirus 18ImmunizationIndividualJapaneseKnowledgeKoreansLinkLiteratureLogistic RegressionsMalignant NeoplasmsMediatingMediator of activation proteinModelingNational Cancer InstituteOropharyngealParentsPediatricsPersonsPresident&aposs Cancer PanelProcessProviderPublic HealthRaceRecommendationReportingResearchRoleSafetySamplingSampling StudiesServicesSexually Transmitted DiseasesSubgroupSurveysTeenagersTranslatingVaccinatedVaccinationVaccinesagedbaseboysclinical practicedata to knowledgedisparity reductionepidemiologic dataevidence basegirlshigh riskhigh risk populationimprovedmedical specialtiespenispractice factorspreventsocialsocial culturesocial determinantsvaccination outcomevaccine acceptance
项目摘要
PROJECT SUMMARY
Human papillomavirus (HPV) is the most common form of sexually transmitted infection in the US, with
approximately 79 million US individuals infected with HPV. The Advisory Committee on Immunization Practices
(ACIP) recommends vaccine initiation between 11–12 years old, and it can be initiated as young as 9 years old.
However, less than half of 13- to 17-year-old girls and less than one-third boys were fully vaccinated against
HPV, much lower than the80% goal of Healthy People 2030. Significant barriers to HPV vaccination have
been identified in 1) missed clinical opportunities due to provider and practice-related barriers, 2) low parental
awareness, and 3) limited access to HPV vaccination services due to sociocultural and financial barriers.
Asian Americans are disproportionally affected by HPV and HPV related conditions. Despite public
health efforts, HPV vaccination rates were suboptimal in Asian American adolescents. Regional data showed
low awareness of HPV vaccine and low vaccination rates in Chinese, Filipino, Japanese, Asian Indian, Korean,
and Vietnamese subgroups. However, literature of the multilevel social determinants of HPV vaccine in Asian
Americans is limited. Identifying high-risk groups and the multilevel mechanisms of HPV vaccine uptake are
crucial in reducing disparities and increasing HPV vaccination rates in Asian American adolescents.
This study will be the first study to use a nationally representative sample to examine the integrative
effects of adolescent, parent, provider, and practice level factors in six Asian American subgroups. The
proposed study will leverage the existing data from the 2010–2019 National Immunization Survey-Teen (NIS-
Teen), the gold standard of US vaccination data. The study sample will include 6,019 boys and girls aged 13–
17 of Chinese (1,613), Filipino (1,383), Japanese (834), Indian (800), Korean (786), and Vietnamese (603)
ethnicity. The specific aims are,
Aim 1: to examine the integrative effects of adolescent, parent, provider, and practice level factors in
their association with adolescent's HPV vaccine initiation and completion among six Asian American
subgroups.
Aim 2: to investigate the parent-reported reasons for delay or refusal of HPV vaccine for adolescents
across six Asian American subgroups.
Each specific aim addresses a unique research question that links practice/provider characteristics with
adolescents/parent level factors, and together provide a comprehensive understanding of the social
mechanisms of HPV vaccine uptake in Asian adolescents.
Findings
of
this
proposed
study
will
provide
subgroup-specific epidemiological data, guide the improvement of clinical practices, and inform the
development of evidence-based strategies to reduce missed opportunities and improve adolescent vaccination
in Asian American adolescents.
项目总结
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Lin Zhu其他文献
Lin Zhu的其他文献
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{{ truncateString('Lin Zhu', 18)}}的其他基金
Linking Social-Behavior Contextual Factors and Allostatic Load to Chronic Diseases in Diverse Asian Americans: A Socioecological Approach to Advancing Precision Medicine and Health Equity
将社会行为背景因素和稳态负荷与不同亚裔美国人的慢性病联系起来:推进精准医疗和健康公平的社会生态学方法
- 批准号:
10799170 - 财政年份:2023
- 资助金额:
$ 8.32万 - 项目类别:
Prospects for hepatitis C elimination in networks of people who inject drugs through improvements in the care continuum
通过改善护理连续性在注射吸毒者网络中消除丙型肝炎的前景
- 批准号:
10591937 - 财政年份:2023
- 资助金额:
$ 8.32万 - 项目类别:
Examining the Integrative Effects of Adolescent, Parent, Provider, and Practice Level Factors on Adolescents' HPV Vaccine Uptake across Six Asian American Subgroups
检查青少年、家长、提供者和实践水平因素对六个亚裔美国人亚群体青少年 HPV 疫苗接种的综合影响
- 批准号:
10551328 - 财政年份:2022
- 资助金额:
$ 8.32万 - 项目类别:
Does Senescence Impair the Cardiovascular Benefits of Menopause Hormone Therapy?
衰老是否会损害更年期激素疗法对心血管的益处?
- 批准号:
10612102 - 财政年份:2022
- 资助金额:
$ 8.32万 - 项目类别:
Does Senescence Impair the Cardiovascular Benefits of Menopause Hormone Therapy?
衰老是否会损害更年期激素疗法对心血管的益处?
- 批准号:
10429132 - 财政年份:2022
- 资助金额:
$ 8.32万 - 项目类别:
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