Hpv latino survey workgroup update
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HPV Latino Survey Workgroup: Update. CPCRN Spring Meeting South Carolina March 22, 2012 Roshan Bastani & Jennifer Allen . Background. Collaboration among 3 CPCRN sites: University of California, Los Angeles University of Texas, Houston University of Washington, Seattle

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HPV Latino Survey Workgroup: Update

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Hpv latino survey workgroup update

HPV Latino Survey Workgroup:Update

CPCRN Spring Meeting

South Carolina

March 22, 2012

Roshan Bastani & Jennifer Allen


Background

Background

  • Collaboration among 3 CPCRN sites:

    • University of California, Los Angeles

    • University of Texas, Houston

    • University of Washington, Seattle

  • Initiated in November in 2008

  • Used the Health Behavior Framework to develop a set of 24 core HPV vaccine survey items


Hpv latino survey workgroup update

Summary of Progress

  • Surveyed Latino parents of girls ages 9–18 in Los Angeles (N=274), Seattle area-Yakima Valley (N=90), Houston (N=83),

  • Data collection and descriptive analysis are complete

  • Drafted a collaborative manuscript based on data collected

  • Identifying next steps based on study results


Hpv latino survey workgroup update

  • Funded HPV Projects

  • University of Washington, Seattle (with UCLA CPCRN)

    • NCI R21, HPV Vaccination in the Cambodian Community,

      2011-2013

  • University of Texas, Houston

    • CPRIT-funded HPV Research Project, 2010-2013

    • CPRIT-funded , 2-1-1 Cancer Prevention Project, 2010-2012

    • Cervical Cancer Free America: GSK funded project, 2011-2013

  • University of California, Los Angeles (with Seattle CPCRN)

    • NCI R01, Increasing HPV Vaccine Uptake in Low Income Ethnic Minority Population, 2012 - 2017


Hpv latino survey results

HPV Latino Survey Results

  • Panel presentation under review for the 2012 CDC National Cancer Conference

    • Understanding HPV vaccination among Latino adolescent girls in three U.S. regions (Glenn, Coronado, Fernandez, Taylor, Bastani)

      • HPV vaccine use among low income, Latino adolescent girls in Los Angeles County (Glenn, Tsui, Taylor, Bastani)

      • HPV vaccine use among Latino adolescent girls in the rural Yakima Valley (Coronado, Taylor)

      • HPV vaccine use among urban and rural adolescent Latinas in Texas (Savas, Carmack, Fernandez)

  • Paper submission is pending


Other updates

Other updates

  • Policy sub-group: paper under review at Health Affairs

  • Cognitive testing sub-group: work complete and paper published


Hpv latino survey workgroup update

  • Summary of Key Findings

  • Moderate rates of vaccine awareness, but low rates of uptake and intent to vaccinate across samples

  • Attitudinal barriers were not frequently endorsed

  • Areas to target in interventions:

    • Increase awareness, enhance beliefs about vaccine’s efficacy and safety

    • Provide information on where to get vaccine (e.g., VFC providers)

  • Likely important to engage health care providers in the process


Proposed ideas for cross site projects

Proposed Ideas for Cross-site Projects

  • Implement the survey in additional populations

    • i.e. Asian subgroups, African Americans, rural populations

  • Adapt evidence-based interventions for other vaccines or preventive health services to promote uptake of the HPV vaccine among Latinos or other groups

  • System/Provider-based Interventions

    • Include HPV vaccine promotion in work with FQHCs

    • Use of 2-1-1 for HPV vaccine education (similar to Texas)

    • Deliver HPV vaccine and testing education to women seeking cancer screening, particularly

      women with vaccine-eligible daughters


Hpv latino survey workgroup update

  • Recently Funded HPV Grants

  • University of Washington, Seattle

    • Receipt of a R21, 2011-2013

  • University of Texas, Houston

    • CPRIT-funded HPV Research Project, 2010-2013

    • CPRIT-funded , 2-1-1 Cancer Prevention Project, 2010-2012

    • Cervical Cancer Free America: GSK funded project, 2011-2013

  • University of California, Los Angeles

    • Submission of R01 that has received a fundable score, 2011-2016


Hpv latino survey workgroup update

  • UW: HPV Vaccination in the

  • Cambodian Community

  • NCI R21 proposal funded July 2011 (w/UCLA site)

    • Collaboration with an established Cambodian Community Coalition

  • Primary goal:

    • To conduct mixed-methods research that could be used to inform the development, implementation, and evaluation of culturally appropriate HPV vaccination interventions targeting Cambodian women with daughters in the 9–17 age group

  • Components:

    • 25 qualitative interviews

    • Community-based survey of 200 mothers

    • Retest survey with 50 quantitative survey participants


Hpv latino survey workgroup update

Houston: HPV Vaccination in the

Hispanic Community

  • Cancer Prevention Research Institute of Texas (CPRIT) funded Research Project

  • Primary Goal

    • To evaluate, in a group randomized control trial, the effectiveness and cost effectiveness of two lay health worker-delivered programs to increase vaccine uptake among Hispanic girls ages 11-17

      • Recruiting 1,809 parents in 27 clinics in Houston

  • Intervention components (targeting parents):

    • Print fotonovelas

    • A self directed, tailored interactive (TIV) program that runs on iPads; Now known as “For Our Daughters”


  • Hpv latino survey workgroup update

    Increasing Breast, Cervical, and Colorectal Cancer Screening & HPV Vaccinations among Underserved Texans: A Collaboration with the 2-1-1 Program

    • CPRIT-funded Research Project to develop, deliver and determine the effectiveness and cost effectiveness of a Cancer Control Navigator program implemented within the Gulf Coast & Weslaco 2-1-1 Help Line Programs

    • Increase cervical cancer screening with the Pap test and the initiation and completion of the HPV vaccine series, thereby reducing or eliminating cervical cancer in Texas

      • Form a statewide coalition of key partners (investigators, healthcare systems, cancer centers, providers, community groups, agencies, and policymakers)

      • Implement educational interventions and activities in identified areas

    Cervical Cancer Free America: GlaxoSmithKline


    Hpv latino survey workgroup update

    • UCLA: Increasing HPV Vaccine Uptake in a

    • Low Income Ethnic Minority Population

    • NCI R01 2012-2017, with Seattle site, based on CPCRN survey findings

      • Collaboration with the Los Angeles County Department of Public Health (LADPH), Office of Women's Health

    • Primary goal: Randomized trial to test a theoretically driven intervention to increase HPV vaccine receipt among underserved, high risk girls in LA

      • Will assess implementation outcomes (i.e., reach, etc)

    • Intervention delivered by LADPH staff through their telephone hotline in English, Spanish, Cantonese, Mandarin, Korean, Armenian. Targets caregivers of 9-18 yr old girls

      • Brief telephone intervention and companion print materials

      • Referral to a convenient clinic offering low cost/free vaccine

    • Intervention designed to be feasible for delivery by a county health department, and integrated into their infrastructure. Will facilitate sustainability and dissemination. Can be adapted for other outcomes.


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