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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
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
slide3
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
slide4
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
slide7
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

slide11
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
slide12
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
slide13
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”
slide14
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

slide15
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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