Evidence map›Paper›PMID 30594650›Full record

ArticlePapillomavirus research (Amsterdam, Netherlands)2019

"We brought our culture here with us": A qualitative study of perceptions of HPV vaccine and vaccine uptake among East African immigrant mothers.

Linda K Ko, Victoria M Taylor, Farah Bille Mohamed, H Hoai Do, Fanaye A Gebeyaw, Anisa Ibrahim, Ahmed A Ali, Rachel L Winer

Open access · goldAbstract read
In one paragraph

Article in Papillomavirus research (Amsterdam, Netherlands), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Linda K KoDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N, M3-B232, Seattle, WA 98102 USA; Department of Health Services, University of Washington School of Public Health, 1959 NE Pacific Street, Magnuson Health Sciences Bldg. Box 357660, Seattle, WA 98195 USA. Electronic address: lko@fredhutch.org.
Victoria M TaylorDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N, M3-B232, Seattle, WA 98102 USA; Department of Health Services, University of Washington School of Public Health, 1959 NE Pacific Street, Magnuson Health Sciences Bldg. Box 357660, Seattle, WA 98195 USA. Electronic address: vtaylor@fredhutch.org.
Farah Bille MohamedDepartment of Epidemiology, University of Washington, Box 359933, 325 9th Ave, Seattle, WA 98104 USA; Somali Health Board, 7050 32nd AVE S. Seattle, WA 98118 USA. Electronic address: mohamf2@uw.edu.
H Hoai DoDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N, M3-B232, Seattle, WA 98102 USA. Electronic address: hhdo@uw.edu.
Fanaye A GebeyawDepartment of Epidemiology, University of Washington, Box 359933, 325 9th Ave, Seattle, WA 98104 USA. Electronic address: fangeb@uw.edu.
Anisa IbrahimDepartment of Pediatrics, University of Washington, Harborview Medical Center, 325 9th Ave, Seattle, WA 98104, USA; Somali Health Board, 7050 32nd AVE S. Seattle, WA 98118 USA. Electronic address: anisai@uw.edu.
Ahmed A AliSomali Health Board, 7050 32nd AVE S. Seattle, WA 98118 USA.
Rachel L WinerDepartment of Epidemiology, University of Washington, Box 359933, 325 9th Ave, Seattle, WA 98104 USA. Electronic address: rlw@uw.edu.
University of Washington · USSeattle Indian Health Board · USFred Hutch Cancer Center · US

Funding

ACL HHS U48DP005013CDC HHS U48DP005013NCCDPHP CDC HHS U48 DP005013
6 · The paper itself

Abstract

backgroundHPV vaccine studies in East African communities are few and focus mainly on Somali women and girls. We examined how HPV vaccine perceptions and uptake are shaped among Somali, Ethiopian, and Eritrean mothers.

methodsWe convened three focus groups in Somali, Amharic, and Tigrinya with mothers of 11-17 year old children. The Socio-Context Framework (social, cultural, and religious factors) and Andersen's Behavioral Model (predisposing, enabling, and need for care factors) informed question development.

resultsNegative vaccine perceptions, lack of HPV vaccine knowledge, and concerns about side effects emerged as predisposing factors. Having a provider who engages parents on HPV vaccination and takes responsibility for vaccine-related risks emerged as enabling factors. Availability of vaccine information resources (e.g., person-to-person, word of mouth education for parents) were also enabling factors. Need for care factors included having comprehensive vaccine information, strong recommendation from a doctor, and validation from a co-ethnic medical professional. Women exerted strong social influence on vaccine uptake (social), had concerns about pork gelatin in vaccines (religious), and felt discussions about sex with children were culturally unacceptable (cultural).

conclusionStrategies for vaccine uptake among East African immigrants need to address factors that shape HPV vaccine perceptions for adolescents, caregivers, and providers.

Indexed as

Emigrants and ImmigrantsHealth Knowledge, Attitudes, PracticeMothersVaccination CoverageAdolescentAdultChildEritreaEthiopiaFemaleFocus GroupsHumansImmunizationMalePapillomavirus InfectionsSomalia

Identifiers

PMID30594650
PMCPMC6319298
OpenAlexW2907774657

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.