Evidence map›Paper›PMID 39438127›Full record

ArticleEthnicity & health2025

Attitudes, healthcare interactions, and communication preferences for HPV vaccines among hesitant Hispanic/Latinx parents: how does this compare with influenza and COVID-19 vaccines?

Carolina Gomez Grimaldi, Elizabeth C Stewart, Kathryn Edwards, Claudia Barajas, Jennifer Cunningham-Erves

Abstract readComparative Study
In one paragraph

Article in Ethnicity & health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Carolina Gomez GrimaldiUniversity of Colorado Anschutz Medical Campus, Aurora, CO, USA.ORCID 0000-0002-1719-1021
Elizabeth C StewartGraduate School of Public Health Practice, Meharry Medical College, Nashville, TN, USA.ORCID 0000-0003-2073-6069
Kathryn EdwardsSchool of Medicine, Vanderbilt University, Nashville, TN, USA.ORCID 0000-0003-3912-9832
Claudia BarajasVanderbilt Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN, USA.
Jennifer Cunningham-ErvesGraduate School of Public Health Practice, Meharry Medical College, Nashville, TN, USA.ORCID 0000-0002-7780-9874

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STACIE B DUSETZINA · 1995 to 2026
$172.8M
A tailored, health communication intervention for HPV vaccine hesitant familiesK01CA237748 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ERVES, JENNIFER C. · 2020 to 2023
$518k
NCI NIH HHS K01 CA237748NCI NIH HHS P30 CA068485
6 · The paper itself

Abstract

objectiveWe explored HPV vaccine concerns and healthcare provider communication among Hispanic/Latinx hesitant parents during the COVID-19 pandemic, and how those concerns and provider communications compared for influenza and COVID-19 vaccines. As a secondary aim, we explored communication needs and strategies for these recommended vaccines.

designWe applied a concurrent, multi-method study design (survey and interview) with 23 Hispanic/Latinx American parents of adolescents aged 11-18 years. An inductive deductive thematic approach was used to interpret interview data. Descriptives were used to analyze survey data.

resultsOverall, most parents (77%) perceived that their child was receiving too many vaccines. Regarding hesitancy for the HPV vaccine, major parental concerns related to vaccine effectiveness (83%), vaccine necessity (83%), and vaccine safety (80%). For the COVID vaccine, major concerns were the newness of vaccine (83%), vaccine safety (77%), low perceived effectiveness (77%), and low perceived need (77%). For influenza vaccines, major parental concerns were vaccine safety (73%), low perceived need (73%), and preference for natural over vaccine-induced immunity (73%). Parents had overall positive views towards vaccination. Some parents prioritized school-required vaccines, and others ranked the recommended vaccines- HPV, COVID-19, and influenza vaccines- for their children. They saw the benefits of recommended vaccines; however, there were concerns. The majority received a provider's recommendation for HPV vaccination for their child, while over half had not received a recommendation for COVID-19 and influenza vaccines. Recommended communication strategies were diverse with parents highlighting the need for providers to capitalize on waiting and clinic rooms to provide education.

conclusionHealthcare providers should take advantage of missed opportunities, improve healthcare interactions with a strong recommendation and persistent communication, and offer diverse communication strategies and messaging for vaccines. Future work should further explore multi-vaccine concerns and how addressing these concerns through healthcare-provider communication could improve HPV vaccination along with COVID-19 and influenza vaccination.

Indexed as

CommunicationCOVID-19 VaccinesHispanic or LatinoInfluenza VaccinesPapillomavirus VaccinesParentsVaccination HesitancyAdolescentAdultChildCOVID-19FemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedCOVID-19 VaccinesInfluenza VaccinesPapillomavirus VaccinesCOVID-19health equityHispanic/Latinohuman papillomavirus (HPV)provider communicationSDG 10: Reduced inequalitiesSDG 3: Good health and well-beingSDG 4: Quality educationvaccinationVaccine hesitancy

Identifiers

PMID39438127
PMCPMC11666404

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Registered trials

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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.