"You Don't Know If It's the Truth or a Lie": Exploring Human Papillomavirus (HPV) Vaccine Hesitancy among Communities with Low HPV Vaccine Uptake in Northern California

• Published in: Vaccines (Basel) 2024-04, Vol.12 (4), p.372
• Main Authors: Dang, Julie H T, Gori, Alexandra, Rios, Lucy, Rolon, Angelica M, Zhang, Jingwen, Chen, Jr, Moon S
• Format: Article
• Language: English
• Subjects: Analysis; Community; Data analysis; False information; Focus groups; Hispanic Americans; Human papillomavirus; human papillomavirus (HPV) vaccine hesitancy; Immunization; Interviews; key informant interviews; Medical research; Medicine, Experimental; Pandemics; Papillomavirus infections; Papillomaviruses; Qualitative analysis; qualitative research; racially/ethnically diverse communities; rural; Rural areas; Social media; Social networks; Teenagers; Vaccination; Vaccines; Working groups
• ISSN: 2076-393X; 2076-393X
• DOI: 10.3390/vaccines12040372

Vaccine hesitancy, delaying or refusing to vaccinate despite the availability of vaccines, impedes the progress of achieving optimal HPV vaccine coverage. Little is known about the sources of human papillomavirus (HPV) vaccine hesitancy among racially/ethnically and geographically diverse communities. The purpose of this paper is to explore HPV vaccine hesitancy among rural, Slavic, and Latino communities that reside in counties with low HPV vaccine uptake rates. Key informant interviews and focus groups were conducted with rural, Slavic, and Latino communities that reside within counties in California that have low HPV vaccine up to date rates (16-25%). Qualitative data were transcribed verbatim and analyzed using inductive and deductive thematic analysis. A total of seven focus groups and 14 key informant interviews were conducted with 39 individuals from seven California counties. Salient themes that contributed to HPV vaccine hesitancy included the following: social media and the anti-vaccination movement; a strong belief in acquiring immunity naturally; prior vaccine experiences; and vaccine timing concerns. Participants suggested the provision of culturally appropriate, in-language, in-person easy to understand HPV vaccine education to mitigate HPV vaccine hesitancy. Our findings can inform future interventions to increase HPV vaccine uptake among hesitant communities.