Skip to main content
Top
Published in: BMC Primary Care 1/2021

Open Access 01-12-2021 | Human Papillomavirus | Research article

Newcomer knowledge, attitudes, and beliefs about human papillomavirus (HPV) vaccination

Authors: Lindsay A. Wilson, Amanda M. L. Quan, A. Brianne Bota, Salima S. Mithani, Michelle Paradis, Cindy Jardine, Charles Hui, Kevin Pottie, Natasha Crowcroft, Kumanan Wilson

Published in: BMC Primary Care | Issue 1/2021

Login to get access

Abstract

Background

Human Papillomavirus (HPV) is the most common sexually transmitted infection in Canada and around the world. Vaccination is an effective prevention strategy, but uptake is low, especially among newcomers to Canada. We sought to understand newcomers’ knowledge, attitudes, and beliefs (KAB) on HPV and HPV vaccination and their role in HPV vaccine acceptance.

Methods

Newcomers were defined as individuals born outside Canada, (i.e., individuals born in a different country, the majority of whom are immigrants or refugees, but also includes students and undocumented migrants). Eligible participants were newcomers, aged 16 or older and who could read or write in English, French or Arabic. Surveys were administered in two community health centres in Ottawa, Canada that primarily engage with newcomer populations. Follow-up interviews were conducted either at the community health centre or over the phone, depending on participants’ preferences.

Results

Fifty participants completed the survey, the majority of whom were women (74%) and spoke Arabic as their first language (54%). Seven participants completed supplemental interviews to complement their survey responses. The majority (70%) of participants had not previously heard of HPV. Less than half (46%) knew that the vaccine is effective in preventing certain types of cancer; nearly 40% incorrectly believed the vaccine could cure HPV. Qualitative interviews supported the survey findings.

Conclusions

Despite a lack of HPV knowledge due to cultural and language barriers, there is still a strong desire among newcomers to receive the vaccine, especially when accompanied by a physician recommendation. Cultural and language-appropriate resources are needed to help newcomers make informed vaccination decisions and promote HPV vaccine uptake.
Appendix
Available only for authorised users
Literature
1.
go back to reference World Health Organization. Human papillomavirus (HPV) and cervical cancer. Fact Sheets. 2018. World Health Organization. Human papillomavirus (HPV) and cervical cancer. Fact Sheets. 2018.
2.
go back to reference Steben M, Durand N, Guichon JR, Greenwald ZR, McFaul S, Blake J. A National Survey of Canadian physicians on HPV: knowledge, barriers, and preventive practices. J Obstet Gynaecol Canada. 2019;41(5):599–607.CrossRef Steben M, Durand N, Guichon JR, Greenwald ZR, McFaul S, Blake J. A National Survey of Canadian physicians on HPV: knowledge, barriers, and preventive practices. J Obstet Gynaecol Canada. 2019;41(5):599–607.CrossRef
3.
go back to reference Canadian Cancer Society’s Advisory Committee on Cancer Statistics. Canadian Cancer Statistics Special topic: HPV-associated cancers. Canadian Cancer Statistics 2016. Toronto, Canada; 2016. Canadian Cancer Society’s Advisory Committee on Cancer Statistics. Canadian Cancer Statistics Special topic: HPV-associated cancers. Canadian Cancer Statistics 2016. Toronto, Canada; 2016.
4.
go back to reference Hariri S, Johnson ML, Bennett NM, Bauer HM, Park IU, Schafer S, et al. Population-based trends in high-grade cervical lesions in the early human papillomavirus vaccine era in the United States. Cancer. 2015;121(16):2775–81.PubMedCrossRef Hariri S, Johnson ML, Bennett NM, Bauer HM, Park IU, Schafer S, et al. Population-based trends in high-grade cervical lesions in the early human papillomavirus vaccine era in the United States. Cancer. 2015;121(16):2775–81.PubMedCrossRef
5.
go back to reference Crowe E, Pandeya N, Brotherton JML, Dobson AJ, Kisely S, Lambert SB, et al. Effectiveness of quadrivalent human papillomavirus vaccine for the prevention of cervical abnormalities: case-control study nested within a population based screening programme in Australia. BMJ. 2014;348:g1458.PubMedPubMedCentralCrossRef Crowe E, Pandeya N, Brotherton JML, Dobson AJ, Kisely S, Lambert SB, et al. Effectiveness of quadrivalent human papillomavirus vaccine for the prevention of cervical abnormalities: case-control study nested within a population based screening programme in Australia. BMJ. 2014;348:g1458.PubMedPubMedCentralCrossRef
6.
go back to reference Drolet M, Bénard É, Pérez N, Brisson M, Ali H, Boily MC, et al. Population-level impact and herd effects following the introduction of human papillomavirus vaccination programmes: updated systematic review and meta-analysis. Lancet. 2019;394(10197):497–509.PubMedPubMedCentralCrossRef Drolet M, Bénard É, Pérez N, Brisson M, Ali H, Boily MC, et al. Population-level impact and herd effects following the introduction of human papillomavirus vaccination programmes: updated systematic review and meta-analysis. Lancet. 2019;394(10197):497–509.PubMedPubMedCentralCrossRef
8.
go back to reference Bird Y, Obidiya O, Mahmood R, Nwankwo C, Moraros J. Human papillomavirus vaccination uptake in canada: A systematic review and meta-analysis. Int J Prev Med. 2017;8:71.PubMedPubMedCentralCrossRef Bird Y, Obidiya O, Mahmood R, Nwankwo C, Moraros J. Human papillomavirus vaccination uptake in canada: A systematic review and meta-analysis. Int J Prev Med. 2017;8:71.PubMedPubMedCentralCrossRef
9.
go back to reference Newman PA, Logie CH, Lacombe-Duncan A, Baiden P, Tepjan S, Rubincam C, et al. Parents’ uptake of human papillomavirus vaccines for their children: A systematic review and meta-analysis of observational studies. BMJ Open. BMJ Publishing Group. 2018;8:e019206.CrossRef Newman PA, Logie CH, Lacombe-Duncan A, Baiden P, Tepjan S, Rubincam C, et al. Parents’ uptake of human papillomavirus vaccines for their children: A systematic review and meta-analysis of observational studies. BMJ Open. BMJ Publishing Group. 2018;8:e019206.CrossRef
10.
go back to reference McComb E, Ramsden V, Olatunbosun O, Williams-Roberts H. Knowledge, Attitudes and Barriers to Human Papillomavirus (HPV) Vaccine Uptake Among an Immigrant and Refugee Catch-Up Group in a Western Canadian Province. J Immigr Minor Heal. 2018;20:6(1424-1428). McComb E, Ramsden V, Olatunbosun O, Williams-Roberts H. Knowledge, Attitudes and Barriers to Human Papillomavirus (HPV) Vaccine Uptake Among an Immigrant and Refugee Catch-Up Group in a Western Canadian Province. J Immigr Minor Heal. 2018;20:6(1424-1428).
12.
go back to reference Statistics Canada. Immigration and ethnocultural diversity: key results from the 2016 census. Dly; 2017. p. 1–8. Statistics Canada. Immigration and ethnocultural diversity: key results from the 2016 census. Dly; 2017. p. 1–8.
13.
go back to reference Statistics Canada. Immigration and Ethnocultural Diveresity - Ottawa - Gatineau. Focus on Geography Series, 2016 Census. 2017. Statistics Canada. Immigration and Ethnocultural Diveresity - Ottawa - Gatineau. Focus on Geography Series, 2016 Census. 2017.
14.
go back to reference Wilson L, Rubens-Augustson T, Murphy M, Jardine C, Crowcroft N, Hui C, et al. Barriers to immunization among newcomers: a systematic review. Vaccine. 2018;36(8):1055–62.PubMedCrossRef Wilson L, Rubens-Augustson T, Murphy M, Jardine C, Crowcroft N, Hui C, et al. Barriers to immunization among newcomers: a systematic review. Vaccine. 2018;36(8):1055–62.PubMedCrossRef
15.
go back to reference Pottie K, Greenaway C, Feightner J, Welch V, Swinkels H, Rashid M, et al. Evidence-based clinical guidelines for immigrants and refugees. CMAJ. Canadian Medical Association. 2011;183:E824–925.CrossRef Pottie K, Greenaway C, Feightner J, Welch V, Swinkels H, Rashid M, et al. Evidence-based clinical guidelines for immigrants and refugees. CMAJ. Canadian Medical Association. 2011;183:E824–925.CrossRef
16.
go back to reference Pottie K, Nolen A, Topp P, Torres S, Welch V, Durand N. Appendix 19: Cervical cancer: evidence review for newly arriving immigrants and refugees Canadian Collaboration for Immigrant and Refugee Health (CCIRH) The case. 2011 [cited 2020 Jun 4]; Available from: www.phac-aspc.gc.ca/naci-ccni. Pottie K, Nolen A, Topp P, Torres S, Welch V, Durand N. Appendix 19: Cervical cancer: evidence review for newly arriving immigrants and refugees Canadian Collaboration for Immigrant and Refugee Health (CCIRH) The case. 2011 [cited 2020 Jun 4]; Available from: www.​phac-aspc.​gc.​ca/​naci-ccni.
18.
go back to reference Corbin, J, Strauss A. Basics of Qualitative Research. 4rth Ed. Sage Publications Inc; 1992. Corbin, J, Strauss A. Basics of Qualitative Research. 4rth Ed. Sage Publications Inc; 1992.
19.
go back to reference Aragones A, Genoff M, Gonzalez C, Shuk E, Gany F. HPV vaccine and Latino immigrant parents: if they offer it, we will get it. J Immigr Minor Health. 2016;18(5):1060–5.PubMedPubMedCentralCrossRef Aragones A, Genoff M, Gonzalez C, Shuk E, Gany F. HPV vaccine and Latino immigrant parents: if they offer it, we will get it. J Immigr Minor Health. 2016;18(5):1060–5.PubMedPubMedCentralCrossRef
20.
go back to reference Scarinci IC, Garces-Palacio IC, Partridge EE. An examination of acceptability of HPV vaccination among African American women and Latina immigrants. J Women’s Heal. 2007;16(8):1224–33.CrossRef Scarinci IC, Garces-Palacio IC, Partridge EE. An examination of acceptability of HPV vaccination among African American women and Latina immigrants. J Women’s Heal. 2007;16(8):1224–33.CrossRef
21.
go back to reference Kobetz E, Menard J, Hazan G, Koru-Sengul T, Joseph T, Nissan J, et al. Perceptions of HPV and cervical cancer among Haitian immigrant women: implications for vaccine acceptability. Educ Health (Abingdon). 2011;24(3):479. Kobetz E, Menard J, Hazan G, Koru-Sengul T, Joseph T, Nissan J, et al. Perceptions of HPV and cervical cancer among Haitian immigrant women: implications for vaccine acceptability. Educ Health (Abingdon). 2011;24(3):479.
22.
go back to reference Rubens-Augustson T, Wilson LA, Murphy MS, Jardine C, Pottie K, Hui C, et al. Healthcare provider perspectives on the uptake of the human papillomavirus vaccine among newcomers to Canada: a qualitative study. Hum Vaccin Immunother. 2019;15((7–8):1697–707.PubMedCrossRef Rubens-Augustson T, Wilson LA, Murphy MS, Jardine C, Pottie K, Hui C, et al. Healthcare provider perspectives on the uptake of the human papillomavirus vaccine among newcomers to Canada: a qualitative study. Hum Vaccin Immunother. 2019;15((7–8):1697–707.PubMedCrossRef
23.
go back to reference Luque JS, Castaneda H, Tyson DM, Vargas N, Proctor S, Meade CD. HPV awareness among Latina immigrants and Anglo American women in the Southern u.s.: cultural models of cervical cancer risk factors and beliefs. NAPA Bull. 2010;34(1):84–104.PubMedPubMedCentralCrossRef Luque JS, Castaneda H, Tyson DM, Vargas N, Proctor S, Meade CD. HPV awareness among Latina immigrants and Anglo American women in the Southern u.s.: cultural models of cervical cancer risk factors and beliefs. NAPA Bull. 2010;34(1):84–104.PubMedPubMedCentralCrossRef
24.
go back to reference Lee H, Lee M. Barriers to cervical Cancer screening and prevention in young Korean immigrant women: implications for intervention development. J Transcult Nurs. 2017;28(4):353–62.PubMedCrossRef Lee H, Lee M. Barriers to cervical Cancer screening and prevention in young Korean immigrant women: implications for intervention development. J Transcult Nurs. 2017;28(4):353–62.PubMedCrossRef
25.
go back to reference Dailey PM, Krieger JL. Communication and US-Somali immigrant human papillomavirus (HPV) vaccine decision-making. J Cancer Educ. 2015;32(3):516–21.CrossRef Dailey PM, Krieger JL. Communication and US-Somali immigrant human papillomavirus (HPV) vaccine decision-making. J Cancer Educ. 2015;32(3):516–21.CrossRef
26.
go back to reference Quach S, Hamid JS, Pereira JA, Heidebrecht CL, Deeks SL, Crowcroft NS, et al. Influenza vaccination coverage across ethnic groups in Canada. Can Med Assoc J. 2012;184(15):1673–81.CrossRef Quach S, Hamid JS, Pereira JA, Heidebrecht CL, Deeks SL, Crowcroft NS, et al. Influenza vaccination coverage across ethnic groups in Canada. Can Med Assoc J. 2012;184(15):1673–81.CrossRef
27.
go back to reference Hui C, Dunn J, Morton R, Staub L, Tran A, Hargreaves S, et al. Interventions to improve vaccination uptake and cost effectiveness of vaccination strategies in newly arrived migrants in the EU/EEA: a systematic review. Int J Environ Res Public Health. 2018;15(10):2065.PubMedCentralCrossRef Hui C, Dunn J, Morton R, Staub L, Tran A, Hargreaves S, et al. Interventions to improve vaccination uptake and cost effectiveness of vaccination strategies in newly arrived migrants in the EU/EEA: a systematic review. Int J Environ Res Public Health. 2018;15(10):2065.PubMedCentralCrossRef
28.
go back to reference Yi JK, Anderson KO, Le YC, Escobar-Chaves SL, Reyes-Gibby CC. English proficiency, knowledge, and receipt of HPV vaccine in Vietnamese-American women. J Community Health. 2013;38(5):805–11.PubMedPubMedCentralCrossRef Yi JK, Anderson KO, Le YC, Escobar-Chaves SL, Reyes-Gibby CC. English proficiency, knowledge, and receipt of HPV vaccine in Vietnamese-American women. J Community Health. 2013;38(5):805–11.PubMedPubMedCentralCrossRef
29.
go back to reference Grandahl M, Tydén T, Gottvall M, Westerling R, Oscarsson M. Immigrant women’s experiences and views on the prevention of cervical cancer: a qualitative study. Health Expect. 2015;18(3):344–54.PubMedCrossRef Grandahl M, Tydén T, Gottvall M, Westerling R, Oscarsson M. Immigrant women’s experiences and views on the prevention of cervical cancer: a qualitative study. Health Expect. 2015;18(3):344–54.PubMedCrossRef
30.
go back to reference Stephens DP, Thomas TL. Cultural values influencing immigrant Haitian mothers’ attitudes toward human papillomavirus vaccination for daughters. J Black Psychol. 2013;39(2):156–68.PubMedPubMedCentralCrossRef Stephens DP, Thomas TL. Cultural values influencing immigrant Haitian mothers’ attitudes toward human papillomavirus vaccination for daughters. J Black Psychol. 2013;39(2):156–68.PubMedPubMedCentralCrossRef
Metadata
Title
Newcomer knowledge, attitudes, and beliefs about human papillomavirus (HPV) vaccination
Authors
Lindsay A. Wilson
Amanda M. L. Quan
A. Brianne Bota
Salima S. Mithani
Michelle Paradis
Cindy Jardine
Charles Hui
Kevin Pottie
Natasha Crowcroft
Kumanan Wilson
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2021
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-020-01360-1

Other articles of this Issue 1/2021

BMC Primary Care 1/2021 Go to the issue