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Disparities in HPV and the HPV Vaccine Knowledge Among Non-Hispanic Black Adults in the US - HINTS 2017–2020

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Abstract

Disparities persists in HPV awareness and vaccination among different racial and ethnic groups. We assessed disparities in awareness of HPV and the HPV vaccine among non-Hispanic Black US adults. We analyzed the nationally representative data from the Health Information National Trends Survey of US adults 18 years or older (n = 16,092) administered by the National Cancer Institute (HINTS5-Cycle 1,2,3,4) for the years 2017–2020, of which 2,011 (n = 2,011) were non-Hispanic Black adults. Weighted Poisson regression models were used to estimate disparities in HPV and HPV vaccination awareness among non-Hispanic Black US adults. In the US, 63.2% of non-Hispanic Black adults had heard of HPV and 57.6% were aware of the HPV vaccine. Black females had 1.3 and 1.5 times the prevalence of HPV and the HPV vaccine awareness compared to males (PR = 1.3; 95% CI = 1.2–1.4; P ≤ 0.001) and (PR = 1.5; 95% CI = 1.4–1.6; P ≤ 0.001) respectively. Blacks with a college education had 1.8 and 2.2 times the prevalence of HPV and HPV vaccine awareness (PR = 1.8; 95% CI = 1.4–2.4; P ≤ 0.001) and (PR = 2.2; 95% CI = 1.8–2.7; P ≤ 0.001) respectively, compared to those with less than a high school education. Compared to 2017, Black adults with ≤ $35K income were less aware about HPV in 2020. There was evidence of disparities in HPV and HPV vaccine awareness among non-Hispanic Blacks. To foster improvements in HPV vaccine uptake and reduce disparities in HPV-associated cancers, future interventions must target men and disadvantaged populations, for whom awareness gaps exist.

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Acknowledgements

Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2023R389), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.

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Authors and Affiliations

  1. Department of Preventive Dentistry, Faculty of Dentistry, Umm Al Qura University, Makkah, Saudi Arabia

    Hesham Alhazmi

  2. Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, MA, USA

    Hesham Alhazmi

  3. Department Preventive dental sciences, college of dentistry, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh, 11671, Saudi Arabia

    Shaikha AlDukhail

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  1. Hesham Alhazmi
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Contributions

“Both authors [SA and HA] contributed to the study conception and design. Material preparation and analysis were performed by [HA]. Data visualization was and first draft of the manuscript was written by [SA] and both authors edited the manuscript. Both authors read and approved the submitted manuscript.”

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Correspondence to Shaikha AlDukhail.

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The authors certify that they have not received any financial support/ funding for the research. The authors certify that they have NO affiliations with or involvement in any organization or entity with any financial or non-financial interest in the subject matter or materials discussed in this manuscript. The authors, also confirm that there are no known conflicts of interest associated with this publication that could have influenced its outcome.

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Ethical Approval for this research was obtained from the Harvard Human Protection Program, Harvard Faculty of Medicine, Office of Human Research Administration protocol number IRB22-0589. All authors have written and reviewed the submitted manuscript and approve the manuscript for submission. The manuscript has not been published elsewhere and is not under submission elsewhere.

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Alhazmi, H., AlDukhail, S. Disparities in HPV and the HPV Vaccine Knowledge Among Non-Hispanic Black Adults in the US - HINTS 2017–2020. J Immigrant Minority Health 26, 117–123 (2024). https://doi.org/10.1007/s10903-023-01537-7

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