Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, 1400 Pressler St., Unit. 1440, 77030, Houston, TX, USA.
Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston, School of Public Health, 77030, Houston, TX, USA.
BMC Public Health. 2024 Jan 23;24(1):265. doi: 10.1186/s12889-024-17653-4.
Religion is believed to be an important sociocultural influence in the U.S., but little is known about how religiosity shapes the human papillomavirus (HPV) vaccine decision in racial/ethnic minorities. The purpose of this study was to examine the relationship between religiosity and HPV vaccine initiation and intention among urban, racial/ethnic minority parents of adolescents 11-14 years old.
This study employed a descriptive, cross-sectional design using baseline data from Black and Hispanic parents (N = 175 and 285, respectively) recruited from medically underserved communities. Chi-square tests for independence and independent-samples t-tests were run to assess sociodemographic differences in vaccine initiation and vaccine intention. Binary logistic regression analyses were conducted to determine whether religious attendance and religious salience were associated with parents' HPV vaccine decisions for their children.
Approximately 47% of Black parents had vaccinated their youth against HPV. Of those who had not initiated the vaccine for their child, 54% did not intend to do so. 54% of Hispanic parents had initiated the HPV vaccine for their youth. Of those who had not initiated the vaccine for their child, 51% did not intend to do so. Frequency of attendance at religious services and the importance of religion in one's life was not significantly correlated with HPV vaccine decision-making for Black nor Hispanic parents.
This study suggests that religiosity does not influence the HPV vaccine decision for urban, Black and Hispanic parents. Future studies using measures that capture the complexity of religion as a social construct are needed to confirm the findings. In addition, studies with representative sampling will enable us to make generalizations about the influence of religion on HPV vaccine decision-making for urban, racial/ethnic minority parents.
宗教被认为是美国社会文化的一个重要影响因素，但人们对宗教信仰如何影响少数族裔人群对人乳头瘤病毒（HPV）疫苗的决策知之甚少。本研究旨在探讨信仰与城市少数族裔青少年父母（11-14 岁）对 HPV 疫苗接种启动和接种意向之间的关系。
本研究采用描述性、横断面设计，使用来自医疗服务不足社区的黑人和西班牙裔父母（分别招募 175 名和 285 名）的基线数据。采用独立性卡方检验和独立样本 t 检验来评估疫苗接种启动和接种意向的社会人口学差异。采用二项逻辑回归分析来确定宗教出席率和宗教重要性是否与父母为子女做出 HPV 疫苗决策相关。
约 47%的黑人父母为其青少年接种了 HPV 疫苗。在那些尚未为孩子接种疫苗的父母中，有 54%的人不打算这样做。54%的西班牙裔父母已经为其青少年接种了 HPV 疫苗。在那些尚未为孩子接种疫苗的父母中，有 51%的人不打算这样做。参加宗教服务的频率和宗教在生活中的重要性与黑人和西班牙裔父母的 HPV 疫苗决策没有显著相关性。
本研究表明，宗教信仰不会影响城市黑人和西班牙裔父母对 HPV 疫苗的决策。未来需要使用更能捕捉宗教作为社会建构的复杂性的测量方法来验证这些发现。此外，代表性抽样的研究将使我们能够对宗教对城市少数族裔父母 HPV 疫苗决策的影响做出概括。
