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Contribution of communication inequalities to disparities in human papillomavirus vaccine awareness and knowledge

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  • Kontos, E.Z.
  • Emmons, K.M.
  • Puleo, E.
  • Viswanath, K.

Abstract

Objectives. We examined the association of Internet-related communication inequalities on human papillomavirus (HPV) vaccine awareness and infection knowledge. Methods. We drew data from National Cancer Institute's 2007 Health Information National Trends Survey (n = 7674). We estimated multivariable logistic regression models to assess Internet use and Internet health information seeking on HPV vaccine awareness and infection knowledge. Results. Non-Internet users, compared with general Internet users, had significantly lower odds of being aware of the HPV vaccine (odds ratio [OR] = 0.42; 95% confidence interval [CI] = 0.34, 0.51) and knowing that HPV causes cervical cancer (OR = 0.70; 95% CI = 0.52, 0.95). Among general health information seekers, non-Internet seekers compared with Internet information seekers exhibit significantly lower odds of HPV vaccine awareness (OR = 0.59; 95% CI = 0.46, 0.75), and of knowing about the link between HPV infection and cervical cancer (OR = 0.79; 95% CI = 0.63, 0.99) and the sexual transmission of HPV (OR = 0.71; 95% CI = 0.57, 0.89). Among cancer information seekers, there were no differences in outcomes between Internet seekers and non-Internet seekers. Conclusions. Use of a communication channel, such as the Internet, whose use is already socially and racially patterned, may widen observed disparities in vaccine completion rates.

Suggested Citation

  • Kontos, E.Z. & Emmons, K.M. & Puleo, E. & Viswanath, K., 2012. "Contribution of communication inequalities to disparities in human papillomavirus vaccine awareness and knowledge," American Journal of Public Health, American Public Health Association, vol. 102(10), pages 1911-1920.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300435_8
    DOI: 10.2105/AJPH.2011.300435
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    Cited by:

    1. Li, LiLi & Zeng, Yiwu & Zhang, Zhonggen, 2020. "Impact of Internet use on Health outcomes of Rural Residents: Evidence from China," 2020 Annual Meeting, July 26-28, Kansas City, Missouri 304177, Agricultural and Applied Economics Association.
    2. Hisashi Eguchi & Koji Wada & Derek R Smith, 2014. "Sociodemographic Factors and Prejudice toward HIV and Hepatitis B/C Status in a Working-Age Population: Results from a National, Cross-Sectional Study in Japan," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-7, May.
    3. Lili Li & Yiwu Zeng & Zhonggen Zhang & Changluan Fu, 2020. "The Impact of Internet Use on Health Outcomes of Rural Adults: Evidence from China," IJERPH, MDPI, vol. 17(18), pages 1-14, September.
    4. Hisashi Eguchi & Akizumi Tsutsumi & Akiomi Inoue & Yuko Kachi, 2019. "Organizational justice and illness reporting among Japanese employees with chronic diseases," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-14, October.
    5. Man Ping Wang & Xin Wang & Tai Hing Lam & Kasisomayajula Viswanath & Sophia S Chan, 2013. "Health Information Seeking Partially Mediated the Association between Socioeconomic Status and Self-Rated Health among Hong Kong Chinese," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-7, December.
    6. Ana Cristina Lindsay & Joanna A. Pineda & Madelyne J. Valdez & Maria Idalí Torres & Phillip J. Granberry, 2020. "Central American Immigrant Parents’ Awareness, Acceptability, and Willingness to Vaccinate Their Adolescent Children Against Human Papillomavirus: A Pilot Cross-Sectional Study," IJERPH, MDPI, vol. 17(8), pages 1-15, April.

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