HPV Latino Survey Workgroup:

UpdateCPCRN Spring Meeting

South CarolinaMarch 22, 2012

Roshan Bastani & Jennifer Allen

Background• Collaboration among 3 CPCRN sites:• University of California, Los Angeles• University of Texas, Houston• University of Washington, Seattle

• Initiated in November in 2008

• Used the Health Behavior Framework to develop a set of 24 core HPV vaccine survey items

• Surveyed Latino parents of girls ages 9–18 in Los Angeles (N=274), Seattle area-Yakima Valley (N=90), Houston (N=83),

• Data collection and descriptive analysis are complete

• Drafted a collaborative manuscript based on data collected

• Identifying next steps based on study results

Summary of Progress

• University of Washington, Seattle (with UCLA CPCRN)• NCI R21, HPV Vaccination in the Cambodian Community, 2011-2013

• University of Texas, Houston• CPRIT-funded HPV Research Project, 2010-2013• CPRIT-funded , 2-1-1 Cancer Prevention Project, 2010-2012 • Cervical Cancer Free America: GSK funded project, 2011-2013

• University of California, Los Angeles (with Seattle CPCRN)• NCI R01, Increasing HPV Vaccine Uptake in Low Income Ethnic

Minority Population, 2012 - 2017

Funded HPV Projects

• Panel presentation under review for the 2012 CDC National Cancer Conference• Understanding HPV vaccination among Latino

adolescent girls in three U.S. regions (Glenn, Coronado, Fernandez, Taylor, Bastani)• HPV vaccine use among low income, Latino adolescent

girls in Los Angeles County (Glenn, Tsui, Taylor, Bastani)• HPV vaccine use among Latino adolescent girls in the

rural Yakima Valley (Coronado, Taylor) • HPV vaccine use among urban and rural adolescent

Latinas in Texas (Savas, Carmack, Fernandez)

• Paper submission is pending

HPV Latino Survey Results

• Policy sub-group: paper under review at Health Affairs

• Cognitive testing sub-group: work complete and paper published

Other updates

• Moderate rates of vaccine awareness, but low rates of uptake and intent to vaccinate across samples

• Attitudinal barriers were not frequently endorsed• Areas to target in interventions: • Increase awareness, enhance beliefs about

vaccine’s efficacy and safety• Provide information on where to get vaccine

(e.g., VFC providers)• Likely important to engage health care providers

in the process

Summary of Key Findings

Proposed Ideas for Cross-site Projects• Implement the survey in additional populations

• i.e. Asian subgroups, African Americans, rural populations

• Adapt evidence-based interventions for other vaccines or preventive health services to promote uptake of the HPV vaccine among Latinos or other groups

• System/Provider-based Interventions• Include HPV vaccine promotion in work with FQHCs• Use of 2-1-1 for HPV vaccine education (similar to Texas)• Deliver HPV vaccine and testing education to women

seeking cancer screening, particularly women with vaccine-eligible daughters

• University of Washington, Seattle• Receipt of a R21, 2011-2013

• University of Texas, Houston• CPRIT-funded HPV Research Project, 2010-2013• CPRIT-funded , 2-1-1 Cancer Prevention Project, 2010-2012 • Cervical Cancer Free America: GSK funded project, 2011-2013

• University of California, Los Angeles• Submission of R01 that has received a fundable score, 2011-2016

Recently Funded HPV Grants

• NCI R21 proposal funded July 2011 (w/UCLA site)• Collaboration with an established Cambodian Community

Coalition

• Primary goal:• To conduct mixed-methods research that could be used to

inform the development, implementation, and evaluation of culturally appropriate HPV vaccination interventions targeting Cambodian women with daughters in the 9–17 age group

• Components:• 25 qualitative interviews• Community-based survey of 200 mothers• Retest survey with 50 quantitative survey participants

UW: HPV Vaccination in the Cambodian Community

• Cancer Prevention Research Institute of Texas (CPRIT) funded Research Project

• Primary Goal• To evaluate, in a group randomized control trial, the

effectiveness and cost effectiveness of two lay health worker-delivered programs to increase vaccine uptake among Hispanic girls ages 11-17• Recruiting 1,809 parents in 27 clinics in Houston

• Intervention components (targeting parents):• Print fotonovelas • A self directed, tailored interactive (TIV) program that

runs on iPads; Now known as “For Our Daughters”

Houston: HPV Vaccination in the Hispanic Community

• CPRIT-funded Research Project to develop, deliver and determine the effectiveness and cost effectiveness of a Cancer Control Navigator program implemented within the Gulf Coast & Weslaco 2-1-1 Help Line Programs

• Increase cervical cancer screening with the Pap test and the initiation and completion of the HPV vaccine series, thereby reducing or eliminating cervical cancer in Texas• Form a statewide coalition of key partners (investigators,

healthcare systems, cancer centers, providers, community groups, agencies, and policymakers)

• Implement educational interventions and activities in identified areas

Increasing Breast, Cervical, and Colorectal Cancer Screening & HPV Vaccinations among Underserved Texans: A Collaboration with the 2-1-1 Program

Cervical Cancer Free America: GlaxoSmithKline

UCLA: Increasing HPV Vaccine Uptake in a

Low Income Ethnic Minority Population

• NCI R01 2012-2017, with Seattle site, based on CPCRN survey findings• Collaboration with the Los Angeles County Department of Public

Health (LADPH), Office of Women's Health• Primary goal: Randomized trial to test a theoretically driven

intervention to increase HPV vaccine receipt among underserved, high risk girls in LA• Will assess implementation outcomes (i.e., reach, etc)

• Intervention delivered by LADPH staff through their telephone hotline in English, Spanish, Cantonese, Mandarin, Korean, Armenian. Targets caregivers of 9-18 yr old girls

• Brief telephone intervention and companion print materials• Referral to a convenient clinic offering low cost/free vaccine

• Intervention designed to be feasible for delivery by a county health department, and integrated into their infrastructure. Will facilitate sustainability and dissemination. Can be adapted for other outcomes.