Alvin Y. Chan|Brandon Brown|Enedina Sepulveda|Lorena Teran-Clayton
Evaluation of fotonovela to increase human papillomavirus vaccine knowledge, attitudes, and intentions in a low-income Hispanic community
University of California, Irvine|University of California, Riverside|University of California, Irvine|Total Child Health (United States)
nearly decade since introduction vaccine human papillomavirus hpv yet vaccination rates united states remained suboptimal particularly among hispanics culturally linguistically relevant health education tools targeting hispanics needed increase current rate hpv vaccination article evaluates theoryinformed evidenceguided fotonovela photographic short story intervention improve hpv vaccination knowledge attitudes intention among young adults young adults n 41 aged 1826 years lowincome primary care clinic southern california administered pre postintervention surveys measure changes perceived susceptibility hpv perceived benefit vaccination committed relationship intention vaccinate intention encourage social networks vaccinate attitude towards vaccination postintervention survey also examined attitudes towards fotonovela relationships attitudes towards fotonovela demographic characteristics assessed fishers exact test selfreported gains knowledge categorized tabulated changes perceptions intentions analyzed marginal homogeneity test majority participants female 780 latinohispanic 927 single 707 least college education 610 mean age 219 years sd 04 fotonovela viewed entertaining 951 educational 976 easy read 100 following intervention hispanic participants improved five variables interest measured survey including perceived susceptibility 105 p 003 benefit vaccination 78 p 025 intent vaccinate 184 p 006 intent encourage others vaccinate 105 p 014 attitude towards vaccination 131 p 005 improvements perceived susceptibility attitude towards vaccination reached statistical significance p 005 frequent gains knowledge risk hpv infection despite condom use n 16 relationship status n 8 threedose vaccine administration schedule n 13 burden hpv infection among males n 9 results promising demonstrate health messages delivered narrative format promote positive changes knowledge attitudes intentions fotonovela may powerful vehicle hpv education particularly among hispanics