Perspectives on human papilloma virus vaccination barriers, knowledge and beliefs, and practices: Providers serving Arab-American populations Journal Article


Authors: Ayash, C.; Raad, N.; Finik, J.; Taoube, J.; Gorayeb, S.; Abouhala, S.; Nourredine, S.; Jdid, M.; Aragones, A.; Gany, F. M.
Article Title: Perspectives on human papilloma virus vaccination barriers, knowledge and beliefs, and practices: Providers serving Arab-American populations
Abstract: Little is known of HPV vaccination (HPVV) recommendation practices among healthcare providers who treat the Arab American community. Evidence indicates that HPVV patient uptake is low in this population. A survey was administered to healthcare providers (N = 46, 63% response rate) who treated ≥ 5% Arab American patients aged 9–26 years in areas of New York City and New Jersey with large Arab American populations. They were asked about barriers to HPVV recommendation and uptake among their Arab American patients. Providers (Doctors of Medicine and Osteopathy, Nurse Practitioners, and Physician Assistants) mostly worked in pediatrics (41%), primary care/internal medicine (26%), obstetrics/gynecology (20%), and family medicine (15%). Most (91%) were confident in their ability to effectively counsel their patients on HPVV. The most frequent provider-reported barriers to administering the HPVV to Arab American patients were patient cultural/religious practices (reported by 67%) and patient and provider difficulties with insurance reimbursement (44%). Most providers (84%) agreed that organizations/programs to increase HPVV uptake among Arab American patients were needed. Providers felt that HPVV uptake could be increased with educational materials in the patients’ native languages (“very useful,” 81%) and provider cultural competency training (“very useful,” 65%). In responses to open-ended questions, cultural and religious HPVV barriers were a salient topic, as were linguistic barriers and provider burdens related to HPVV costs and regulations. HPVV uptake could potentially be improved with Arabic language education materials, provider education that is culturally and linguistically tailored to the Arab American community, and policies to address HPVV financial and regulatory burdens. © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023.
Keywords: child; attitude to health; new jersey; vaccination; health knowledge, attitudes, practice; language; policy; wart virus; papillomavirus infections; immunization; prevention; papillomavirus vaccines; papillomavirus infection; cultural competency; arab; arabs; immigration; vaccinations; humans; human; hpv (human papillomavirus); human papilloma virus vaccine; human papillomavirus viruses
Journal Title: Journal of Community Health
Volume: 49
Issue: 1
ISSN: 0094-5145
Publisher: Springer  
Date Published: 2024-02-01
Start Page: 127
End Page: 138
Language: English
DOI: 10.1007/s10900-023-01248-y
PUBMED: 37555910
PROVIDER: scopus
PMCID: PMC11225800
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PubMed and PDF -- MSK corresponding author is Francesca Gany -- Source: Scopus
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MSK Authors
  1. Francesca Mara Gany
    216 Gany
  2. Claudia Lori Ayash
    9 Ayash
  3. Noor Amenda Raad
    4 Raad
  4. Jackie Marie Finik
    20 Finik
  5. Jana Kamal Taoube
    1 Taoube
  6. Maria Jdid
    1 Jdid