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Full text release has been delayed at the author's request until June 20, 2025

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The Evaluation of HPV Vaccination Among Adolescents and Adults in United States: Assessment of Sociodemographic Disparities and Misinformation on Social Media Platforms

Ibrahim-Ojoawo, Atinuke Esther
http://orcid.org/0009-0009-1869-5270
http://rave.ohiolink.edu/etdc/view?acc_num=ysu1733151343624048

Abstract Details

2024, Doctor of Philosophy in Health Sciences, Youngstown State University, Department of Graduate Studies in Health and Rehabilitation Sciences.
The HPV vaccination has been effective in preventing HPV-related diseases and cancers, but a large portion of the US population remains unvaccinated. The dissertation explores the sociodemographic disparities in HPV vaccination uptake and coverage in different categories of the US population. Additionally, it investigates the nature and pattern of HPV misinformation and its relationship with extremism, conspiracism, and religious ideologies in online forums. The first two studies used national survey data to analyze HPV vaccine initiation and completion among US adolescents and adults. Descriptive statistics and logistic regression were adopted to estimate disparities in HPV vaccination uptake. The third study analyzed online forum posts related to HPV vaccination discourse and misinformation through purposive sampling, utilizing automated text mining and statistical analysis to assess the association with conspiracy theories, extreme ideologies, and extremist activities. HPV vaccine initiation and completion increased among older adolescents, and there are lower odds of HPV vaccination among adults aged 45 and above. The nature of discussions about HPV vaccination in online forums is primarily analytical, with moderate to low clout and emotional tone. Discourse and misleading narratives about the HPV vaccine among faith communities, including the prevalence of extreme theories and ideologies, potentially escalate into extremist activities. There is a need for initiatives to address HPV vaccination uptake among boys and expand the vaccine recommendations to include all US adults. Online engagement of community forums, experts, and evidence-based communication to promote HPV vaccine uptake.
Nicolette Powe, PhD (Advisor)
Ken Learman, PhD (Committee Member)
Richard Rogers, PhD (Committee Member)
Heather Hefner, PhD (Committee Member)
139 p.
Biostatistics; Demographics; Health; Health Sciences; Public Health; Public Health Education
Human Papillomavirus; HPV Vaccination; Adolescents; Adults; religion; NISTEEN; BRFSS; uptake; coverage; Prevalence; Incidence; HPV Vaccine Hesitancy; Misinformation; Sociodemographic Disparities; social media; Online platforms; United States; HPV-Causing Cancers

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Citations

  • Ibrahim-Ojoawo, A. E. (2024). The Evaluation of HPV Vaccination Among Adolescents and Adults in United States: Assessment of Sociodemographic Disparities and Misinformation on Social Media Platforms [Doctoral dissertation, Youngstown State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1733151343624048

    APA Style (7th edition)

  • Ibrahim-Ojoawo, Atinuke. The Evaluation of HPV Vaccination Among Adolescents and Adults in United States: Assessment of Sociodemographic Disparities and Misinformation on Social Media Platforms. 2024. Youngstown State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ysu1733151343624048.

    MLA Style (8th edition)

  • Ibrahim-Ojoawo, Atinuke. "The Evaluation of HPV Vaccination Among Adolescents and Adults in United States: Assessment of Sociodemographic Disparities and Misinformation on Social Media Platforms." Doctoral dissertation, Youngstown State University, 2024. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1733151343624048

    Chicago Manual of Style (17th edition)

ysu1733151343624048
© 2024, all rights reserved.
This open access ETD is published by Youngstown State University and OhioLINK.