The role of trust in HPV vaccine uptake among racial and ethnic minorities in the United States: a narrative review.

摘要: Despite the clinically proven benefits of human papillomavirus (HPV) vaccine in preventing cervical and other HPV-associated cancers, vaccination coverage has been suboptimal among adolescents young adults United States (US), particularly racial ethnic minority adolescents. Historical legacies, combined with current racial/ethnic disparities healthcare, may contribute to uptake completion HPV part through differing levels trust doctors healthcare institutions. The purpose this narrative review was characterize its role decision making about US minorities. We conducted a literature search using PubMed database, our terms yielded 1176 articles. reviewed 41 full-text articles for eligibility included 20 review. These studies used varied measures or mistrust assessed not only doctors/healthcare providers, but also sources including pharmaceutical companies, media, clergy. Our findings revealed generally high less so companies. Mistrust either government agencies companies consistently associated favorable attitudes lower uptake. downstream effects occur selected health beliefs regarding perceived efficacy safety vaccine. Minority groups were more likely report family members, religious organizations, media compared their white counterparts. Decision is multilayered process that involves comparing against risks. Understanding how trusted can effectively harness tools social traditional increase knowledge awareness help combat misinformation improve engagement diverse communities.