Predictors of HPV and Hep B vaccination beliefs and behaviors among Vietnamese American young adults: Implications for dual vaccine coverage.
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Vietnamese Americans experience the highest cervical and liver cancer rates across all other Asian American subgroups, alongside lower vaccination rates for human papillomavirus (HPV) and hepatitis B (Hep B). The aim of this cross-sectional study was to examine beliefs, knowledge, and uptake of HPV and Hep B vaccines, both individually and in combination, and to assess how constructs of the Health Belief Model (HBM) relate to cancer vaccine intention. We used convenience sampling to conduct an online survey of 140 Vietnamese American young adults aged 18-26 years. Descriptive analysis employing bivariate Chi-square tests assessed demographic factors associated with receiving at least one dose of the HPV vaccine, Hep B vaccine, or both. Logistic regression with backward selection was used to identify significant predictors of vaccine intention. Cancer vaccine uptake was high: 87% (n = 121) received the HPV vaccine, 95% (n = 133) received the Hep B vaccine, and 78% (n = 109) received both. Significant predictors of vaccine intention varied between the two vaccines. Self-efficacy, age, and doctor's recommendation for the HPV vaccine were significantly associated with dual cancer vaccine uptake. Our findings reinforce the utility of the HBM in identifying drivers of vaccine-related behaviors and highlight the critical role of healthcare providers in HPV and dual vaccine uptake.