Disparities in HPV Screening and Prevention in Metropolitan and Nonmetropolitan Regions of Michigan.

Among rural and underserved areas, existing disparities are very well studied, but current perceptions of HPV vaccination among parents are unknown. This study was designed using a survey administered to parents of children eligible for the HPV vaccine at community events throughout Central and Northern Michigan. These data suggest that the most important factor leading to successful vaccination is a conversation with a PCP. However, when the geographic location of these parents is considered, non-metropolitan parents were more concerned with the underlying safety and efficacy with the vaccine. This underscores the importance of tailoring a conversation with parents to meet their needs and concerns to lead to highest vaccination rates, and ultimately prevent HPV-related cervical cancers.