title: Why do low-income minority parents choose human papillomavirus vaccination for their daughters?
abstract: OBJECTIVE
  To explore low-income minority parents' attitudes, intentions, and actions with regard to human papillomavirus (HPV) vaccination for their daughters.
  
  
  METHODS
  Semistructured interviews were conducted in English and Spanish with parents of girls aged 11-18 who were attending clinic visits in an urban medical center and a community health center. We assessed intention with formal scales, probed parents' attitudes regarding vaccination with open-ended questions, and reviewed medical records to determine vaccination rates. Data were analyzed using descriptive statistics and qualitative methods.
  
  
  RESULTS
  Seventy-six parents participated (43% African American, 28% Latino, and 26% Caucasian). Most were mothers, had completed high school, and described themselves as religious; nearly one-half were immigrants. Intention correlated highly with receipt of the vaccine; 91% of parents intended to vaccinate their daughters against HPV, and 89% of the girls received vaccination within 12 months of the interview. Qualitative analysis revealed that most parents focused on the vaccine's potential to prevent cervical cancer. Some parents expressed concerns about unknown side effects and promotion of unsafe sexual practices, but these concerns did not hinder acceptance in most cases.
  
  
  CONCLUSIONS
  The majority of the low-income minority parents surveyed viewed HPV vaccination as a way to protect their daughters from cancer, and thus chose to vaccinate their daughters.
authors.affiliation: Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston, MA 02118, USA. Rebecca.perkins@bmc.org
authors.forename: Rebecca B
authors.initials: RB
authors.lastname: Perkins
authors.forename: Natalie
authors.initials: N
authors.lastname: Pierre-Joseph
authors.forename: Cecilia
authors.initials: C
authors.lastname: Marquez
authors.forename: Sandra
authors.initials: S
authors.lastname: Iloka
authors.forename: Jack A
authors.initials: JA
authors.lastname: Clark
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000706:statistics & numerical data; D001294:Attitude to Health; D002648:Child; D002755:Choice Behavior; D005260:Female; D006801:Humans; D008913:Minority Groups / Q000706:statistics & numerical data*; D009679:Nuclear Family / Q000208:ethnology*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010290:Parents; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000706:statistics & numerical data*; D044465:White People / Q000706:statistics & numerical data
chemical_list: D053918:Papillomavirus Vaccines
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