title: Maternal support for human papillomavirus vaccination in Honduras.
abstract: BACKGROUND
  Cervical cancer is a leading cause of cancer death for women in Latin America, and vaccinating against human papillomavirus (HPV) has the potential to limit this disease. We sought to determine Honduran women's awareness of HPV vaccination and interest in vaccinating their daughters against HPV.
  
  
  METHODS
  We interviewed mothers aged ≥17 at primary care clinics in Honduras. First, we collected demographic information and assessed knowledge related to cervical cancer prevention and awareness of HPV and HPV vaccination. Because most participants were not familiar with HPV, education about the relationships among HPV, sexual activity, and cervical cancer was provided before we asked participants if they would accept HPV vaccination for a 9-year-old daughter. We used multivariable logistic regression to determine predictors of vaccine acceptance.
  
  
  RESULTS
  We interviewed 632 mothers. Only 13% had heard of HPV vaccination before the interview. After education, 91% would accept HPV vaccination for a 9-year-old daughter. Mothers who intended to vaccinate knew more at baseline about cervical cancer prevention than did those who did not endorse vaccination. Demographic characteristics did not predict vaccine acceptance.
  
  
  CONCLUSIONS
  Few Honduran mothers were aware of HPV or HPV vaccination. However, most Honduran mothers would accept HPV vaccination for their daughters after receiving education about the relationship between HPV infection and cervical cancer. Baseline cervical cancer knowledge was associated with vaccine acceptance.
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: Sarah M
authors.initials: SM
authors.lastname: Langrish
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Cotton
authors.forename: Carol J
authors.initials: CJ
authors.lastname: Simon
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006721:Honduras; D006801:Humans; D008427:Maternal Health Services / Q000379:methods*; D008875:Middle Aged; D009035:Mothers / Q000523:psychology* / Q000706:statistics & numerical data; D015999:Multivariate Analysis; D053918:Papillomavirus Vaccines; D010298:Parity; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology*; D011247:Pregnancy; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D011594:Psychometrics / Q000295:instrumentation; D012424:Rural Population / Q000706:statistics & numerical data; D012725:Sexual Behavior / Q000523:psychology; D014626:Vaginal Smears / Q000523:psychology / Q000706:statistics & numerical data
chemical_list: D053918:Papillomavirus Vaccines