title: The cross-cultural variation of predictors of human papillomavirus vaccination intentions.
abstract: BACKGROUND
  The influence of health beliefs on human papillomavirus (HPV) vaccine acceptability have been extensively documented in past research. However, studies documenting the generalizability of prior findings to culturally diverse participants are lacking. The importance of generalizability studies is underscored by the immense disparities in cervical cancer rates across ethnicities. Moreover, theory in cultural psychology suggests that beliefs derived from personal expectations may not be the strongest predictors of intentions in individuals socialized in collectivist cultures. The purpose of this research was to investigate the strongest predictors of mothers' intentions to vaccinate their daughters across three cultural groups: Hispanic, non-Hispanic white, and African American.
  
  
  METHODS
  One hundred fifty mothers were recruited from Public Health Department clinics in Milwaukee, Wisconsin. Mothers were asked to answer measures that assessed personal and normative predictors of intentions.
  
  
  RESULTS
  Results indicated that predictors of vaccination intentions varied cross-culturally. Specifically, culture moderated the influence of norms on intentions.
  
  
  CONCLUSIONS
  Interventions designed for Hispanics may be more effective if norms, rather than attitudes, are targeted.
authors.affiliation: Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, Wisconsin 53202, USA. jlechuga@mcw.edu
authors.forename: Julia
authors.initials: J
authors.lastname: Lechuga
authors.forename: Geoffrey R
authors.initials: GR
authors.lastname: Swain
authors.forename: Lance S
authors.initials: LS
authors.lastname: Weinhardt
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D001294:Attitude to Health / Q000208:ethnology; D003431:Cross-Cultural Comparison; D003466:Cultural Characteristics; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008875:Middle Aged; D009034:Mother-Child Relations / Q000208:ethnology*; D009035:Mothers / Q000523:psychology* / Q000706:statistics & numerical data; D030361:Papillomavirus Infections / Q000208:ethnology / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires; D044465:White People / Q000706:statistics & numerical data*; D014922:Wisconsin
chemical_list: D053918:Papillomavirus Vaccines