title: Predictors of human papillomavirus vaccination among daughters of low-income Latina mothers: the role of acculturation.
abstract: OBJECTIVE
  Human papillomavirus (HPV) vaccination is a safe and effective primary prevention strategy for cervical cancer. Little is known about correlates of HPV vaccination among Hispanic adolescents living in the United States. The purpose of this study was to (1) examine relationships between both U.S./American and Latina acculturation and variables typically associated with HPV vaccine uptake (e.g., physician recommendation); and (2) identify predictors of HPV vaccine uptake among daughters of Latina mothers.
  
  
  METHODS
  Latina mothers (N = 200) recruited from a Federally Qualified Health Center serving low-income families in Florida completed a semistructured interview that assessed awareness of and knowledge about HPV and HPV-vaccines, vaccination beliefs, whether their daughter's physician had recommended the HPV vaccine, health history, U.S./American and Latina acculturation, mother and daughter demographics, and daughter's HPV vaccination status.
  
  
  RESULTS
  Only 18% of daughters had received at least one dose of the vaccine. Higher levels of U.S./American acculturation were associated with greater odds of vaccine uptake and other common predictors of HPV vaccination (e.g., physician recommendation, vaccine awareness). A multivariate logistic regression analysis identified three independent predictors of vaccine uptake: physician recommendation, daughter's age, and low worry about how to pay for the vaccine.
  
  
  CONCLUSIONS
  Despite generally favorable views of HPV vaccination, observed rates of vaccine uptake in this sample were substantially lower than national estimates. Latina mothers who are more integrated into U.S. society may be more likely to vaccinate their daughters against HPV. Findings provide promising directions for future HPV vaccination interventions with Hispanic adolescents.
authors.affiliation: Department of Medical Humanities and Social Sciences, College of Medicine, Florida State University (FSU), Tallahassee, Florida. Electronic address: mary.gerend@med.fsu.edu.
authors.forename: Mary A
authors.initials: MA
authors.lastname: Gerend
authors.forename: Claudia
authors.initials: C
authors.lastname: Zapata
authors.forename: Elena
authors.initials: E
authors.lastname: Reyes
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D005431:Florida; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology; D006630:Hispanic or Latino / Q000208:ethnology / Q000523:psychology; D006801:Humans; D007406:Interview, Psychological; D008875:Middle Aged; D009034:Mother-Child Relations / Q000208:ethnology* / Q000523:psychology; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D011203:Poverty / Q000208:ethnology* / Q000523:psychology; D002583:Uterine Cervical Neoplasms / Q000208:ethnology / Q000517:prevention & control / Q000523:psychology; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: Acculturation; Adolescent; Cervical cancer; Hispanic; Human papillomavirus vaccines