HPV vaccine use among African American girls: qualitative formative research using a participatory social marketing approach.
OBJECTIVE
To generate recommendations for framing messages to promote HPV vaccination, specifically for African American adolescents and their parents who have not yet made a decision about the vaccine (the "Undecided" market segment).


METHODS
Focus groups and interviews were conducted with African American girls ages 11-18 (N=34) and their mothers (N=31), broken into market segments based on daughter's vaccination status and mother's intent to vaccinate.


RESULTS
Findings suggested that the HPV vaccine should be presented to "Undecided" mothers and adolescents as a routine vaccine (just like other vaccines) that helps prevent cancer. Within the "Undecided" segment, we identified two sub-segments based on barriers to HPV vaccination and degree of reluctance. The "Undecided/Ready If Offered" segment would easily accept HPV vaccine if given the opportunity, with basic information and a healthcare provider recommendation. The "Undecided/Skeptical" segment would need more in-depth information to allay concerns about vaccine safety, mistrust of drug companies, and recommended age. Some mothers and girls had the erroneous perception that girls do not need the vaccine until they become sexually active. African American adolescents and their mothers overwhelmingly thought campaigns should target both girls and boys for HPV vaccination. In addition, campaigns and messages may need to be tailored for pre-teens (ages 9-12) versus teens (ages 13-18) and their parents.


CONCLUSIONS
Findings pointed to the need to "normalize" the perception of HPV vaccine as just another routine vaccine (e.g., part of pre-teen vaccine package). Findings can inform social marketing campaigns targeting Undecided or ethnically diverse families.
Vanderbilt University School of Medicine, USA. Electronic address: pam.hull@vanderbilt.edu.
Pamela C
PC
Hull
Tennessee State University, USA.
Elizabeth A
EA
Williams
Vanderbilt University School of Medicine, USA.
Dineo
D
Khabele
Vanderbilt University School of Medicine, USA.
Candace
C
Dean
Tennessee State University, USA.
Brea
B
Bond
Meharry Medical College, USA.
Maureen
M
Sanderson
D000293:Adolescent; D001741:Black or African American; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D030361:Papillomavirus Infections / Q000517:prevention & control* / Q000821:virology; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010290:Parents; D010353:Patient Education as Topic / Q000379:methods; D036301:Qualitative Research; D040241:Social Marketing; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control* / Q000821:virology
D053918:Papillomavirus Vaccines
African Americans; Formative research; HPV vaccine; Social marketing