title: Khmer American Mothers' Knowledge about HPV and HBV Infection and Their Perceptions of Parenting: My English Speaking Daughter Knows More.
abstract: OBJECTIVE
  The purpose of this study is to explore and describe Khmer mothers' understanding of HBV and HPV prevention as well as their perception of parenting on health and health education of their daughters in the US.
  
  
  METHODS
  The qualitative pilot study guided by the revised Network Episode Model and informed by ethnographic analysis and community-based purposive sampling method were used. Face-to-face audiotaped interviews with eight Khmer mothers were conducted by bilingual female middle-aged community health leaders who spoke Khmer.
  
  
  RESULTS
  The findings revealed that Khmer mothers clearly lacked knowledge about HBV and HPV infection prevention and had difficulty understanding and educating their daughters about health behavior, especially on sex-related topics. The findings showed that histo-sociocultural factors are integrated with the individual factor, and these factors influenced the HBV and HPV knowledge and perspective of Khmer mothers' parenting.
  
  
  CONCLUSIONS
  The study suggests that situation-specific conceptual and methodological approaches that take into account the uniqueness of the sociocultural context of CAs is a novel method for identifying factors that are significant in shaping the perception of Khmer mothers' health education related to HBV and HPV prevention among their daughters. The communication between mother and daughter about sex and the risk involved in contracting HBV and HPV has been limited, partly because it is seen as a "taboo subject" and partly because mothers think that schools educate their children regarding sexuality and health.
authors.affiliation: Department of Nursing, College of Nursing & Health Sciences, University of Massachusetts Bosto, MA, USA. Electronic address: haeok.lee@umb.edu.
authors.forename: Haeok
authors.initials: H
authors.lastname: Lee
authors.affiliation: Asian American Studies Program, University of Massachusetts Boston, MA, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Kiang
authors.affiliation: Asian American Studies Program, University of Massachusetts Boston, MA, USA.
authors.forename: Shirely S
authors.initials: SS
authors.lastname: Tang
authors.affiliation: Lowell Public Schools, Lowell, MA, USA.
authors.forename: Phala
authors.initials: P
authors.lastname: Chea
authors.affiliation: Metta Health Center of Lowell Community Health Center, Lowell, MA, USA.
authors.forename: Sonith
authors.initials: S
authors.lastname: Peou
authors.affiliation: Hahn School of Nursing and Health Science, University of San Diego, CA, USA.
authors.forename: Semira
authors.initials: S
authors.lastname: Semino-Asaro
authors.affiliation: Lowell Community Health Center, Lowell, MA, USA.
authors.forename: Dorcas C
authors.initials: DC
authors.lastname: Grigg-Saito
mesh_terms: D000293:Adolescent; D000328:Adult; D001213:Asian / Q000523:psychology; D002160:Cambodia / Q000208:ethnology; D002648:Child; D002668:Child Rearing / Q000523:psychology*; D003142:Communication; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D009679:Nuclear Family; D030361:Papillomavirus Infections / Q000517:prevention & control*; D016487:Parenting / Q000523:psychology*; D010865:Pilot Projects; D036301:Qualitative Research; D014481:United States; D055815:Young Adult
keywords: Cambodian; hepatitis B virus; human papillomavirus; knowledge; parenting