title: Human Papillomavirus (HPV) Vaccination Motivators, Barriers, and Brochure Preferences Among Parents in Multicultural Hawai'i: a Qualitative Study.
abstract: The human papillomavirus (HPV) vaccine can prevent cervical and other cancers. Unfortunately, according to the National Immunization Survey-Teen 2014 data, completion of the HPV vaccine was only 38 % for 13- to 17-year-old girls and 31 % for 13- to17-year-old boys in the USA, and prevalence was similar in Hawai'i. Parents' acceptability of the HPV vaccine is critical for the vaccine uptake, and this can be increased by educational materials and interventions. However, HPV materials are not widely distributed in Hawai'i. The purpose of this qualitative study was to identify HPV vaccination barriers, motivators, and brochure preferences among parents of teens in multicultural Hawai'i. Twenty parents were interviewed in person or by telephone. Four major themes emerged: (1) the physician is critical in the decision to vaccinate, (2) parental perception of the child's sexual activity guides the timing of their willingness to vaccinate, (3) HPV health education materials should be provided and discussed by the physician, and (4) parents would prefer an educational brochure that features local faces and testimonials, includes an immunization chart, and addresses barriers to vaccination. These findings informed the development of HPV health education materials tailored to Asian Americans and Pacific Islanders in Hawai'i.
authors.affiliation: Papa Ola Lōkahi, 'Imi Hale Native Hawaiian Cancer Network, 894 Queen Street, Honolulu, HI, 96813, USA. mdelacruz@papaolalokahi.org.
authors.forename: May Rose Isnec
authors.initials: MRI
authors.lastname: Dela Cruz
authors.affiliation: Papa Ola Lōkahi, 'Imi Hale Native Hawaiian Cancer Network, 894 Queen Street, Honolulu, HI, 96813, USA.
authors.forename: Jo Ann Umilani
authors.initials: JAU
authors.lastname: Tsark
authors.affiliation: John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI, 96822, USA.
authors.forename: John Jiangtian
authors.initials: JJ
authors.lastname: Chen
authors.affiliation: School of Nursing & Dental Hygiene, University of Hawai'i at Mānoa, Honolulu, HI, 96822, USA.
authors.forename: Cheryl Lynn
authors.initials: CL
authors.lastname: Albright
authors.affiliation: Papa Ola Lōkahi, 'Imi Hale Native Hawaiian Cancer Network, 894 Queen Street, Honolulu, HI, 96813, USA.|Office of Public Health Sciences, University of Hawai'i at Mānoa, Honolulu, HI, 96822, USA.
authors.forename: Kathryn Lenzner
authors.initials: KL
authors.lastname: Braun
mesh_terms: D000293:Adolescent; D000328:Adult; D018864:Cultural Diversity; D005260:Female; D006254:Hawaii; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010174:Pamphlets; D030361:Papillomavirus Infections / Q000208:ethnology / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010290:Parents / Q000193:education*; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D014611:Vaccination
chemical_list: D053918:Papillomavirus Vaccines
keywords: Health education materials; Human papillomavirus vaccine; Parents