title: Factors Influencing Mexican Women's Decisions to Vaccinate Daughters Against HPV in the United States and Mexico.
abstract: Mexican and Mexican-American women bear high cervical cancer burdens, yet relationships between mothers' experiences of vaccinating daughters against cervical cancer-causing human papillomavirus (HPV) on both sides of the border are unknown. We surveyed 400 Mexican-born women in Oxnard, California, United States and Cuernavaca, Morelos, Mexico, about their beliefs and practices regarding daughters' HPV vaccination, conducting in-depth interviews with 35 participants. Contextualizing interview findings in survey data, we identify key factors influencing mothers' experiences regarding daughters' HPV vaccination in both countries. Although US acculturation influenced some participants' concerns, US and Mexico participants overwhelmingly desired eventual vaccination; structural rather than cultural barriers limited vaccine uptake.
authors.affiliation: Department of Anthropology, University of Iowa, Iowa City, Iowa (Dr Wentzell); Unidad de Investigación Epidemiológica y en Servicios de Salud, Morelos, Instituto Mexicano del Seguro Social, Mexico (Drs Flores and Salmerón); and Department of Health Policy and Management, Fielding School of Public Health and Jonsson Comprehensive Cancer Center, University of California, Los Angeles, California (Drs Flores and Bastani).
authors.forename: Emily
authors.initials: E
authors.lastname: Wentzell
authors.forename: Yvonne N
authors.initials: YN
authors.lastname: Flores
authors.forename: Jorge
authors.initials: J
authors.lastname: Salmerón
authors.forename: Roshan
authors.initials: R
authors.lastname: Bastani
mesh_terms: D000328:Adult; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017058:Mexican Americans / Q000523:psychology*; D008800:Mexico; D027383:Papillomaviridae / Q000276:immunology*; D030361:Papillomavirus Infections / Q000276:immunology / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D011795:Surveys and Questionnaires; D014481:United States
chemical_list: D053918:Papillomavirus Vaccines