title: Factors Associated with HPV Vaccination among Cambodian American Teenagers.
abstract: Parents have general influence over their children's health and health behavior. However, given the dearth of specific literature regarding knowledge level and social and cultural factors influencing HPV vaccination behaviors among Cambodian American (CA) parent, it is difficult to develop an effective, evidence-based public health HPV vaccination program. Therefore, the objectives of this study were to determine the HPV vaccine uptakes among CA teenagers and to examine factors influencing HPV vaccine uptakes.
  
  
  
  A descriptive, cross-sectional survey design and a combination of network and targeted sampling methods were used.
  
  
  
  CA mothers (n = 130) completed a health survey through face-to-face interviews in either English or Khmer language. Girls vaccination rates were 29% while that of boys was 16%. Awareness and knowledge of HPV among CA mothers was very low, and many believed that their daughters, who speak English and were educated in the U.S., had more knowledge about health than they did. Logistic regression analysis showed that CA girls had significantly higher odds of vaccination when their mothers possessed a higher level of English reading ability and had greater awareness and knowledge of HPV.
  
  
  
  The strikingly low rates of HPV vaccination among CA girls and boys underscore the need to improve vaccination outreach, education, and uptake. The findings can be used to develop targeted public health HPV vaccination programs for CAs, which will reduce cervical cancer disparities.
authors.affiliation: Department of Nursing, College of Nursing & Health Sciences, University of Massachusetts Boston, Boston, Massachusetts.
authors.forename: Haeok
authors.initials: H
authors.lastname: Lee
authors.affiliation: Department of Nursing, College of Nursing & Health Sciences, University of Massachusetts Boston, Boston, Massachusetts.
authors.forename: Minjin
authors.initials: M
authors.lastname: Kim
authors.affiliation: Asian American Studies Program, School for Global Inclusion and Social Development, University of Massachusetts Boston, Boston, Massachusetts.
authors.forename: Peter
authors.initials: P
authors.lastname: Kiang
authors.affiliation: Department of Nursing, College of Nursing & Health Sciences, University of Massachusetts Boston, Boston, Massachusetts.
authors.forename: Ling
authors.initials: L
authors.lastname: Shi
authors.affiliation: Cambodian Mutual Assistance Association, Lowell, Massachusetts.
authors.forename: Kevin
authors.initials: K
authors.lastname: Tan
authors.affiliation: English Language Education Program in Support of English Language Learners & Families/McKinney Vento Education Liaison, Lowell Public Schools, Lowell, Massachusetts.
authors.forename: Phala
authors.initials: P
authors.lastname: Chea
authors.affiliation: Metta Health Center of Lowell Community Health Center, Lowell, Massachusetts.
authors.forename: Sonith
authors.initials: S
authors.lastname: Peou
authors.affiliation: Lowell Community Health Center, Lowell, Massachusetts.
authors.forename: Dorcas C
authors.initials: DC
authors.lastname: Grigg-Saito
mesh_terms: D000293:Adolescent; D000328:Adult; D001213:Asian / Q000523:psychology* / Q000706:statistics & numerical data; D002160:Cambodia / Q000208:ethnology; D002648:Child; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009035:Mothers / Q000523:psychology* / Q000706:statistics & numerical data; D009679:Nuclear Family / Q000208:ethnology / Q000523:psychology; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D002583:Uterine Cervical Neoplasms / Q000208:ethnology / Q000517:prevention & control; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D053918:Papillomavirus Vaccines
keywords: Cambodian Americans; HPV vaccination rates; family health; health knowledge