Highlights
- •All Theory of Planned Behavior constructs were identified as salient for HPV vaccine uptake.
- •Only half of the Hispanic parents living in this rural community had heard of the HPV vaccine.
- •Hispanic mothers were the main decision-maker for their child's HPV vaccination.
- •Fear of side effects was the most common barrier to HPV vaccination.
- •Healthcare providers should have the HPV vaccine stocked at all times.
Abstract
Purpose
Few studies have tried to understand the factors related to HPV vaccination among
Hispanics living in rural communities in the United States (US). Nationally, HPV vaccination
among Hispanics is suboptimal (26.1%) compared to the HealthyPeople 2020 goal of 80%
and even more suboptimal in rural communties. This study aimed to determine the salient
factors among Hispanic parents for vaccinating their children against HPV and for
designing a future HPV prevention intervention for Hispanics.
Design and methods
A descriptive qualitative design was used. Saturation was reached after conducting
four focus groups with 23 Hispanic parents from rural communities in South Florida.
Directed content analysis using the Theory of Planned Behavior (TPB) constructs was
used to analyze the transcripts.
Results
All TPB constructs were identified as salient factors for HPV vaccination including
background factors, attitudes towards the behavior, perceived norms, perceived behavioral
control, actual control, intention, and behavior.
Conclusions
Addressing HPV vaccination by developing educational programs based on the TPB and
tailored to meet the needs of Hispanic parents is urgently needed to prevent HPV among
Hispanics in rural US communities. This approach can also serve as a directive to
target HPV vaccination among Hispanics in other rural areas in the US.
Practice implications
Pediatric nurses must proactively promote and recommend the HPV vaccine (HPVV), educate
parents on having sex-related discussions with their children, include children in
the HPVV education and decision, bundle the HPVV with other child vaccines, and utilize
reminder systems to ensure completion of the vaccine series.
Keywords
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Article info
Publication history
Published online: June 07, 2020
Accepted:
May 24,
2020
Received in revised form:
May 23,
2020
Received:
October 18,
2019
Identification
Copyright
Published by Elsevier Inc.
