Hispanic Mothers' and High School Girls' Perceptions of Cervical Cancer, Human Papilloma Virus, and the Human Papilloma Virus Vaccine

Abstract

Findings may help in developing school or community-based educational programs for Hispanic families. Such programs should provide information on the HPV vaccine and the link between HPV and cervical cancer, and they should assist mothers and girls in communicating to make informed decisions about the vaccine.

Provider communication about HPV vaccination: A systematic review

“…Rather, qualitative research suggests that parents found open-ended communication ambiguous, frustrating and worrying, leading them to delay HPV vaccination for their adolescents. 61,71,77,78,98,99 Instead of encouraging shared decision making, mixed messages appeared to lead to a "default" communication style in which neither providers nor parents engaged in the decision-making process. 110 Findings also provide evidence of communication disparities in terms of who receives a provider recommendation for HPV vaccination.…”

“…4,[18][19][20]71,74,[76][77][78] However, the extent to which parents communicated about HPV vaccination beyond giving consent varied, with qualitative studies suggesting that parents from racial/ethnic minorities or with lower socioeconomic status were less likely to be engaged by providers and more likely than parents from more socially privileged backgrounds to defer to providers' advice. 19,71,73,74,77 Parents were also more likely to follow providers' advice without question when they received a strong, unambiguous recommendation.…”

“…Some studies emphasized their lack of participation, particularly in the case of younger adolescents. 4,19,74,78,79 Indeed, some parents indicated a preference for vaccinating in the preteen years specifically because they viewed adolescents as having little say during this 11 Cross-sectional, online survey rout rout F, M 776 National sample of pediatricians and family physicians Gilkey, 2016 60 Cross-sectional, online survey rout rout F, M 1495 National sample of parents of adolescents (ages 11-17) Gilkey, under review 16 Cross-sectional, online survey rout rout F, M 1484 National sample of parents of adolescents (ages [11][12][13][14][15][16][17] (Continued on next page) time. 18,80 In contrast, other studies found that adolescents did play a role in communication and decision-making in clinical settings, one which increased with age, maturity, and social privilege.…”

“…84 In contrast, qualitative studies with parents from racial/ethnic minority backgrounds suggested some degree of dissatisfaction with HPV vaccine communication, with some parents reporting too little information, limited opportunities to ask questions, or ambiguous recommendations. 61,71,77,78,98,99 For these parents, the perception that providers were withholding information was a source of confusion that introduced doubt about the value of HPV vaccination, discouraged vaccine acceptance, and in some cases undercut parents' trust in providers. 61,71,77,78,98,99 Parents emphasized their desire for clear, unambiguous messages from providers about the importance of HPV vaccination.…”

“…61,71,77,78,98,99 For these parents, the perception that providers were withholding information was a source of confusion that introduced doubt about the value of HPV vaccination, discouraged vaccine acceptance, and in some cases undercut parents' trust in providers. 61,71,77,78,98,99 Parents emphasized their desire for clear, unambiguous messages from providers about the importance of HPV vaccination. 38,71,77,99 Channel Relatively few studies assessed modes of clinical communication about HPV vaccination beyond provider dialog, but those that did focused primarily on written materials.…”