TY - JOUR
T1 - Salient factors among Hispanic parents in South Florida rural communities for vaccinating their children against human papillomavirus
AU - Fernandez-Pineda, Madeline
AU - Cianelli, Rosina
AU - Villegas, Natalia
AU - Matsuda, Yui
AU - Iriarte Parra, Evelyn Scarlett
AU - Montano, Nilda Peragallo
N1 - Funding Information:
The study was funded by a Deans Award provided by the Dean of the University of Miami School of Nursing and Health Studies at the time.
PY - 2020/9/1
Y1 - 2020/9/1
N2 - 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.
AB - 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.
KW - Hispanic/Latino parents
KW - Human papillomavirus vaccine uptake
KW - Rural Hispanics
KW - Theory of planned behavior
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U2 - 10.1016/j.pedn.2020.05.016
DO - 10.1016/j.pedn.2020.05.016
M3 - Article
C2 - 32521437
AN - SCOPUS:85085981211
VL - 54
SP - 24
EP - 33
JO - Journal of Pediatric Nursing
JF - Journal of Pediatric Nursing
SN - 0882-5963
ER -