Exploring the Role of Ethnic Identity on the Attitudes Towards HPV Vaccine Advertising Among Puerto Ricans: A Qualitative Analysis

Calo, William A.; Fernández, María E.; Fernández-Espada, Natalie; Colón‐López, Vivian

doi:10.1007/s10903-013-9909-2

Cited by 7 publications

(21 citation statements)

References 16 publications

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“…Findings from focus group discussions on Puerto Rican mothers and daughters’ perspectives on mother-daughter communication about sexual-related topics and HPV will be presented. A detailed description of our research methodology is presented elsewhere (Fernandez et al 2014; Calo et al 2015). …”

Section: Methodsmentioning

confidence: 99%

“…As Calo (2015) discussed, parents do not respond favorably to health messages and campaigns that do not reflect their ethnic and cultural characteristics. Research that aims at promoting changes in health behaviors should focus on tailoring health messages so the target population identifies and relates to the information being provided.…”

Section: Conclusion and Implications For Practicementioning

confidence: 99%

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Communication about sex and HPV among Puerto Rican mothers and daughters

Colón‐López

Fernández-Espada

Vélez³

et al. 2016

Ethnicity & Health

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Objective Although opportunities to vaccinate against human papillomavirus (HPV), are available, vaccination rates in Puerto Rico remain low. Communication between parents and adolescents about sexual topics may influence decisions about HPV vaccination uptake, particularly among young women; yet few studies have addressed this issue. This qualitative study explored Puerto Rican mothers and daughters communication on sex-related topics, and HPV, including the HPV vaccine. Design Thirty participants, including 9 mothers and 21 daughters, participated in seven focus groups. Participants were divided into groups of mothers and daughters, and further stratified by vaccination status. Transcripts were analyzed using a modified grounded theory approach to identify emergent themes. Results Focus group data revealed four main themes: 1) limited parent–daughter communication about sex-related topics; 2) daughters’ discomfort discussing sex-related topics with their parents; 3) parental focus on abstinence; and, 4) limited parent–daughter communication about HPV and the HPV vaccine. Conclusion Although daughters in this study struggled with feelings of embarrassment, invasion of privacy, encouragement of abstinence, and the fear of parents reaction to them being sexually active prior to marriage, they also recognized the need to increase the parent-daughter communication about sex-related topics including HPV and the HPV vaccine. Educational efforts should target both daughters and parents to increase communication skills and self-efficacy and to enable them to discuss sexual health in open and nonjudgmental conversations.

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Section: Methodsmentioning

confidence: 99%

Section: Conclusion and Implications For Practicementioning

confidence: 99%

Communication about sex and HPV among Puerto Rican mothers and daughters

Colón‐López

Fernández-Espada

Vélez³

et al. 2016

Ethnicity & Health

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“…This manual search yielded two additional eligible studies. In total, 11 articles were selected for final inclusion in this integrative review [29][30][31][32][33][34][35][36][37][38][39].…”

Section: Selection Of Articlesmentioning

confidence: 99%

“…According to Whittemore and Knafl, there is no gold standard for assessing the methodological quality of studies included in an integrative review [27]. For the current review, the quality of each included study was reviewed independently by two authors (ACL, SFW, MLG) using the criteria from the validated Critical Appraisal Skills Program (CASP) quality framework tool [40] for qualitative [29,39], quantitative [31,32,36,38] and mixed methods studies [30,33,34,35,37]. The CASP qualitative tool is comprised of 12 questions [40] and 10 of them were used to appraise mixed methods studies (n=6) and qualitative studies (n=2) included in this review (see Table 1).…”

Section: Quality Appraisalmentioning

confidence: 99%

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Exploring HPV Knowledge, Awareness, Beliefs, Attitudes, and Vaccine Acceptability of Latino Fathers Living in the United States: An Integrative Review

et al. 2019

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Objective: To conduct an integrative review to identify and synthesize studies exploring human papillomavirus (HPV) knowledge, awareness, beliefs, attitudes, and acceptability of the HPV vaccine among Latino fathers living in the United States. Methods: The review methodology was informed by those developed by Whittemore and Knafl, which allow for the inclusion of qualitative, quantitative, and mixed methods studies. Using the Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA) guidelines, five electronic databases (PubMed, Medline, PsycINFO, CINAHL, Science Direct) were searched for peer-reviewed, full-text studies published in English with samples that included Latino fathers and examined knowledge, awareness, beliefs, attitudes about the HPV and the HPV vaccines. Studies that did not provide information on the inclusion of fathers in the sample were excluded. Identified eligible studies were analyzed and synthesized using the matrix method. Results: Eleven eligible studies were identified. Most (n=10) included mothers and fathers. One study included only fathers, and this study determined that although fathers held positive attitudes toward the HPV vaccine, a notable number of participants were unsure of or had not formed an opinion about the HPV vaccine. Fathers felt that a recommendation from their child's physician would impact whether they vaccinated their child. Moreover, of the 10 studies including both parents, only two specifically compared fathers' and mothers' knowledge and awareness about the HPV and vaccine acceptability. These two studies determined that fathers were less aware of the HPV and had lower HPV vaccine-related knowledge than mothers. Nevertheless, all of the 11 examined studies, found moderate to high acceptability of the HPV vaccine among Latino parents despite uncertainty about possible vaccine risks and costs. Latino Fathers and HPV 3 Conclusion: Only 11 studies were identified that included Latino fathers. Of these studies, only one was conducted exclusively with Latino fathers and two compared fathers and mothers. Additional research focusing on Latino fathers is needed given the central role of the family in the Latino culture and the shared role fathers and mothers have in decision-making related to their children's health.

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