Determinants of HPV vaccination for Hispanic parents from the Texas-Mexico border

描述（由申请人提供）：与全国相比，德克萨斯-墨西哥边境沿着的西班牙裔妇女患宫颈癌的病例和死亡人数更多。使用HPV疫苗可以预防宫颈癌，建议11-26岁的女孩/男孩和妇女/男子接种。与美国西班牙裔女孩相比，德克萨斯州西班牙裔女孩（13-17岁）（65%对58%）接受1剂HPV疫苗的比例较小，完成疫苗系列的比例较小（33剂; 42%对35%）。鉴于该地区西班牙裔妇女宫颈癌发病率和死亡率的差异，促进疫苗的采用和遵守其给药时间表具有重要的公共卫生意义。本研究计划的目的是检查西班牙裔母亲接种疫苗的意图以及实际开始和完成其11-17岁女儿的三个剂量系列的决定因素。拟议的研究计划旨在：（1）确定母亲HPV疫苗接种意图，启动和完成的决定因素;（2）了解供应商对推荐疫苗的看法;（3）为德克萨斯州-墨西哥边境沿着的低收入西班牙裔母亲设计一种文化相关的，理论上有基础的HPV干预措施。这项研究是创新的，因为它：（1）侧重于一个在很大程度上服务不足，弱势群体与特定需求;（2）评估的可行性，以诊所为基础，宫颈癌预防干预西班牙裔母亲;和（3）侧重于父母之间的人际沟通，孩子，和供应商。这些目标的实现将有助于进一步证明父母和提供者在增加女孩接受和完成HPV疫苗接种方面的关键作用，以消除这一人群中的宫颈癌差异。

DESCRIPTION (provided by applicant): Hispanic women along the Texas-Mexico border experience more cases of and deaths from cervical cancer compared to the nation. Cervical cancer is preventable using the HPV vaccine, which is recommended for girls/boys and women/men aged 11-26. Compared to U.S. Hispanic girls, a smaller proportion of Texas Hispanic girls (ages 13-17) (65% vs. 58%) receive �1 dose HPV vaccine and fewer complete the vaccine series (�3 doses; 42% vs. 35%). Given the cervical cancer disparities in incidence and death among Hispanic women in this area, it is of great public health importance to promote the adoption of the vaccine and compliance with its dosing schedule. The objective of this research plan is to examine determinants of Hispanic mothers' intention to vaccinate and actual initiation and completion of the three dose series for their daughter aged 11-17. The proposed research plan seeks to: (1) identify determinants of mothers' HPV vaccine intentions, initiation and completion; (2) understand providers' perspectives on recommending the vaccine; and (3) design a culturally-relevant, theoretically grounded HPV intervention for low-income, Hispanics mothers along the Texas-Mexico border. The research is innovative because it: (1) focuses on a on a largely underserved, vulnerable population with specific needs; (2) assesses the feasibility of a clinic-based, cervical cancer prevention intervention for Hispanics mothers; and (3) focuses on the interpersonal communication between the parent, the child, and the provider. Achievement of the aims will contribute further evidence regarding the critical role of parents and providers in increasing HPV vaccine uptake and completion among girls to eliminate cervical cancer disparities among this population.