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Toward a Model of HPV Vaccine Series Completion in Adolescent Hispanic Males

Identifying Mothers' Salient Behavioral, Normative, and Control Beliefs

Roncancio, Angelica M., PhD; Carmack, Chakema C., PhD; Ward, Kristy K., MD; Vernon, Sally W., PhD; Muñoz, Becky T., PhD; Cano, Miguel A., PhD; Cribbs, Felicity L., BA

doi: 10.1097/FCH.0000000000000221
Original Articles

Human papillomavirus (HPV) vaccine series completion among adolescent Hispanic males (35%) is lower than the Healthy People 2020 80% goal. This directed qualitative content analysis identified mothers' beliefs about their sons completing the series. We found that mothers (N = 19) (1) express positive feelings; (2) believe the vaccine has positive effects; (3) identify the father and doctors as supporters and friends as nonsupporters; (4) list health insurance, transportation, and clinic reminders as facilitators; and (5) mention affordability as a barrier to vaccine completion. Results provide guidance for interventions. Increasing HPV vaccination among boys will decrease the overall incidence of HPV in this population.

Department of Social Sciences, University of Houston-Downtown, Texas (Dr Roncancio); Psychological Health and Learning Sciences, University of Houston, Texas (Dr Carmack); Texas Oncology, Sugar Land (Dr Ward); Center for Health Promotion and Prevention Research, The University of Texas School of Public Health, Houston (Dr Vernon and Ms Cribbs); Department of Psychology, Mount St Mary's University, Emmitsburg, Maryland (Dr Muñoz); and Department of Epidemiology, Florida International University, Miami (Dr Cano).

Correspondence: Angelica M. Roncancio, PhD, Department of Social Sciences, University of Houston-Downtown, One Main St, Houston, TX 77002 (

Research for this publication was supported by NIH/NCI grant K01CA181437 and NIH/NIAAA grant K01AA025992.

The authors declare no conflict of interest.

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