Cervical cancer, human papillomavirus (HPV), and HPV vaccination

exploring gendered perspectives, knowledge, attitudes, and cultural taboos among Mexican American adults

Daisy Y. Morales-Campos, Shedra Amy Snipes, E. K. Villarreal, L. C. Crocker, A. Guerrero, M. E. Fernandez

Research output: Contribution to journalArticle

Abstract

Gendered perspectives may be particularly important in shaping norms and values around HPV and HPV vaccination, as previous research suggests that sexuality taboos (e.g. promiscuity) may contribute to low perceived risk among adolescent and young adult Hispanic females. However, research to date focuses primarily on Hispanic mothers, adolescent females, and women of HPV vaccine-eligible age. Hispanic father’s perspectives are relatively unknown despite father’s important role in shaping norms for their female children. To close this gap, this study examines gendered perspectives in knowledge, beliefs, and attitudes about HPV and HPV vaccination from Hispanic parents (mothers and fathers), women of vaccine-eligible age (18–26 years old), and women eligible for Pap Test screening (>26 years old) living in two counties along the Texas-Mexico border. We conducted eight focus groups. Research staff transcribed audio recordings verbatim and uploaded them into Atlas(ti) 5.0 for analysis. The research team analyzed the data for content, meaning, patterns and themes using the constant comparison approach. Perspectives were highly gendered. Women’s (all groups combined) beliefs focused on misconceptions around how the HPV virus is contracted (e.g. toilet surfaces). Women also linked HPV-related sexual risk to adultery and indiscretion of male partners. Fathers (men) were more likely to link risk to female promiscuity. Fathers also worried that HPV vaccination might increase promiscuity. All groups believe that HPV vaccination is a way to protect Hispanic females in the face of beliefs around sexual behavior and risk of contracting HPV. Results suggest gendered differences in risk beliefs concerning HPV among Hispanics living along the Texas-Mexico border. Researchers can use these findings to address barriers to HPV vaccination, as well as to create culturally appropriate prevention messages that may help reduce disparities in HPV among Hispanic women.

Original languageEnglish (US)
Pages (from-to)1-19
Number of pages19
JournalEthnicity and Health
DOIs
StateAccepted/In press - Jul 10 2018

Fingerprint

Taboo
vaccination
Uterine Cervical Neoplasms
Vaccination
cancer
father
Hispanic Americans
Fathers
Mexico
Group
female adolescent
Research
Papillomaviridae
Extramarital Relations
young adult
Mexican Americans
Cervical Cancer
recording
sexuality
parents

All Science Journal Classification (ASJC) codes

  • Cultural Studies
  • Arts and Humanities (miscellaneous)
  • Public Health, Environmental and Occupational Health

Cite this

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title = "Cervical cancer, human papillomavirus (HPV), and HPV vaccination: exploring gendered perspectives, knowledge, attitudes, and cultural taboos among Mexican American adults",
abstract = "Gendered perspectives may be particularly important in shaping norms and values around HPV and HPV vaccination, as previous research suggests that sexuality taboos (e.g. promiscuity) may contribute to low perceived risk among adolescent and young adult Hispanic females. However, research to date focuses primarily on Hispanic mothers, adolescent females, and women of HPV vaccine-eligible age. Hispanic father’s perspectives are relatively unknown despite father’s important role in shaping norms for their female children. To close this gap, this study examines gendered perspectives in knowledge, beliefs, and attitudes about HPV and HPV vaccination from Hispanic parents (mothers and fathers), women of vaccine-eligible age (18–26 years old), and women eligible for Pap Test screening (>26 years old) living in two counties along the Texas-Mexico border. We conducted eight focus groups. Research staff transcribed audio recordings verbatim and uploaded them into Atlas(ti) 5.0 for analysis. The research team analyzed the data for content, meaning, patterns and themes using the constant comparison approach. Perspectives were highly gendered. Women’s (all groups combined) beliefs focused on misconceptions around how the HPV virus is contracted (e.g. toilet surfaces). Women also linked HPV-related sexual risk to adultery and indiscretion of male partners. Fathers (men) were more likely to link risk to female promiscuity. Fathers also worried that HPV vaccination might increase promiscuity. All groups believe that HPV vaccination is a way to protect Hispanic females in the face of beliefs around sexual behavior and risk of contracting HPV. Results suggest gendered differences in risk beliefs concerning HPV among Hispanics living along the Texas-Mexico border. Researchers can use these findings to address barriers to HPV vaccination, as well as to create culturally appropriate prevention messages that may help reduce disparities in HPV among Hispanic women.",
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Cervical cancer, human papillomavirus (HPV), and HPV vaccination : exploring gendered perspectives, knowledge, attitudes, and cultural taboos among Mexican American adults. / Morales-Campos, Daisy Y.; Snipes, Shedra Amy; Villarreal, E. K.; Crocker, L. C.; Guerrero, A.; Fernandez, M. E.

In: Ethnicity and Health, 10.07.2018, p. 1-19.

Research output: Contribution to journalArticle

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