Vivian Colón-López1,2, Natalie Fernández-Espada3, Camille Vélez4, Velda J Gonzalez5, Elba C Diaz-Toro1,6, William A Calo7, Lara S Savas3, Angela Pattatucci2,4, María E Fernández3. 1. a Division of Population Health Sciences, PR Comprehensive Cancer Center , University of Puerto Rico , San Juan , Puerto Rico. 2. b Health Services Administration, Evaluation Program , Graduate School of Public Health, University of Puerto Rico , San Juan , Puerto Rico. 3. c Center for Health Promotion and Prevention Research, The University of Texas School of Public Health , Houston , TX , USA. 4. d UPR-MDACC Partnership for Excellence in Cancer Research Program , University of Puerto Rico , San Juan , Puerto Rico. 5. e School of Nursing, University of Puerto Rico , San Juan , Puerto Rico. 6. f Department of Restorative Sciences , School of Dental Medicine, University of Puerto Rico , San Juan , Puerto Rico. 7. g Gillings School of Global Public Health, Department of Health Policy and Management , University of North Carolina , Chapel Hill , NC , USA.
Abstract
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.
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.
Entities:
Keywords:
HPV vaccine; Human papilloma virus; Puerto Rico; Virus del papiloma humano; adolescentes; adolescents; communication; comunicación; investigación cualitativa; qualitative research; sexual topics; temas sexuales; vacuna contra el VPH
Authors: Lisa M Meneses; Joan K Orrell-Valente; Sylvia R Guendelman; Doug Oman; Charles E Irwin Journal: J Adolesc Health Date: 2006-07 Impact factor: 5.012
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Authors: Frances M Peterson-Burch; Ellen Olshansky; Hiba A Abujaradeh; Jessica J Choi; Robynn Zender; Keirsten Montgomery; Amy Case; Dara H Sorkin; Diego Chaves-Gnecco; Ingrid Libman; Candice Taylor Lucas; Frank Zaldivar; Denise Charron-Prochownik Journal: Res J Womens Health Date: 2018