Rural African American Parents' Knowledge and Decisions About Human Papillomavirus Vaccination

Purpose: To identify predictors of human papillomavirus (HPV) vaccination among rural African American families. Design: Cross-sectional descriptive study in schools in three rural counties in southeastern United States. The sample consisted of African American parents or caregivers with children 9 to 13 years of age who attended elementary or middle school in 20102011. Methods: Using an anonymous, 26-item survey, we collected descriptive data during parent-teacher events from African American parents with children in elementary or middle school. The main outcome was measured as a response of yes to the statement I have or will vaccinate my child with the HPV vaccine. In addition, composite scores of knowledge and positive attitudes and beliefs were compared. No interventions were conducted. Findings: We identified predictors of HPV vaccination and found that religious affiliation had a correlation with vaccinating or planning to vaccinate a child. Conclusions: Results indicate a need for further research on the role of local culture, including religion and faith, in rural African Americans decisions about giving their children the HPV vaccination.