Factors Associated With African American Mothers' Perceptions of Human Papillomavirus Vaccination of Their Daughters: An Integrated Literature Review

PROBLEM IDENTIFICATION: African American (AA) women have a higher mortality rate for cervical and other cancers and are less likely to have received the human papillomavirus (HPV) vaccine than White women. Mothers play a significant family role and have a unique relationship with their daughters. Mothers' positive views on HPV vaccination may enhance the HPV vaccination rate among their daughters. LITERATURE SEARCH: The review was conducted by searching literature in PubMed (R), CINAHL (R), ScienceDirect, Ovid MEDLINE (R), and ProQuest databases. The search was limited to studies conducted in the United States and published since the inception of the HPV vaccine in 2006. DATA EVALUATION: Of 10,566 publications retrieved, 28 articles were included in the final sample. SYNTHESIS: Factors associated with HPV vaccination were approval and disapproval of HPV vaccination from physicians, family, and friends; HPV knowledge; attitude and belief about HPV vaccination; benefits of vaccination; and challenges of and barriers to HPV vaccination. IMPLICATIONS FOR PRACTICE: Understanding factors related to HPV vaccination decisions among AA mothers will inform healthcare providers of the best approach to improving vaccination rates among this high-risk population.