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Book Latino Parental Acceptability Towards the Human Papilloma Virus Vaccine

Download or read book Latino Parental Acceptability Towards the Human Papilloma Virus Vaccine written by and published by . This book was released on 2011 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study examined parental acceptability of the Human Papilloma Virus (HPV) vaccination among Latino parents. The role that acculturation may play in Latino parents' acceptability of the vaccine was also examined. A survey conceptualized using the Health Belief Model and two acculturation measures were administered to participants (N = 130). Approximately 70% of parents endorsed that they would vaccinate their daughters with the HPV vaccine. A regression analysis revealed that perception of susceptibility, perception of seriousness, perception of benefit, and cues to action significantly predicted parental acceptability, with 57% of the variance accounted by these variables. Acculturation was not a significant predictor of parental acceptability. These results indicate that a large proportion of Latino parents are likely to accept the HPV vaccine and that certain Health Belief Model constructs may predict acceptability in this population. It is important for healthcare providers to understand what factors may predict Latino parents' acceptability to the HPV vaccine given the high rates of cervical cancer among Latina women. Recommendations for future research in this area are provided.

Book Acceptance of the Human Papillomavirus Vaccine Among Latino Parents

Download or read book Acceptance of the Human Papillomavirus Vaccine Among Latino Parents written by Katherine Raven Murray and published by . This book was released on 2009 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Factors Associated with Acceptance of Human Papillomavirus Vaccine  a Study of Spanish Information Seekers

Download or read book Factors Associated with Acceptance of Human Papillomavirus Vaccine a Study of Spanish Information Seekers written by Julie Kornfeld and published by . This book was released on 2009 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Cervical cancer is the second most common malignancy worldwide. Infection with HPV is a necessary cause of cervical. Hispanic women in the U.S. experience significantly higher rates of invasive disease than non-Hispanic Whites. In this population, HPV vaccines hold significant potential to eliminate further disparities in cervical cancer morbidity and mortality. The purpose of this study was to examine factors associated with Human Papillomavirus (HPV) vaccine acceptability among a national sample of Spanish speaking callers to the National Cancer Institute2s (NCI) Cancer Information Service (CIS). Specifically this research aimed to identify the sociodemographic, sociocultural and attitudinal determinants of HPV vaccine acceptability. This research involved a cross-sectional study with phone-based interviews conducted in Spanish (n = 836). All female Spanish callers to the CIS were asked to respond to a three-part questionnaire that included items relating to ethnic identity and acculturation, knowledge of cervical cancer and related risk factors, and HPV vaccine acceptability. Descriptive, univariate and multivariate logistic regression were used to characterize the study population and to determine the effect of each of the demographic/sociocultural variables on vaccine acceptance. Independent predictors of HPV vaccine acceptability were determined using multivariate linear regression models. Results showed that HPV vaccine acceptance was high among this group of Hispanic women (78%) and that attitudes about vaccines in general and the HPV vaccine specifically were positive. Factors associated with vaccine acceptance included physician recommendation, awareness and accurate knowledge about HPV, and speaking only or mostly Spanish. Other important predictors included influence of peers, positive attitudes about vaccines in general, higher education and being a mother of a female adolescent. The primary reason cited by those who did not favor vaccination was concern over vaccine safety. This research was the first study looking at vaccine acceptability in a large, national sample of Hispanic women. HPV vaccination can lead to important public health benefits for Hispanic women. Targeted educational interventions must take into account the important sociocultural and attitudinal influences on the decision to vaccinate, such as those identified in the present study. Future educational efforts must involve the physician and take into the account the cultural context of attitudes and beliefs regarding vaccine safety and disease susceptibility. Further studies elucidating the interplay between culture specific beliefs and practices regarding vaccination and the decision to participate in HPV vaccination are needed.

Book Literature Review on Parental Acceptability of Human Papillomavirus  Hpv  Vaccine

Download or read book Literature Review on Parental Acceptability of Human Papillomavirus Hpv Vaccine written by Tiem-Yee Leung and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Literature Review on Parental Acceptability of Human Papillomavirus (HPV) Vaccine" by Tiem-yee, Leung, 梁湉兒, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. DOI: 10.5353/th_b4693900 Subjects: Papillomavirus vaccines

Book Three Shots at Prevention

Download or read book Three Shots at Prevention written by Keith Wailoo and published by JHU Press. This book was released on 2010-10-01 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2007, Texas governor Rick Perry issued an executive order requiring that all females entering sixth grade be vaccinated against the human papillomavirus (HPV), igniting national debate that echoed arguments heard across the globe over public policy, sexual health, and the politics of vaccination. Three Shots at Prevention explores the contentious disputes surrounding the controversial vaccine intended to protect against HPV, the most common sexually transmitted infection. When the HPV vaccine first came to the market in 2006, religious conservatives decried the government's approval of the vaccine as implicitly sanctioning teen sex and encouraging promiscuity while advocates applauded its potential to prevent 4,000 cervical cancer deaths in the United States each year. Families worried that laws requiring vaccination reached too far into their private lives. Public health officials wrestled with concerns over whether the drug was too new to be required and whether opposition to it could endanger support for other, widely accepted vaccinations. Many people questioned the aggressive marketing campaigns of the vaccine's creator, Merck & Co. And, since HPV causes cancers of the cervix, vulva, vagina, penis, and anus, why was the vaccine recommended only for females? What did this reveal about gender and sexual politics in the United States? With hundreds of thousands of HPV-related cancer deaths worldwide, how did similar national debates in Europe and the developing world shape the global possibilities of cancer prevention? This volume provides insight into the deep moral, ethical, and scientific questions that must be addressed when sexual and social politics confront public health initiatives in the United States and around the world.

Book Does a Customized Website Affect HPV Vaccine Use Among Latino Adolescents and Young Adults

Download or read book Does a Customized Website Affect HPV Vaccine Use Among Latino Adolescents and Young Adults written by Amanda F. Dempsey and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Human papillomavirus (HPV) causes a number of cancers and other diseases, several of which disproportionally affect Latinos. Unfortunately, Latinos also have poor uptake of HPV vaccines, which prevent HPV-associated diseases. There is a paucity of research on interventions to increase HPV vaccination among Latinos, which our work sought to address. OBJECTIVES: The objectives of the project were to (1) use community input to create a web-based educational intervention for Latino young adults (aged 18-26) and parents of Latino adolescents (aged 9-17) that provided individually and culturally tailored information about HPV for Latinos; (2) compare the impact of the intervention vs an untailored web-based educational intervention based on the HPV Vaccine Information Sheet from the Centers for Disease Control and Prevention, vs usual care (individualized physician discussion of the vaccine and/or receipt of a paper version of the on HPV Vaccine Information Sheet) on vaccine use among young adults and adolescents. METHODS: In phase I, community input representing end-users of our intervention created the intervention for Latinos. In phase II, we evaluated this new intervention, called CHICOS (Combatting HPV Infection and Cancers), in a 3-armed, randomized controlled trial conducted in the waiting rooms of 5 family medicine practices serving mainly Latinos. We assessed the relative efficacy of CHICOS vs an untailored intervention, both of which were delivered via iPad, vs usual care for their impact on HPV vaccine uptake among adolescent and young adult Latinos. Eligible participants were English- or Spanish-speaking young adult patients (aged 18-26 years) or parents of Latino adolescents (aged 9-17 years) who reported not yet completing the 3-dose HPV vaccine series (ie, 0, 1, or 2 doses). Data on the primary outcomes--6 different measures of HPV vaccine uptake--came from the clinics' medical records and the statewide immunization registry. The primary analyses were 2-way comparisons between arms (ie, tailored vs untailored, tailored vs control, untailored vs control), stratified by adolescent vs young adult vaccination. We used multiple imputation to account for missing data and analyzed data using an intent-to-treat (ITT) approach. Secondary outcomes included changes in vaccination intention from before to after viewing the iPad materials (tailored and untailored arms only), time between study enrollment and HPV vaccine doses received (all arms), and patterns of utilization of the tailored and untailored websites. RESULTS: Significant Latino community input through a series of 6 focus group and quarterly meetings with a community advisory board in phase I was used to create CHICOS. Phase II enrolled 1294 parents and young adults. In the ITT analyses, nearly all vaccination outcomes assessed in 2-way comparisons demonstrated no statistically significant differences between groups. The 1 exception was completion of the series among adolescents who entered the study with at least 1 dose. In this analysis, the tailored group performed significantly better than the untailored group (odds ratio [OR], 2.0; 95% CI, 1.1-3.8) but there were no statistically significant differences in completing the 3-dose series among this subgroup when the tailored intervention was compared against usual care (OR, 1.6; 95% CI, 0.8-3.2). Few young adults received HPV doses. Individuals in the untailored arm took a statistically nonsignificant longer time to receive vaccine doses than those in the untailored or usual care arms. The untailored and tailored interventions significantly improved vaccination intention from baseline to postintervention; the amount of change was the same in the 2 groups. CONCLUSIONS: Neither the tailored intervention nor the untailored intervention improved HPV vaccination outcomes in adolescents and young adults. In young adults, the rate of HPV vaccination was uniformly low across the 3 study arms, resulting in high rates of missing data.

Book Knowledge  Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao

Download or read book Knowledge Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao written by Choi-Wan Chan and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Knowledge, Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao" by Choi-wan, Chan, 陳彩環, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Human papillomavirus (HPV), a family of viruses with more than 40 genotypes is known to infect genital tract of males and females. High-risk HPV including genotypes 16, 18 can cause cervical cancer while low-risk HPV including genotypes 6, 11 can cause benign or low grade cervical lesions and genital warts. Considering HPV infection is the most common sexually transmitted infection worldwide, as well as in Macao, with prevalence up to 8.1%, and given that cervical cancer is the top ten most frequent female cancer which causes high burden in our health care system, it is important to have a comprehensive intervention for control HPV and cervical cancer. Since the HPV vaccine for preventing cervical cancer has been available in Macao, it is worth to know the willingness to be vaccinated among target population. Base on findings from previous studies, the parental attitudes and acceptance is the key factor of vaccination for young girls. Other potential factors, such as the HPV knowledge, vaccine safety and efficacy, cost, the age of daughter and the physician's attitudes, may also affect parental acceptance. Given that no previous study on this topic has been conducted, this study is aimed to understand the knowledge, attitudes and acceptability of HPV vaccination, and to explore and identify the affecting factors for acceptance among school girls and their parents. A school-based simple cluster random sampling method was used. Data was collected by anonymous self-administrated questionnaires among 574 school girls aged at 12-22 and 702 parents aged at 30-65. About 47% of the school girls had heard of HPV and 88.3% had heard of HPV vaccine, while 57.1% of parents had heard of HPV and 83.2% had heard of HPV vaccine. Although the HPV-related knowledge was poor among young girls and their parents, 92% of girls indicated a positive intention to be vaccinated for herself and 88% parents would willing to consent daughter to be vaccinated if the HPV vaccine became in routine immunization. However, the parental vaccination acceptability for daughters decreased to 40% and only 30% of mothers would willing to accept for themselves, if they had to pay a full course for three doses of HPV vaccine. About 97% of school girls and 95% of parents supported that HPV vaccine should be included in government immunization programme. We also found that young girls and parents are more favor in later HPV vaccination rather than vaccination at recommended age. Cost is the dominant affecting factor in determining parental acceptability of HPV vaccination. In addition, daughter's age, vaccine safety concern, Pap smear attendance and HPV knowledge are significantly associated with HPV vaccine acceptance. It may be worthwhile to further investigate the reasons for the delay vaccination among the young adolescent girls and among their parents, to examine if any underlying factors were unexpressed. DOI: 10.5353/th_b5022251 Subjects: Papillomavirus vaccines - China - Macau(Special Administrative Region)

Book The Effect of Promotora Delivered Education on HPV and HPV Vaccine Knowledge in Hispanic Parents

Download or read book The Effect of Promotora Delivered Education on HPV and HPV Vaccine Knowledge in Hispanic Parents written by Sasha Gorecki and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human Papillomavirus (HPV) causes nearly all cervical cancers, 90% of anal cancers, and 60-70% of penile, vaginal, valvular, and oropharyngeal cancers (CDC, 2020). Hispanics have the highest cervical cancer incidence rate of any minority group and a mortality rate 26% higher than Whites (CDC, 2021; American Cancer Society, 2018). HPV vaccination completion rates in the Hispanic population (62.7% of adolescents aged 13 to 17) are much below Healthy People 2030's goal of 80% of 13- to 15-year-olds up to date with HPV vaccinations (Healthy People 2030, n.d.). There is a lack of culturally appropriate interventions to increase HPV vaccine uptake. Prior studies suggest that promotora led education is an effective strategy to increase health behavior activities. The purpose of this study is to determine the effect of a culturally appropriate educational intervention, promotora delivered education, on HPV and HPV vaccine knowledge and intention to vaccinate with the HPV vaccine in Hispanics. The dependent variables are HPV and HPV vaccine knowledge level and intention to vaccinate. This study is significant to advanced practice nursing because providing culturally appropriate education and interventions will help combat ethnic and racial health disparities to ultimately decrease the incidence and mortality rates of HPV related cancers in Hispanics.

Book Parental Education on Human Papillomavirus Vaccine Use

Download or read book Parental Education on Human Papillomavirus Vaccine Use written by Chika Okechukwu and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Human Papillomavirus (HPV) is a universal health problem that is transmitted sexually, affecting both male and female. Evidence indicates that about 79 million people are affected in the United States. Every year, about 14 million Americans are infected with HPV (CDC, 2016c). It is associated with multiple diseases such as cervical cancer, vaginal and vulvar cancers, anal cancers, throat cancer and penile cancers. A safe and efficient vaccine has been approved for both boys and girls. The Center for Disease Control and Prevention announced that teens and young adult under age 26 are at a particular risk for HPV. It is essential to start the vaccination series between 9 and 17 years of age. Parental and caregivers acceptance of HPV vaccine for their children has been a problem. Despite, the HPV vaccine promotions and availability, the vaccination rates of HPV continue to low. The focus should be on parents and caregivers because parental attitudes, beliefs, knowledge, intention to vaccinate and behaviors appear to contribute to low parental acceptance of the vaccine (Gamble et al., 2010). Parental and caregiver education improved parental knowledge, intention to vaccinate and attitude towards HPV vaccination. The purpose of this project was to develop an evidence-based parental and caregiver educational intervention to improve knowledge, intention to vaccinate and attitude towards HPV vaccine, hoping to influence parents and caregivers of children ages 9 to 17 to consent to the HPV vaccine. Parental education as an intervention, focusing on HPV and HPV vaccine was found to have positive impact on parental knowledge, intention to vaccinate and parental attitude toward HPV vaccine. There was a 40%, 73%, and 33% improvement respectively on parental knowledge, attitude, and intention to vaccinate which was higher than the benchmark. Key words: Human Papillomavirus, vaccine, parent education, knowledge, attitude, intention" -- Abstract

Book Assessment of Health Literacy and Potential Barriers Regarding Acceptance of the Human Papillomavirus  HPV  Vaccine Among Parents Guardians

Download or read book Assessment of Health Literacy and Potential Barriers Regarding Acceptance of the Human Papillomavirus HPV Vaccine Among Parents Guardians written by Brittany Vo-Le and published by . This book was released on 2016 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human Papillomavirus (HPV) infection has been a rising concern due to its association with cervical cancer, but many parents are still not getting their children vaccinated to prevent this type of cancer. The purpose of the proposed research is to increase the uptake of the HPV vaccine by identifying the barriers preventing adolescents from receiving this vaccination, and increasing the literacy of parents/guardians about HPV and the HPV vaccine. To identify the aforementioned barriers, a questionnaire will be given to participating parents/guardians of children/adolescents visiting the Department of Pediatrics at UNT Health Science Center. This questionnaire was designed to aid in the assessment and discovery of the parent's/guardians' knowledge regarding HPV and the HPV vaccine, potential barriers to accepting the HPV vaccine for their children, and their attitudes towards the HPV vaccine and vaccination in general. Materials for this clinical research study have been completed, and IRB approval has been obtained, so data collection can begin. After completion of this research study, we expect to not only increase parents/guardians literacy regarding HPV and the HPV vaccine, but also to identify the major barriers preventing them from getting their child vaccinated. Information gained will provide a basis for developing a new health literacy intervention within the Department of Pediatrics at UNT Health Science Center.

Book Literature Review of Parental Acceptability about Hpv Vaccine

Download or read book Literature Review of Parental Acceptability about Hpv Vaccine written by Oi-Ying Creamy Cheung and published by Open Dissertation Press. This book was released on 2017-01-28 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Literature Review of Parental Acceptability About HPV Vaccine" by Oi-ying, Creamy, Cheung, 張靄凝, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. DOI: 10.5353/th_b4299461 Subjects: Papillomavirus vaccines

Book Blackwell Handbook of Adolescence

Download or read book Blackwell Handbook of Adolescence written by Gerald R. Adams and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 680 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume brings together a team of leading psychologists to provide a state-of-the-art overview of adolescent development. Leading experts provide cutting-edge reviews of theory and research. Covers issues currently of most importance in terms of basic and/or applied research and policy formulation. Discusses a wide range of topics from basic processes to problem behavior. The ideal basis for a course on adolescent development or for applied professions seeking the best of contemporary knowledge about adolescents. A valuable reference for faculty wishing to keep up-to-date with the latest developments in the field. Now available in full text online via xreferplus, the award-winning reference library on the web from xrefer. For more information, visit www.xreferplus.com

Book Human Papillomavirus  hpv  Vaccine and Parental Knowledge  an Educational Intervention

Download or read book Human Papillomavirus hpv Vaccine and Parental Knowledge an Educational Intervention written by Ernestine Enohmbi and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Parental knowledge about Human Papillomavirus (HPV) and HPV vaccine is an important predictor factor for their children's HPV vaccine status. Studies suggest that there is the need for educational intervention to increase HPV vaccine acceptability. At a private pediatric practice in northeastern Maryland, many parents were observed to opt out of the vaccine for their children possibly due to lack of knowledge. The aims of this project were to assess parents' knowledge and to evaluate the effect of a short educational intervention on improving parents' knowledge of HPV and HPV vaccine. Changes in total knowledge score before and after the intervention were measured using a content validated HPV knowledge questionnaire, while changes in the vaccine acceptance were measured by comparing aggregate data from the same month one year prior to the start of the project. Fifty parents were recruited for this evidence based practice change project, all participants completed both pre- and post-intervention questionnaires. Parents' knowledge about HPV vaccine increased after the intervention compared to the baseline results. The pre-intervention mean score was 15.44 (30.88%) and post-intervention mean score was 19.74 (38.88%) indicating a 4.30 (8.60%) increase, and an overall increase of 48% of HPV vaccine accepted. The results of data analysis suggested that increasing parental knowledge on HPV and HPV vaccine led to an increase in the vaccine acceptance. Further projects assess whether the knowledge was retained are warranted. Key words: HPV vaccine; Parental acceptance; Patient Education; Parental knowledge. " -- Abstract.

Book Current Topics in Public Health

Download or read book Current Topics in Public Health written by Alfonso J. Rodriguez-Morales and published by IntechOpen. This book was released on 2013-05-15 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: Public Health is regarded as the basis and cornerstone of health, generally and in medicine. Defined as the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals, this discipline has been renewed by the incorporation of multiple actors, professions, knowledge areas and it has also been impacted and promoted by multiple technologies, particularly - the information technology. As a changing field of knowledge, Public Health requires evidence-based information and regular updates. Current Topics in Public Health presents updated information on multiple topics related to actual areas of interest in this growing and exciting medical science, with the conception and philosophy that we are working to improve the health of the population, rather than treating diseases of individual patients, taking decisions about collective health care that are based on the best available, current, valid and relevant evidence, and finally within the context of available resources. With participation of authors from multiple countries, many from developed and developing ones, this book offers a wide geographical perspective. Finally, all these characteristics make this book an excellent update on many subjects of world public health.

Book Teenagers Need Drugs Too

Download or read book Teenagers Need Drugs Too written by Kristen Angell Dupard and published by . This book was released on 2016 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cervical cancer is one of the leading causes of death among women around the world and is linked to the human papillomavirus (HPV). Strains HPV-16 and-18 are linked to the causes of cervical cancer. Research shows that HPV vaccination in adolescent females projects a 70% non-contraction rate. However, only 57.3% of girls between the ages of 13-17 in the U.S. have received their first HPV vaccination dose. Researchers have begun speculating that factors such SES and race could be contributing to low vaccination participation. Answers to such information can aid in improving federal and state vaccination policies and prevent the diseases caused by HPV. The current study aimed to determine if race and socioeconomic status (SES) interacted in such a way that predicted the attitudes of minority caregivers toward the HPV vaccine in terms of its acceptability and accessibility. Parents of adolescent females enrolled at a local Mississippi high school were surveyed to determine if this interaction predicts lower vaccination rates. It was anticipated that minority parents of low SES would have lower vaccination rates than those of higher SES. The univariate results indicated the following: 90% of participants identified as African American/Black, 39% (majority) of the respondents had completed some college or obtained an associate's degree, 42% (majority) of the income level was between $30,001-$50,000, and 70% of daughters had received some shots of the HPV vaccination. Bivariate Chi-Square ([Chi][squared]) analyses determined if categorical independent variables (Race, Education, and Finances) were significantly associated with vaccine participation. Bivariate tests were not statistically significant (p> 0.05). However, a correlation between vaccination participation and income showed that the higher the income level, the more likely a parent was to vaccinate their daughter against HPV. Other independent variables yielded significance. At the univariate level, 74% of health care providers had recommended the vaccine, 72% of respondents had insurance to cover vaccine, and 70% of respondents had very easy access to health care. At the bivariate level, only two independent variables were significant. The results showed the following: insurance coverage: (95 % CI: (1.038- 20.3810) ([Chi][squared] = 4.353, Df = 1, and Sig p = 0.037) and vaccine recommendation (95% CI: 3.675-156.738) ([Chi][squared] = 14.727, Df = 1, and Sig p = 0.0001). Being recommended by a health care provider was a significant predictor of vaccine participation at the multivariate level. Ostensibly, parents are aware of the vaccine and are taking preventive measures. Additional research could answer whether minority caregivers from low SES will be less inclined to have their adolescent daughters vaccinated. HPV is one of the most preventive, yet deadly, STIs and further research is imperative. --Page iv.