TY - JOUR
T1 - Communication about sex and HPV among Puerto Rican mothers and daughters
AU - Colón-López, Vivian
AU - Fernández-Espada, Natalie
AU - Vélez, Camille
AU - Gonzalez, Velda J.
AU - Diaz-Toro, Elba C.
AU - Calo, William A.
AU - Savas, Lara S.
AU - Pattatucci, Angela
AU - Fernández, María E.
N1 - Publisher Copyright:
© 2016 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2017/7/4
Y1 - 2017/7/4
N2 - 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.
AB - 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.
KW - HPV vaccine
KW - Human papilloma virus
KW - Puerto Rico
KW - adolescents
KW - communication
KW - qualitative research
KW - sexual topics
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U2 - 10.1080/13557858.2016.1246938
DO - 10.1080/13557858.2016.1246938
M3 - Article
C2 - 27882783
AN - SCOPUS:84996844661
SN - 1355-7858
VL - 22
SP - 348
EP - 360
JO - Ethnicity and Health
JF - Ethnicity and Health
IS - 4
ER -