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Journal of Community Health

, Volume 42, Issue 1, pp 169–178 | Cite as

Using Social Marketing Theory as a Framework for Understanding and Increasing HPV Vaccine Series Completion Among Hispanic Adolescents: A Qualitative Study

  • Angelica M. Roncancio
  • Kristy K. Ward
  • Chakema C. Carmack
  • Becky T. Muñoz
  • Miguel A. Cano
  • Felicity Cribbs
Original Paper

Abstract

HPV vaccine series completion rates among adolescent Hispanic females and males (~39 and 21 %, respectively) are far below the Healthy People 80 % coverage goal. Completion of the 3-dose vaccine series is critical to reducing the incidence of HPV-associated cancers. This formative study applies social marketing theory to assess the needs and preferences of Hispanic mothers in order to guide the development of interventions to increase HPV vaccine completion. We conducted 51 in-depth interviews with Hispanic mothers of adolescents to identify the key concepts of social marketing theory (i.e., the four P’s: product, price, place and promotion). Results suggest that a desire complete the vaccine series, vaccine reminders and preventing illnesses and protecting their children against illnesses and HPV all influence vaccination (product). The majority of Completed mothers did not experience barriers that prevented vaccine series completion and Initiated mothers perceived a lack of health insurance and the cost of the vaccine as potential barriers. Informational barriers were prevalent across both market segments (price). Clinics are important locations for deciding to complete the vaccine series (place). They are the preferred sources to obtain information about the HPV vaccine thus making them ideal locations to deliver intervention messages, followed by television, the child’s school and brochures (promotion). Increasing HPV vaccine coverage among Hispanic adolescents will reduce the rates of HPV-associated cancers and the cervical cancer health disparity among Hispanic women. This research can inform the development of an intervention to increase HPV vaccine series completion in this population.

Keywords

HPV Social marketing theory Hispanic women Intervention development Vaccine completion 

Notes

Acknowledgements

Research for this publication was supported by NIH/NCI Grant K01CA181437.

Compliance with Ethical Standards

Conflict of Interest

The authors report no conflicts of interest.

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Department of Health Promotion and Behavioral SciencesThe University of Texas School of Public HealthHoustonUSA
  2. 2.Department of Obstetrics and GynecologyUniversity of Florida HealthJacksonvilleUSA
  3. 3.Psychological Health and Learning SciencesUniversity of HoustonHoustonUSA
  4. 4.Department of PsychologyMount St. Mary’s UniversityEmmitsburgUSA
  5. 5.Department of EpidemiologyFlorida International UniversityMiamiUSA

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