Becky T. Muñoz

Houston Methodist Sugar Land Hospital

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i-10 index

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Co-Authors

Felicity L. Cribbs

University of Houston

Kristy Ward

University of Florida

Chakema Carmack

University of Houston

Angelica M. Roncancio

University of Houston - Downtown

Sally W. Vernon

The University of Texas Health Science Center at Houston

MÁ

Miguel Ángel Cano

The University of Texas Southwestern Medical Center

Natalie Fernández-Espada

The University of Texas Health Science Center at Houston

Cooperative Institutions

University of Houston

University of Houston - Downtown

Houston Methodist Sugar Land Hospital

Texas Oncology

Mount St. Mary's University

Florida International University

The University of Texas Health Science Center at Houston

University of Texas Health Science Center at Dallas

Baylor College of Medicine

Virginia Commonwealth University

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Hispanic Mothers’ Beliefs About Having Their Adolescent Sons Initiate the HPV Vaccine Series

Journal of Immigrant and Minority Health (2018)

Angelica M. Roncancio Sally W. Vernon Chakema Carmack Kristy Ward Becky T. Muñoz

10.1007/s10903-018-0847-x

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Citations (7)

Identifying Hispanic mothers’ salient beliefs about human papillomavirus vaccine initiation in their adolescent daughters

Journal of Health Psychology (2016)

Angelica M. Roncancio Sally W. Vernon Chakema Carmack Kristy Ward Becky T. Muñoz

Guided by the Integrative Model of Behavioral Prediction, we identify mothers’ salient beliefs regarding their daughters’ initiation of the human papillomavirus vaccine series. In all, 34 Hispanic mothers responded to elicitation questions. Salient beliefs included the following: (1) feeling secure, happy, relieved, concerned, and fear about vaccinating; (2) believing that vaccinating prevents and protects from human papillomavirus but may result in side effects and sexual disinhibition; (3) identifying the daughter, father, mother, aunt, friends, and grandmothers as supporters/non-supporters; and (4) affordability, transportation, clinic distance, and making appointments as facilitators/barriers. This study begins the process of building a model of human papillomavirus vaccine initiation for this population.

Human papillomavirus vaccine

Daughter

Disinhibition

Aunt

10.1177/1359105316676627

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Citations (3)

Understanding HPV vaccine initiation in Hispanic adolescents using social marketing theory

Health Education Journal (2019)

Angelica M. Roncancio Becky T. Muñoz Chakema Carmack Kristy Ward Miguel Ángel Cano

Objective: Human papillomavirus (HPV) vaccination rates among Hispanic adolescents in the USA are far below recommended levels. Using a social marketing theory framework, we assessed the four Ps (product, price, place and promotion) as they relate to efforts to promote HPV vaccine initiation. Design: Qualitative study involving in-depth interviews. Setting: A large Southern city in the USA. Method: Eighty-five in-depth qualitative interviews were conducted with Spanish-speaking Hispanic mothers divided into initiated and uninitiated market segments based on whether or not their adolescent child had received the first dose of the HPV vaccine. Data were analysed using directed qualitative content analysis. Results: Results suggest that the desire to prevent illnesses and protect their child drives the decision to vaccinate (product). Most initiated mothers did not experience barriers to vaccination, and market segments described different potential barriers (price). Both marker segments reported that they needed vaccine information before vaccinating (price). Finally, interventions should target clinics, schools and community centres to raise awareness about the importance of vaccinating against HPV (place and promotion). Conclusion: Findings from this formative study can inform the development of an intervention to increase HPV vaccine initiation among Hispanic adolescents.

Promotion (chess)

Human papillomavirus vaccine

10.1177/0017896919835876

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Citations (4)

Toward a Model of HPV Vaccine Series Completion in Adolescent Hispanic Males

Family & Community Health (2019)

Angelica M. Roncancio Chakema Carmack Kristy Ward Sally W. Vernon Becky T. Muñoz

Human papillomavirus (HPV) vaccine series completion among adolescent Hispanic males (35%) is lower than the Healthy People 2020 80% goal. This directed qualitative content analysis identified mothers' beliefs about their sons completing the series. We found that mothers (N = 19) (1) express positive feelings; (2) believe the vaccine has positive effects; (3) identify the father and doctors as supporters and friends as nonsupporters; (4) list health insurance, transportation, and clinic reminders as facilitators; and (5) mention affordability as a barrier to vaccine completion. Results provide guidance for interventions. Increasing HPV vaccination among boys will decrease the overall incidence of HPV in this population.

Human papillomavirus vaccine

10.1097/fch.0000000000000221

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Citations (11)

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

Journal of Community Health (2016)

Angelica M. Roncancio Kristy Ward Chakema Carmack Becky T. Muñoz Miguel Ángel Cano

10.1007/s10900-016-0244-0

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Citations (14)

Hispanic mothers’ beliefs regarding HPV vaccine series completion in their adolescent daughters

Health Education Research (2016)

Angelica M. Roncancio Kristy Ward Chakema Carmack Becky T. Muñoz Felicity L. Cribbs

Rates of human papillomavirus (HPV) vaccine series completion among adolescent Hispanic females in Texas in 2014 (∼39%) lag behind the Healthy People 2020 goal (80%). This qualitative study identifies Hispanic mothers' salient behavioral, normative and control beliefs regarding having their adolescent daughters complete the vaccine series. Thirty-two mothers of girls (aged 11–17) that had received at least one dose of the HPV vaccine, completed in-depth interviews. Six girls had received one dose of the HPV vaccine, 10 girls had received two doses, and 16 girls had received all three doses. The questions elicited salient: (i) experiential and instrumental attitudes (behavioral beliefs); (ii) supporters and non-supporters (normative beliefs) and (iii) facilitators and barriers (control beliefs). Directed content analysis was employed to select the most salient beliefs. Mothers: (i) expressed salient positive feelings (e.g. good, secure, happy and satisfied); (ii) believed that completing the series resulted in positive effects (e.g. protection, prevention); (iii) believed that the main supporters were themselves, their daughter's father and doctor with some of their friends not supporting series completion and (iv) believed that vaccine affordability, information, transportation, ease of scheduling and keeping vaccination appointments and taking their daughter's immunization card to appointments were facilitators. This study represents the first step in building theory-based framework of vaccine series completion for this population. The beliefs identified provide guidance for health care providers and intervention developers.

Daughter

10.1093/her/cyw055

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Citations (17)