HPV vaccine acceptability among ethnically diverse Black women

Background: Among the strategies for reducing the cancer disparity is the use of vaccines targeting the Human Papilloma Virus (HPV), a major risk factor for cervical cancer. Epidemiological studies have shown that cervical cancer mortality rates are highest among Black women; however, cultural and ethnic diversity within the Black population, particularly in large urban areas, are often overlooked in the development of cervical cancer prevention efforts for Black women. Purpose: The purpose of this study was to examine social, cultural and community factors that influence the acceptability of HPV vaccines among ethnically diverse Black women. Methods: We conducted six focus groups with Haitian, African, English-speaking Caribbean and African American women recruited from a federally qualified health center. Results: There was limited knowledge and confusion across ethnic groups about cervical cancer and its relationship to HPV. Knowledge of HPV vaccines was even more limited but varied across groups. Differing cultural perspectives were voiced around sexuality and the age of vaccination. Irrespective of ethnicity, few women reported having their daughters vaccinated; those that had vaccinated their daughters expressed regret. The women were unclear about the importance of HPV vaccines for their sons. Concerns about HPV vaccines arose regarding costs, conflicting information in the media, lack of information from their medical provider, potential harmful side effects and safety. The importance of protecting one's child was dominant in all groups. Conclusions: Educational interventions with Black women about HPV vaccines would benefit from recognizing cultural differences and misconceptions that vary by ethnic group.