Online Program

Barriers and Enablers to HPV Vaccination among Hispanic Farmworker Families in Florida

Tuesday, November 3, 2015

Cheryl A. Vamos, PhD, MPH, Department of Community and Family Health, University of South Florida, College of Public Health, Tampa, FL
Nolan Kline, PhD, MPH, Department of Consumer Science, Purdue University, West Lafayette, IN
Coralia Vazquez-Otero, JD, MPH, Department of Community and Family Health, University of South Florida, Tampa, FL
Elizabeth Lockhart, MPH, Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL
Sara Proctor, DW, PA, Catholic Mobile Medical Services, Catholic Charities Dioceses of St. Petersburg, Dover, FL, FL
Kristen Wells, B.A., M.P.H., Ph.D., Department of Psychology, San Diego State University, San Diego, CA
Anna Giuliano, PhD, Center for Infection Research in Cancer, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL
Ellen Daley, PhD, MPH, Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL
Cathy Meade, PhD, Moffitt Cancer Center, Tampa, FL
Background: Addressing HPV-related cancer disparities among Hispanics necessitate interventions among the most vulnerable subpopulations, such as migrant farmworkers, who experience numerous barriers to obtaining preventive health services. Responding to research gaps within this population, the objective of this study is to explore multi-level determinants of HPV vaccination, including intrapersonal, organizational, community, and societal factors among migrant farmworkers.

Methods: The community-based participatory research (CBPR) project draws from the socio-ecological model to inform sampling and data collection/analysis activities. Focus groups (n=20) and in-depth interviews (n=22) with stakeholders across individual, organizational, community, and society levels are being employed. This paper reports only on the focus group data with migrant farmworker parents who have sons/daughters ages 9-15 years.

Results: Focus group findings reveal multi-level factors influencing HPV vaccination. All parents were born outside of the United States. Barriers to vaccination include access to transportation, lack of presence of bilingual staff in clinics, difficulties with Medicaid enrollment and provider availability, and labor-related challenges to seeking healthcare. Enablers include adequate knowledge about the HPV vaccine and favorable attitudes towards childhood vaccinations as a preventive measure.

Discussion: Findings reveal multiple determinants influencing migrant farmworker families’ abilities to access and complete the 3-dose HPV vaccine series, including situational and structural hardships that disproportionately impact this group. Thus, community-tailored and culturally appropriate multi-level interventions are needed that can respond to micro and macro-level challenges, while emphasizing existing knowledge assets and preferences that are favorable towards HPV vaccination, with the ultimate goal of the decreasing HPV-related disparities.

Learning Areas:

Diversity and culture
Social and behavioral sciences

Learning Objectives:
Describe multilevel factors impacting migrant farmworker families' ability to complete the HPV vaccine. Explain the relationship between structural and situational determinants impacting HPV vaccination for children of migrant farmworkers. Name enablers that promote potential HPV vaccination efforts among migrant farmworker families.

Keyword(s): Immigrant Health, Immunizations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator on this study responsible for the design, conduct, and analyses, as well as leading collaborations with other study team members. In addition, my past and current work has examined multi-level factors influencing prevention of HPV-related diseases among Hispanic populations that are predominately low-income, rural residing, migratory, and employed in the agricultural industry.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.