Abstract
BACKGROUND: The United States (U.S.) Vietnamese communities face a high burden of HPV-related cancer rates; they also have low HPV vaccination coverage. HPV vaccination is a safe, effective tool to prevent HPV-related cancers, particularly when administered during adolescence. Understanding Vietnamese parents' perspectives on the acceptability of different HPV vaccination status verification methods can improve the implementation of community-based research interventions to improve HPV vaccine coverage in this population. OBJECTIVE: We assessed their perceptions of three HPV vaccination status confirmation methods: medical records, vaccination card photographs, and self-reported surveys. DESIGN: We conducted interviews with Vietnamese parents of adolescents ages 9-18, healthcare providers, and community leaders (n = 34). We used an inductive thematic analysis approach with four qualitative coders. RESULTS: Preferences for confirming vaccination status were split almost equally among each method. Key drivers of these preferences included privacy concerns, autonomy, efforts required from parents, digital literacy, and data accuracy. DISCUSSION: These findings suggest offering multiple confirmation options to accommodate diverse preferences and enhance the effectiveness of HPV vaccination promotion strategies in this population. PUBLIC CONTRIBUTION: Community involvement was integral to the design, implementation of this project, and writing of the manuscript. The study team partnered with a community organization that works closely with the U.S. Vietnamese population and Vietnamese healthcare providers. The group met regularly to discuss participant recruitment strategies and study instruments. Lived experiences from parents of adolescents, community leaders, and healthcare providers were included in the production of this manuscript to guide the interpretation of preferences for vaccination confirmation methods.