Human papillomavirus (HPV) vaccination completion rates in Asian-American populations are substantially lower than most White Americans. Our objective was to identify the knowledge, perceptions, and decision-making processes about HPV vaccinations in the Hmong population, an Asian-American group with increased risks of HPV-related cancers. We conducted eight focus groups with Hmong adolescents (n = 12) and parents (n = 13) to learn about barriers, facilitators, and decision-making processes regarding general vaccinations and the HPV vaccine. The focus group results were analyzed using thematic analysis, informed by the socioecological model and asset lens. Findings showed that at the individual level, Hmong adolescents and parents had low HPV and HPV vaccine awareness levels (barrier) and strong desires to learn about HPV and the HPV vaccine (facilitator). Community-level barriers included salient narratives about traumatic experiences with vaccines and vaccine research, while facilitators included strong community connections. At the institutional level, barriers included structural constraints in health care settings, while facilitators included ease of obtaining vaccines at school-based clinics and provider authoritative decision-making. Additionally, a range of decision-making processes between parents, adolescents, and providers were present, with parents expressing a strong appeal to engage in more shared decision-making with providers. A linguistically and culturally specific HPV educational program for Hmong adolescents and parents could address the barriers and build on facilitators and assets to promote HPV vaccine uptake in this growing Asian-American community.

亚裔美国人的人乳头瘤病毒 (HPV) 疫苗接种完成率大大低于大多数美国白人。我们的目标是确定 Hmong 人群中有关 HPV 疫苗接种的知识、看法和决策过程，Hmong 人群是 HPV 相关癌症风险增加的亚裔美国人群体。我们与 Hmong 青少年 (n = 12) 和父母 (n = 13) 进行了八次焦点小组讨论，以了解有关一般疫苗接种和 HPV 疫苗的障碍、促进因素和决策过程。焦点小组的结果使用主题分析法进行分析，由社会生态学模型和资产镜头提供信息。调查结果显示，在个人层面，苗族青少年和父母对 HPV 和 HPV 疫苗的认识水平较低（障碍），并且有强烈的了解 HPV 和 HPV 疫苗的意愿（促进因素）。社区层面的障碍包括关于疫苗和疫苗研究的创伤经历的突出叙述，而促进因素包括强大的社区联系。在机构层面，障碍包括医疗机构的结构性限制，而促进因素包括在学校诊所获得疫苗的便利性和提供者的权威决策。此外，父母、青少年和提供者之间存在一系列决策过程，父母强烈呼吁与提供者进行更多共同决策。