Low-income Hispanic parent recall of daughters' HPV vaccination status: Correlates of accurate reporting of daughters' HPV-vaccine naïve status compared with electronic health records.

Purpose: This study aimed to (1) assess the accuracy of parental recall of adolescent (11-17 years) daughters' HPV vaccine initiation in a low-income, urban Hispanic population, and (2) describe the correlates of accurate recall.

Methods: We compared parental recall of HPV vaccine naivety to daughter's electronic medical records to calculate the proportion of parents accurately reporting HPV naïve status. We used mixed effects logistic regression to identify correlates of accurate recall.

Results: We verified vaccination status for 1103 daughters of participants who reported their daughters were HPV vaccine-naïve; 69.3% of parents accurately reported their daughters as HPV vaccine-naïve. Parents of older daughters (13-17 years) compared to younger daughters (11-12 years) had significantly lower odds of accurately reporting daughters as unvaccinated (AOR = 0.60; 95% CI 0.42-0.83). Discussion: Underreporting of vaccination status among our study population corresponds with national data that suggest lower income and minority populations underreport HPV vaccination initiation and completion.