The purpose of this study was to examine the determinants of Black parents' intention to have their daughters receive the HPV vaccine. Specific determinants consisted of constructs from the Theory of Planned Behavior (TPB). Relationships between attitudes and HPV vaccine intentions, as well as the relationship between behavioral beliefs and attitudes among Black parents were explored. A mediation model was tested to explain the relationship between behavioral beliefs, attitudes, and HPV vaccine intention. A descriptive correlational design was used to examine the hypothesized relationships. A convenience sample of 232 Black parents with daughters between the ages of 9 and 17 years was recruited. A researcher developed instrument, HPV Beliefs, Attitudes, and Intention Questionnaire, and a demographic questionnaire were used to collect data. Study results indicated that HPV parental attitudes were found to be a significant predictor of vaccine intention (β = 0.85, p < .001). A significant relationship between religious and mistrust behavioral beliefs and attitudes was found among Black parents (β = .23, p < .001). In addition, parental vaccine attitudes were found to completely mediate the relationship between HPV vaccine behavioral beliefs and parental HPV vaccine intention.

Testing of the theorized relationships allowed for the exploration of specific beliefs and attitudes of Black parents which may lead to a better understanding of predictors of behavioral intentions. Replication of this study in multiple geographic settings would be prudent to increase the generalizability of study findings.