Table 1.

Components of the Social Determinants of Health (SDH) Framework included in the focus group guides

Section of focus group guide	Component of SDH Framework	Examples of questions
Appalachian culture	Social environment/culture	What are the biggest health challenges for young women who live in your community?
		What types of communication about the HPV vaccine are going on in your county?
		Are there groups in your community that support or would not support HPV vaccine use?
Risky behaviors and cervical cancer	Health Behaviors	How concerned are young women in your community about becoming infected with HPV?
		Does the fact that the HPV is sexually transmitted affect the decision to get the HPV vaccine?
		Do you believe that abstinence programs are a way of preventing HPV in your community?
Cancer screening, HPV vaccine acceptance	Culture, psychology	Do doctors in your community provide the HPV vaccine?
		Has your doctor discussed the HPV vaccine with you?
		What important issues associated with accepting the HPV vaccine would be important to include in an educational program in your community?
Healthcare access, utilization, and trust	Material factors, social environment	How do you currently receive most of your health information?
		Are there things about the HPV vaccine that concern young women in your community? (cost, safety, etc.)
		Do you think the HPV vaccine should be mandatory young girls?

HPV: human papillomavirus