Theme	Example Quote	Group
Low knowledge about cervical cancer and its causes	“I know it [cervical cancer] develops in the cervix, but I don’t know anything else about it.”	Vaccinated daughter
	“I know it’s caused by the human papillomavirus, but I don’t know why.”	Unvaccinated daughter
	Who can get cervical cancer? “People that don’t have good hygiene.”	Unvaccinated daughter
	“I don’t know how to explain it [cervical cancer] because I don’t know much about it.”	Mother of vaccinated daughter
	“I think that once they tell you that [cervical cancer diagnosis] they have to get everything out before it spreads to other areas.”	Mother of unvaccinated daughter
	“I have heard about it [HPV], but I don’t know what it is.”	Vaccinated daughter
	“I was once at a store . . . when I went to try the bra the sales clerk told me ‘No, because there is a new virus, HPV, and you can’t [try the bra] because it’s contagious [HPV].’”	Unvaccinated daughter
	“I have heard that like other cancers its [cervical cancer] origin is not known. I know some are treatable if found early, even cervical cancer, but I don’t have too much information about HPV.”	Mother of vaccinated daughter
	What is the most important factor that influenced your decision of not vaccinating your daughter? “Complete lack of knowledge. I don’t know the factors, the pros and cons.”	Mother of unvaccinated daughter
	“Gardasil can prevent infection, but it has a target . . . I understand it’s for 13 to 20 years old.”	Mother of unvaccinated daughter
Concerns about vaccine efficacy	“They are still doing the studies and I might be somewhat protected now but in a few years who knows.”	Vaccinated daughter
	“I don’t know how long the doses last. Do I have to get another vaccine [booster] again?”	Unvaccinated daughter
	“So I’m not sure if they [daughters] can get it if they have had sex already or should they still get it if they are still in that age range?”	Mother of unvaccinated daughter
Concerns about vaccine safety and side effects	“Everything has a risk, every vaccine has side effects.”	Vaccinated daughter
	“It’s new and some things haven’t come out yet, like side effects, so I wait years before trying something new.”	Unvaccinated daughter
	“At that moment I was worried that something would happen to her, she would [be] left sterile or get another illness.”	Mother of vaccinated daughter
	“And what about if this vaccine causes her sterility in the future?”	Mother of unvaccinated daughter
Concerns about the vaccine promoting sexual disinhibition	“She [mother] thinks that if she vaccinates her daughter or she tells her [about the vaccine] it would be giving her the green light, ‘you can do it [sex].’”	Vaccinated daughter
	“Now she will become sexually active because she is vaccinated.”	Mother of unvaccinated daughter
Lack of insurance coverage and overall cost of the vaccine	“It’s hard because you say it is one hundred dollars the first dose, ok we get the hundred dollars. But for this next date you need to have another hundred dollars so some people may say ‘I have to wait and save [money].’”	Vaccinated daughter
	“I went to the clinic to find out when I was due for vaccines, but my mom didn’t want me to get this one because it was too expensive.”	Unvaccinated daughter
	“My kids’ pediatrician offered me the vaccine for them, but I didn’t get it because it’s three hundred dollars each dose and the medical plan doesn’t cover it.”	Mother of unvaccinated daughter