Healthcare professional’s promotional strategies in improving Human papillomavirus (HPV) vaccination uptake in adolescents: A systematic review

Sackey, Margaret Efua; Markey, Kathleen; Grealish, Annmarie

doi:10.1016/j.vaccine.2022.03.054

Cited by 20 publications

(18 citation statements)

References 36 publications

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“…Unequivocal recommendation by a trusted healthcare provider is a well-recognized determinant of vaccine confidence and uptake among parents [22,[94][95][96][97][98] and may influence vaccine confidence and uptake among adolescents [99,100]. Discussing vaccines presents an opportunity to support adolescents in making independent healthcare related decisions [8,16], but requires careful navigation when parental consent is required, or when adolescent and their parents may have divergent views around vaccines.…”

Section: Discussionmentioning

confidence: 99%

“…Studies included in our systematic review were limited to healthcare provider interactions that included both parents and adolescents, rather than confidential adolescent visits. A recent systematic review of healthcare provider strategies to increase HPV vaccine uptake found the use of multi-settings to target hardto-reach vulnerable adolescents, consistently recommending the vaccine to adolescents, opencommunication and motivational approaches, and sexual health education were some of the effective strategies used [100]. Studies exploring adolescents' own experiences with vaccine counselling in healthcare settings would be useful.…”

Section: Discussionmentioning

confidence: 99%

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What do adolescents think about vaccines? Systematic review of qualitative studies

Mitchell

Lim²,

Gill³

et al. 2022

PLOS Glob Public Health

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Adolescence presents a key opportunity to build vaccine-related health literacy and promote vaccine confidence and uptake. Although adolescents are central to vaccination programs, their views around vaccines are frequently underrepresented in qualitative literature. We reviewed qualitative studies to systematically identify and summarize existing evidence on adolescents’ own understanding of vaccines and experiences with vaccine decision-making, including self-consent when applicable. CINAHL; Embase; Ovid Medline; and Psych Info database searches were last updated on May 28, 2022. Data pertaining to general study characteristics, participant demographics, and qualitative content were extracted independently by two reviewers and analyzed using textual narrative synthesis. Out of 3559 individual records, 59 studies were included. The majority of the studies were conducted in high-income countries and 75% focused on human papilloma virus vaccines, with the remaining studies looking at COVID-19, meningococcal, hepatitis B and influenza vaccines or adolescent experiences with vaccines in general. Adolescent self-consent was explored in 7 studies. Perspectives from sexual and gender minorities were lacking across studies. Adolescents often had limited understanding of different vaccines and commonly perceived vaccine information to be directed towards their parents rather than themselves. Many adolescents felt school-based vaccine education and information available through healthcare providers were insufficient to make informed decisions about vaccines. While adolescents described obtaining vaccine information from traditional and online media, face-to-face interactions and opinions from trusted adults remained important. Adolescents generally relied on their parents for vaccine-decision making, even when self-consent was an option. A notable exception to this included marginalized adolescents who could not rely on parents for health-related advice. Qualitative literature about adolescent vaccines would be enriched by studies examining vaccines other than the HPV vaccine, studies examining adolescent vaccine programs in low and middle-income countries, and by deliberately eliciting vaccine experiences of adolescent with diverse sexual orientation and gender identities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

What do adolescents think about vaccines? Systematic review of qualitative studies

Mitchell

Lim²,

Gill³

et al. 2022

PLOS Glob Public Health

View full text Add to dashboard Cite

show abstract

“…All queries raised by the parents should be answered by HCP patiently while respecting the family beliefs and norms. In a recent review regarding HPV vaccine, it was stated that HCP can improve vaccine uptake in adolescents by overcoming their own VH through education and by acquiring skills for effective communication and by providing supportive information resources [ 36 ]. Motivation includes people’s intention, willingness, and hesitancy to get vaccinated.…”

Section: How To Tackle Vaccine Hesitancy?mentioning

confidence: 99%

Vaccine Hesitancy: Obstacles and Challenges

Galagali¹,

Kinikar

Kumar

2022

Curr Pediatr Rep

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Purpose of Review In 2019, vaccine hesitancy (VH) was named as one of the top 10 threats to global health by the World Health Organization (WHO). We highlight the factors affecting VH, the role of VH in limiting vaccine uptake and inability to achieve collective immunity, and possible solutions. Recent Findings There are still uncertainties and concerns about the safety and efficacy of vaccines, which promote VH and undermine public confidence in immunization. WHO has designed the behavioral and social drivers (BeSD) tools and survey instruments that can be used by countries to assess reasons for poor vaccine uptake in childhood for COVID-19 and plan national vaccination programs to counter these misconceptions. Summary Vaccines are one of the best preventative measures that public health care has to offer. Evidence from across the world both in high-income countries (HICs) and low/middle-income countries (LMICs) show that VH is a significant phenomenon which is translating into geographical clustering of epidemics. A reasonably high acceptance and coverage rates are necessary for an immunization program to be successful. A context-specific and multifactorial intervention with more high-quality research is needed globally.

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“…However, Yahia et al found that when conducting novel, multi-faceted, and interdisciplinary HPV campaigns, it is possible to increase HPV knowledge and vaccination rates [ 8 ]. Improving accurate knowledge about HPV, resulting cancers and outcomes, and increasing vaccination uptake requires a collaborative and coordinated effort among many including parents and family members [ 4 , 14 – 16 ], healthcare professionals [ 17 ], adolescent boys and girls [ 15 , 18 ], and those within the recommended age guidelines for the HPV vaccine [ 5 , 19 ]. To expand the literature and encompass more adults within a range of the HPV vaccine age, we designed an HPV study to survey students, staff, and faculty at a public, state university at three-year increments between 2016 and 2022.…”

Section: Introductionmentioning

confidence: 99%

Human Papilloma Virus Knowledge Among University Students, Staff, and Faculty in the State of Indiana During 2016, 2019, and 2022

Nesser

Ayodele

2023

J Community Health

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Studies of Human Papillomavirus (HPV) knowledge among university students have previously been conducted, typically to the exclusion of faculty and staff. The study aim was to assess HPV knowledge among university students, staff, and faculty in the state of Indiana during 2016, 2019, and 2022. The three samples comprised a total of 1275, 1056, and 403 students, staff, and faculty respectively during 2016, 2019, and 2022. Ages ranged from 18 to 70 + each year of the study. A 27-item survey was administered including sociodemographic questions and quantitative HPV knowledge questions were modified from a previously validated instrument. Descriptive statistics characterized the study participants and differences in scores were reported. Among the overall sample who answered receiving the vaccine question (n = 1917), 39% had received the HPV vaccine. HPV knowledge significantly increased among students from 2016 to 2019 but decreased in 2022. Among staff, there was a significant knowledge difference between 2016 and 2022, but no significant knowledge difference among the faculty. About 86% of the total sample did not know that HPV usually does not need any treatment. Further, participants correct knowledge scores were less than average on the following items: HPV can cause throat cancer (49%); HPV can be transmitted by skin-to-skin contact (42%). More education and campus-wide efforts need to be implemented to increase awareness and accurate HPV-knowledge. Targeted and individual messaging for students, staff, and faculty may be a way to increase awareness of HPV and improve HPV knowledge.

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Healthcare professional’s promotional strategies in improving Human papillomavirus (HPV) vaccination uptake in adolescents: A systematic review

Cited by 20 publications

References 36 publications

What do adolescents think about vaccines? Systematic review of qualitative studies

What do adolescents think about vaccines? Systematic review of qualitative studies

Vaccine Hesitancy: Obstacles and Challenges

Human Papilloma Virus Knowledge Among University Students, Staff, and Faculty in the State of Indiana During 2016, 2019, and 2022

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