“I think they're all basically the same”: parents' perceptions of human papilloma virus (HPV) vaccine compared with other adolescent vaccines

Ogunbajo, Adedotun; Hansen, Caitlin E.; North, Anna; Okoloko, Edirin; Niccolai, Linda M.

doi:10.1111/cch.12331

Cited by 28 publications

(23 citation statements)

References 25 publications

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“…This strategy of avoiding independent recommendations is similar to that suggested for HPV and other adolescent vaccines. 23,24 Further, we found a higher proportion of visits where clinicians used a participatory initiation format and did not pursue resistant parents for influenza compared to other vaccines. A similar discrepancy in clinician initiation format was demonstrated recently with HPV compared to other adolescent vaccines.…”

Section: Discussionmentioning

confidence: 73%

Clinician-parent discussions about influenza vaccination of children and their association with vaccine acceptance

Hofstetter

Robinson

Lepere³

et al. 2017

Vaccine

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Objective To examine how clinicians communicate with parents about influenza vaccination and the effect of these communication behaviors on parental vaccine decision-making. Study Design We performed a secondary analysis of data obtained from a cross-sectional observational study in which health supervision visits between pediatric clinicians and English-speaking parents of young children were videotaped. Eligible visits occurred during the 2011–2012 and 2013–2014 influenza seasons, included children ≥6 months, and contained an influenza vaccine discussion. A coding scheme of 10 communication behaviors was developed and applied to each visit. Associations between clinician communication behaviors and parental verbal vaccine acceptance and parental visit experience were examined using bivariate analysis and generalized linear mixed models. Results Fifty visits involving 17 clinicians from 8 practices were included in analysis. The proportion of parents who accepted influenza vaccine was higher when clinicians initiated influenza vaccine recommendations using presumptive rather than participatory formats (94% vs. 28%, p<0.001; adjusted odds ratio 48.2, 95% CI 3.5–670.5). Parental acceptance was also higher if clinicians pursued (vs. did not pursue) original recommendations when parents voiced initial resistance (80% vs. 13%, p<0.05) or made recommendations for influenza vaccine concurrent with (vs. separate from) recommendations for other vaccines due at the visit (83% vs. 33%, p<0.01). Parental visit experience did not differ significantly by clinician communication behaviors. Conclusion Presumptive initiation of influenza vaccine recommendations, pursuit in the face of resistance, and concurrent vaccine recommendations appear to increase parental acceptance of influenza vaccine without negatively affecting visit experience.

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Section: Discussionmentioning

confidence: 73%

Clinician-parent discussions about influenza vaccination of children and their association with vaccine acceptance

Hofstetter

Robinson

Lepere³

et al. 2017

Vaccine

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“…Clinicians perceive HPV vaccine as less important than Tdap and MCV4 vaccines, which may also be a contributing factor to missed opportunities and/or a lack of urgency in addressing HPV vaccination resulting in suboptimal vaccination rates [6,16]. Moreover, linking vaccine administration for multiple diseases together (e.g., HPV, MCV4 and Tdap vaccines) may help to increase HPV vaccination rates [17]. …”

Section: Discussionmentioning

confidence: 99%

Clinician and Parent Perspectives on Educational Needs for Increasing Adolescent HPV Vaccination

et al. 2016

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Introduction Human papillomavirus (HPV)-related morbidity and mortality remain a significant public health burden despite the availability of HPV vaccines for cancer prevention. We engaged clinicians and parents to identify barriers and opportunities related to adolescent HPV vaccination within a focused geographic region. Methods This mixed methods study design used an interviewer-administered semi-structured interview with clinicians (n=52) and a written self-administered survey with similar items completed by parents (n=54). Items focused on experiences, opinions and ideas about HPV vaccine utilization in the clinical setting, family and patient perceptions about HPV vaccination and potential future efforts to increase vaccine utilization. Quantitative items were analyzed using descriptive statistics while qualitative content was analyzed thematically. Results Suggested solutions for achieving higher rates of HPV vaccination noted by clinicians included public health education, the removal of stigma associated with vaccines, media endorsements and targeting parents as the primary focus of educational messages. Parents expressed the need for more information about HPV-related disease, HPV vaccines, vaccine safety, sexual concerns and countering misinformation on social media. Discussion Results from this mixed methods study affirm that educational campaigns targeting both health care professionals and parents represent a key facilitator for promoting HPV vaccination; disease burden and cancer prevention emerged as key themes for this messaging.

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“…34,35 In a study of 2025 parents of adolescent daughters, Ogilvie et al 36 found that the odds of initiating the HPV vaccine were 8.5 times higher (95% CI, 6.1-11.9) among parents with positive (vs negative) attitudes toward vaccines. In the general population, positive attitudes toward vaccines overall have been associated with increased HPV vaccine uptake.…”

Section: Discussionmentioning

confidence: 99%

“…In the general population, positive attitudes toward vaccines overall have been associated with increased HPV vaccine uptake. 34,35 In a study of 2025 parents of adolescent daughters, Ogilvie et al 36 found that the [1] to most positive attitude [5]). [1] to highest perceived severity [5]).…”

Section: Discussionmentioning

confidence: 99%

Intent and subsequent initiation of human papillomavirus vaccine among young cancer survivors

Cherven

Castellino

Chen

et al. 2019

Cancer

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BACKGROUND:Despite an increased risk of subsequent human papillomavirus (HPV)-related malignancies, HPV vaccine initiation rates among cancer survivors remain critically low. The purpose of this study was to determine the relationship between HPV vaccine intent and subsequent vaccine initiation among cancer survivors by linking data from a cross-sectional survey with statebased immunization registry records. METHODS: Cancer survivors who were 9 to 26 years old were surveyed 1 to 5 years after their treatment to assess their HPV vaccine initiation status, HPV vaccine intent, sociodemographic factors, and vaccine-related health beliefs. HPV vaccine doses/dates were abstracted from the Georgia Registry for Immunization Transactions for 3.5 years after survey participation. Logistic regression models identified factors associated with vaccine intent and subsequent vaccine initiation. RESULTS: Among survivors who were HPV vaccine-naive at survey participation (n = 103), factors associated with vaccine intent included the following: 1) provider recommendation for the HPV vaccine (odds ratio [OR], 5.0; 95% confidence interval [CI], 1.4-18.1; P = .014), 2) positive general attitude toward vaccines (OR, 4.8; 95% CI, 2.0-11.2; P < .001), and 3) perceived severity of HPV disease (OR, 3.5; 95% CI, 1.2-9.9; P = .02). Of the vaccine-naive patients, 28 initiated the HPV vaccine at a median of 1.1 years after the survey. Initiation was more likely among survivors who had reported vaccine intent (OR, 3.9; 95% CI, 1.2-12.5; P = .02) and was less likely among older survivors (OR per year, 0.7; 95% CI, 0.6-0.9; P < .001). CONCLUSIONS: These findings suggest that provider recommendation for the HPV vaccine plays a role in establishing intent, which then translates into subsequent initiation. Cancer 2019;125:3810-3817.

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“I think they're all basically the same”: parents' perceptions of human papilloma virus (HPV) vaccine compared with other adolescent vaccines

Cited by 28 publications

References 25 publications

Clinician-parent discussions about influenza vaccination of children and their association with vaccine acceptance

Clinician-parent discussions about influenza vaccination of children and their association with vaccine acceptance

Clinician and Parent Perspectives on Educational Needs for Increasing Adolescent HPV Vaccination

Intent and subsequent initiation of human papillomavirus vaccine among young cancer survivors

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