Mothers’ support for voluntary provision of HPV vaccine in schools

Kadis, Jessica A.; McRee, Annie-Laurie; Gottlieb, Sami L.; Lee, Morgan; Reiter, Paul L.; Dittus, Patricia; Brewer, Noel T.

doi:10.1016/j.vaccine.2011.01.067

Cited by 21 publications

(31 citation statements)

References 20 publications

(25 reference statements)

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“…Taken together with other research on acceptability of delivering adolescent vaccines outside the medical home, 16,17,21,28 the moderate levels of comfort among parents and sons in our study are promising for expanding vaccine coverage in the US and hopefully increasing coverage rates to match those of other countries (e.g., Australia and the UK) that already offer the vaccine non-traditional settings. Indeed, comfort with these settings may be higher as such programs become more common.…”

Section: Potential Conflicts Of Interestsupporting

confidence: 60%

“…Efforts to maximize HPV vaccine delivery in alternative settings will also need to address multiple policy and logistical concerns that are beyond the scope of the current study, such as coordinating medical/vaccination records with the medical home, billing insurance and obtaining parental consent where necessary. 13,14,16,19,21,28 Additional research is needed to identify strategies to increase acceptability, evaluate the feasibility of wide-scale implementation of vaccination located in alternative settings, and explore ways to ensure continuity of care with the medical home.…”

Section: Discussionmentioning

confidence: 99%

“…The parent and son surveys (available online at: www.unc.edu/~ntbrewer/hpv.htm) included established measures in the literature as well as our own previous research with parents of adolescent daughters. 16,23,30 Prior to survey administration, we cognitively tested the survey with 6 parent-son dyads to ensure that survey instructions and items were clear and confirm that participants interpreted items as intended.…”

Section: Methodsmentioning

confidence: 99%

“…15 Although alternative settings hold promise, little research has examined parent attitudes about adolescent immunizations in settings outside the medical home, with few of these studies focusing specifically on HPV vaccine. 16,17 Further, little research on HPV vaccine delivery in alternative settings has included adolescent perceptions despite evidence that adolescents are involved in decisions about whether to get vaccinated against HPV. 18 We previously reported that parents and their adolescent sons most preferred for sons to receive HPV vaccine in a doctor's office, although many were comfortable with school-and pharmacylocated vaccination.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Correlates of comfort with alternative settings for HPV vaccine delivery

McRee

Reiter

Pepper

et al. 2013

Human Vaccines & Immunotherapeutics

Self Cite

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Section: Potential Conflicts Of Interestsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Correlates of comfort with alternative settings for HPV vaccine delivery

McRee

Reiter

Pepper

et al. 2013

Human Vaccines & Immunotherapeutics

Self Cite

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“…33 A national internet-based survey found that 67% of mothers were willing to vaccinate their children in school. 34 In this survey, parents who had not yet initiated vaccination demonstrated the highest intent to utilize school-located immunization programs. Similarly, we found that the majority of parents and providers supported school-located provision of HPV vaccination, and that intended program utilization was highest among parents whose daughters had not completed the vaccine series.…”

Section: Supporting School-entry Requirementsmentioning

confidence: 95%

Parents' and providers' attitudes toward school-located provision and school-entry requirements for HPV vaccines

Vercruysse

Chigurupati

Fung

et al. 2016

Human Vaccines & Immunotherapeutics

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Objective: To determine parents' and providers' attitudes toward school-located provision and schoolentry requirements for HPV vaccination. Methods: Parents/guardians of 11-17 y old girls and pediatric healthcare providers at one inner-city public clinic and three private practices completed semi-structured interviews in 2012-2013. Participants were asked open-ended questions regarding their attitudes toward school-located provision and school-entry requirements for HPV vaccination. Parents' answers were analyzed with relationship to whether their daughters had not initiated, initiated but not completed, or completed the HPV vaccine series. Qualitative analysis was used to identify themes related to shared views. Results: 129 parents/guardians and 34 providers participated. 61% of parents supported providing HPV vaccinations in schools, citing reasons of convenience, improved access, and positive peer pressure. Those who opposed school-located provision raised concerns related to privacy and the capacity of school nurses to manage vaccine-related reactions. Parents whose daughters had not completed the series were more likely to intend to vaccinate their daughters in schools (70%) and support requirements (64%) than parents who had not initiated vaccination (42% would vaccinate at school, 46% support requirements) or completed the series (42% would vaccinate at school, 32% support requirements; p < 0 .05 for all comparisons). 81% of providers supported offering vaccination in schools, wanting to take advantage of the captive audience, improve vaccine completion rates, and decrease the administrative burden on medical office staff, but were concerned about adequate information transfer between schools and medical offices. Only 32% of providers supported school-entry requirements, largely because they felt that a requirement might provoke a public backlash that could further hinder vaccination efforts. Conclusions: School-located provision of HPV vaccination was widely accepted by healthcare providers and parents whose children have not completed the series, indicating that this venue might be a valuable addition to improve completion rates. Support for school-entry requirements was limited among both parents and healthcare providers.

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School-Located Vaccination Clinics for Adolescents: Correlates of Acceptance Among Parents

et al. 2014

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Four vaccines are recommended by The Advisory Committee for Immunization Practices for adolescents: tetanus, diphtheria, acellular pertussis vaccine (Tdap), meningococcal conjugate vaccine (MCV4), human papillomavirus vaccine (HPV), and annual seasonal influenza vaccine. However, coverage among adolescents is suboptimal. School-located vaccination clinics (SLVCs) offer vaccines to students at school, increasing access. This study seeks to determine the relationship between attitudes of parents of middle- and high-school students and acceptance of SLVCs for all four adolescent recommended vaccines. We conducted a telephone and web-based survey among parents of students enrolled in six middle and five high schools in Georgia. Analyses were conducted to examine associations between parental attitudes and willingness to allow their child to be vaccinated at school. Tdap and influenza vaccine had the highest rates of parental SLVC acceptance while HPV vaccine had the lowest. Parents who accepted SLVCs had higher perceived severity of influenza, meningococcal, and HPV illnesses compared to parents who did not accept SLVC. Intention to vaccinate was associated with SLVC acceptance for Tdap [Adjusted OR (AOR) 7.38; 95% confidence interval (CI) 2.44-22.31], MCV4 (AOR 2.97; 95% CI 1.67-5.28), and HPV vaccines (AOR 7.61; 95% CI 3.43-16.89). Social norms were associated with acceptance of SLVCs for influenza vaccine (AOR 1.44; 95% CI 1.12-1.84). These findings suggest parents of adolescents are generally supportive of SLVCs for recommended adolescent vaccines. Perceived severity of illness and intention to get their adolescent vaccinated were the most consistent correlates of parental SLVC acceptance for all vaccines. Future SLVC planning should focus on perceptions of disease severity and benefits of vaccination.

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Mothers’ support for voluntary provision of HPV vaccine in schools

Cited by 21 publications

References 20 publications

Correlates of comfort with alternative settings for HPV vaccine delivery

Correlates of comfort with alternative settings for HPV vaccine delivery

Parents' and providers' attitudes toward school-located provision and school-entry requirements for HPV vaccines

School-Located Vaccination Clinics for Adolescents: Correlates of Acceptance Among Parents

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