Parents’ perceptions of the HPV vaccine: a key target for improving immunization rates

Jacobson, Robert M.; Roberts, James R.; Darden, Paul M.

doi:10.1586/1744666x.2013.824673

Cited by 8 publications

(8 citation statements)

References 15 publications

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“…Anonymity may also allow respondents to express themselves differently than they might in face-to-face interactions. Our study findings corroborate those found in previous analyses of both conventional and social media data, specifically MySpace blogs, which found diverse perspectives regarding HPV infection, vaccine safety and efficacy, and alternatives to vaccination [ 19 , 21 ].…”

Section: Discussionsupporting

confidence: 90%

Understanding Public Perceptions of the HPV Vaccination Based on Online Comments to Canadian News Articles

et al. 2015

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BackgroundGiven the variation in human papillomavirus (HPV) vaccine coverage across Canada, and debate regarding delivery of HPV vaccines in Catholic schools, we studied online comments on Canadian news websites to understand public perceptions of HPV and HPV vaccine.MethodsWe searched English- and French-language Canadian news websites for 2012 articles that contained the terms “HPV” or “human papillomavirus.” Articles about HPV vaccinations that contained at least one comment were included. Two researchers independently coded comments, analyzing them for emerging themes.ResultsWe identified 3073 comments from 1198 individuals in response to 71 news articles; 630 (52.6%) individuals expressed positive sentiments about HPV vaccination (2.5 comments/individual), 404 (33.7%) were negative (3.0 comments/individual), 34 (2.8%) were mixed (1.5 comments/individual) and 130 (10.8%) were neutral (1.6 comments/individual). Vaccine-supportive commenters believed the vaccine is safe and effective. Common themes in negative comments included concerns regarding HPV vaccine safety and efficacy, distrust of pharmaceutical companies and government, and belief that school-age children are too young for HPV vaccine. Many comments focused on whether the Catholic Church has the right to inform health policy for students, and discussion often evolved into debates regarding HPV and sexual behaviour. We noted that many individuals doubted the credibility of vaccine safety information.ConclusionThe majority of commenters do not appear to be against HPV vaccination, but public health messaging that focuses on both the vaccine’s safety profile, and its use as a means to prevent cancer rather than sexually transmitted HPV infection may facilitate its acceptance.

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Section: Discussionsupporting

confidence: 90%

Understanding Public Perceptions of the HPV Vaccination Based on Online Comments to Canadian News Articles

et al. 2015

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“…Perceived parental barriers included reluctance to discuss sexuality/sexually transmitted infections; lack of understanding about HPV infection; vaccine deferral/belief the child is too young for the HPV vaccine; and the belief that the child is not at risk for HPV infection. [16, 17] The alignment of clinicians’ perception of parental barriers with barriers often reported by parents, [5] presents an important opportunity for improving vaccination rates. Specifically, clinician recognition and corroboration of parental barriers to HPV vaccination is a vital first step in addressing vaccine hesitancy.…”

Section: Discussionmentioning

confidence: 99%

Clinician knowledge, clinician barriers, and perceived parental barriers regarding human papillomavirus vaccination: Association with initiation and completion rates

Rutten

Sauver

Beebe

et al. 2017

Vaccine

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Purpose We tested the hypothesis that clinician knowledge, clinician barriers, and perceived parental barriers relevant to the human papillomavirus (HPV) vaccination account for the variation in vaccine delivery at the practice-site level. Methods We conducted a survey from October 2015 through January 2016 among primary care clinicians (n=280) in a 27-county geographic region to assess clinician knowledge, clinician barriers, and perceived parental barriers regarding HPV vaccination. Primary care clinicians included family medicine physicians, general pediatricians, and family and pediatric nurse-practitioners. We also used the Rochester Epidemiology Project to measure the HPV vaccination delivery. Specifically we used administrative data to measure receipt of at least one valid HPV vaccine dose (initiation) and receipt of three valid HPV vaccine doses (completion) among 9 to 18 year old patients residing in the same 27-county geographic region. We assessed associations of clinician survey data with variation in vaccine delivery at the clinical site using administrative data on patients aged 9 to 18 years (n=68,272). Results Consistent with our hypothesis, we found that greater knowledge of HPV and the HPV vaccination was associated with higher rates of HPV vaccination initiation (Incidence rate ratio [IRR]=1.05) and completion of three doses (IRR=1.28). We also found support for the hypothesis that greater perceived parental barriers to the HPV vaccination was associated with lower rates of initiation (IRR=0.94) and completion (IRR=0.90). These IRRs were statistically significant even after adjustment for site-level characteristics including percent white, percent female, percent ages 9–13, and percent with government insurance or self-pay at each site. Conclusions Clinician knowledge and their report of the frequency of experiencing parental barriers is associated with HPV vaccine delivery rates—initiation and completion. Higher measures of knowledge correlated with higher rates. Fewer perceived occurrences of parental barriers correlated with lower rates. These data can guide efforts to improve HPV vaccine delivery in clinical settings.

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“…HPV vaccine coverage remains low in the U.S. [ 1 ], but improving parents’ HPV vaccine attitudes is considered a key factor in increasing these low rates [ 32 ]. How flexible some parents’ HPV vaccine attitudes are, or how responsive to targeted intervention they may be, remains uncertain.…”

Section: Discussionmentioning

confidence: 99%

Association between parent attitudes and receipt of human papillomavirus vaccine in adolescents

et al. 2017

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BackgroundHuman papillomavirus (HPV) vaccine coverage rates remain low. This is believed to reflect parental hesitancy, but few studies have examined how changes in parents’ attitudes impact HPV vaccine uptake. This study examined the association between changes in parents’ vaccine attitudes and HPV vaccine receipt in their adolescent children.MethodsA baseline and 1-year follow-up survey of HPV vaccine attitudes was administered to parents of 11–17 year olds who had not completed the HPV vaccine series. Changes in attitudinal scores (barriers, harms, ineffectiveness, and uncertainties) from the Carolina HPV Immunization Attitudes and Beliefs Scale were assessed. Two outcomes were measured (in parents’ adolescent children) over an 18-month period and analyzed using multivariable regression; receipt of next scheduled HPV vaccine dose and 3-dose series completion.ResultsThere were 221 parents who completed the baseline survey (11% response rate) and 164 with available follow-up data; 60% of their adolescent children received a next HPV vaccine dose and 38% completed the vaccine series at follow-up. Decrease in parents’ uncertainties was a significant predictor of vaccine receipt, with each 1-point reduction in uncertainties score associated with 4.9 higher odds of receipt of the next vaccine dose. Higher baseline harms score was the only significant predictor of lower series completion.ConclusionsReductions in parents’ uncertainties appeared to result in greater likelihood of their children receiving the HPV vaccine. Only baseline concerns about vaccine harms were associated with lower series completion rate. Education for parents should emphasize the HPV vaccine’s safety profile.

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Parents’ perceptions of the HPV vaccine: a key target for improving immunization rates

Cited by 8 publications

References 15 publications

Understanding Public Perceptions of the HPV Vaccination Based on Online Comments to Canadian News Articles

Understanding Public Perceptions of the HPV Vaccination Based on Online Comments to Canadian News Articles

Clinician knowledge, clinician barriers, and perceived parental barriers regarding human papillomavirus vaccination: Association with initiation and completion rates

Association between parent attitudes and receipt of human papillomavirus vaccine in adolescents

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