Using an integrated conceptual framework to investigate parents' HPV vaccine decision for their daughters and sons

Abstract

, Z. (2018). Using an integrated conceptual framework to investigate parents' HPV vaccine decision for their daughters and sons.

Using the precaution adoption process model to clarify human papillomavirus vaccine hesitancy in canadian parents of girls and parents of boys

“…PAPM facilitates a better understanding of vaccine hesitancy by excluding parents who are not even aware that the HPV vaccine can be given to their child. Previous research has shown that in the absence (or incipient stages) of an HPV vaccination program for boys, the unaware group accounts for 28-58% of a randomly selected sample of parents 13,14 and have significantly lower HPV knowledge compared to unengaged, undecided and decided not hesitant parents. 14 To better understand the longitudinal decision of vaccine hesitant parents we dichotomized vaccine hesitant parents-in parents of boys and girls-as two distinct entities: "flexible" Note: OR = adjusted odds ratio for decided to/vaccinated versus unengaged/undecided/decided not (reference category).…”

“…Then, we ran the multivariate model (final model) with predictors significantly associated with the outcome in bivariate analyses and predictor variables of interest i.e., policy change, ethnicity. 14 We used following logistic regression model diagnostic criteria 1 : Rank Discrimination Index C where C = 0.5 indicates random guessing and C = 1 perfect discrimination 2) Variation Inflation Factor (VIF) with a cut-off value of <10 to flag multicollinearity 23 and 3) Cessie-van Houwelingen goodness-offit test whereby p > 0.05 suggests no evidence to reject a good fit. 24 We calculated the Bayesian Information Criterion (BIC) 25 for the regression model including all variables and the final model and retained the model with the lowest BIC value.…”

“…12 Informed by PAPM to measure HPV vaccination intentions in parents of girls and boys, Perez et al (2017) and found strong associations in cross-sectional studies between parents' who decided not to vaccinate and perceived benefits of HPV vaccination, cues to action (e.g., recommendation of a healthcare provider (HCP)), harms (e.g., adverse effects related to the vaccine) and perceived susceptibility to HPV infection. 13,14 In unengaged or undecided parents, these associations were more inconsistent, suggesting that decided not vaccine hesitant parents have more fixed attitudes and beliefs related to HPV vaccination compared to parents who were unengaged or undecided. 13,14 Importantly, found that HPV vaccination policy (i.e., availability of publicly funded school-based vaccination program) has little influence on the decided not (~9% of parents of boys and in parents of girls reported being in this stage) compared to unengaged or undecided hesitant parents (~38% in parents of boys and~20% in parents of girls for which all jurisdictions had implemented school-based vaccination programs).…”

“…13,14 In unengaged or undecided parents, these associations were more inconsistent, suggesting that decided not vaccine hesitant parents have more fixed attitudes and beliefs related to HPV vaccination compared to parents who were unengaged or undecided. 13,14 Importantly, found that HPV vaccination policy (i.e., availability of publicly funded school-based vaccination program) has little influence on the decided not (~9% of parents of boys and in parents of girls reported being in this stage) compared to unengaged or undecided hesitant parents (~38% in parents of boys and~20% in parents of girls for which all jurisdictions had implemented school-based vaccination programs). 14 These results suggest that HPV vaccine hesitant parents do not represent a homogenous group and that latent differences between unengaged/undecided and decided not parents exist.…”

Vaccination perspectives among adolescents and their desired role in the decision-making process

“…4 Research has illuminated parental attitudes and the utility of provider-oriented interventions, and multiple factors contributing to relatively stagnant coverage rates have been identified, including concerns about safety, efficacy and timing of vaccines. [5][6][7][8][9][10] Relatively little is known about the adolescent's perspective on vaccines, but it appears that some adolescents have an impact on the decision-making process and vaccine acceptance, highlighting the importance of understanding teen perspective. [11][12][13][14] The HPV vaccine is one of the most effective measures to protect adolescents against a variety of HPV-related cancers [15][16][17][18] , but uptake remains low.…”