Using Twitter to Understand Public Perceptions Regarding the #<scp>HPV</scp> Vaccine: Opportunities for Public Health Nurses to Engage in Social Marketing

Human papillomavirus (HPV) vaccine uptake consistently lags behind that of other adolescent vaccines. In 2017, uptake of a single HPV vaccine dose and HPV vaccine series completion was 66% and 49%, respectively, compared to uptake of tetanus, diphtheria, and acellular pertussis vaccine (89%) and quadrivalent meningococcal conjugate vaccine (85%). Reasons for not vaccinating adolescents again HPV are varied, and in many cases, are rooted in commonly spread myths and misperceptions about the vaccine. In this review, we address five key myths-HPV vaccination is not effective at preventing cancer; Pap smears are sufficient to prevent cervical cancer; HPV vaccination is not safe; HPV vaccination is not needed since most infections are naturally cleared by the immune system; 11-12 years of age is too young to vaccinate. For each myth, we summarize the scientific evidence refuting the myth and provide speaking prompts for healthcare professionals to communicate about HPV vaccination.

Section: Discussionmentioning

confidence: 99%

Addressing HPV vaccine myths: practical information for healthcare providers

Bednarczyk

2019

“…Over a two-week period in June 2015, 74.2% of the 1,794 tweets about HPV and HPV vaccine analyzed were written by a "lay consumer," and they were almost equally likely to be positive (44.7%) and negative (49.3%). 41 The majority of the content produced by the news media (77.0%), however, were positive. Out of a total of 146 YouTube videos about HPV vaccination analyzed as of February 2008, 70.6% were created by individual YouTube members and 33.9% were from local or national television news coverage.…”

Section: Content Creators and Influencersmentioning

confidence: 97%

“…37 Over a two-week period in June 2015, another study found that the 1,794 tweets analyzed about HPV and HPV vaccine were polarizing, with 50.8% positive, 43.5% negative, and 5.8% neutral. 41 A study of MySpace posts about HPV vaccination between November 2005 and May 2008 found that 52% (n = 157) were classified as positive, 43% (n = 129) as negative, and 6% (n = 17) as ambivalent. 46 In an analysis of the comment sections of news articles about HPV or the HPV vaccine on Canadian news websites in 2012, 630 (52.6%) individuals expressed positive responses about HPV vaccination, while 404 (33.7%) were negative, 34 (2.8%) were mixed, and 130 (10.8%) were neutral.…”

Section: Content Valencementioning

confidence: 99%

“…51 A study of 50 of the most recent Instagram posts available on September 7, September 21, and October 4 of 2018 that used the hashtag #HPV (for a total of 150 posts) found that 45% mentioned the HPV vaccine, and the majority of those posts were identified as being pro-vaccine (79.2%). 47 24 YouTube Vaccination and immunization All videos as of February 20, 2007 Ache (2008) 25 YouTube HPV vaccination All videos as of February 8, 2008 Briones (2012) 26 YouTube HPV vaccination All videos as of November 1, 2010 Basch (2017) 27 YouTube Anal cancer All videos with at least 1,000 views as of June 29, 2016 Basch (2016) 28 YouTube HPV Most viewed "consumer" and "professional" videos from 2007 and June 2014 Ekram (2018) 29 YouTube HPV vaccination Most viewed videos and top 100 comments from June 22, 2014 and December 19, 2014 Coloma (2015) 30 Facebook, Twitter, Google+ HPV and fertility All posts as of September 25, 2014 Suragh (2018) 31 Facebook Immunization adverse effects Top 20 posts from 2007 to 2016 about each topic: hysteria, fainting, and mystery illness after vaccination Hale (2014) 32 Facebook Health conditions All Facebook pages of 20 most searched for health conditions (HPV as #17) on Google as of July 24, 2012 Dunn (2015) 33 Twitter HPV vaccination All tweets from October 1, 2013 to April 1, 2014 Zhou (2015) 34 Twitter HPV vaccination All tweets from October 1, 2013 to March 31, 2014 Mahoney (2015) 35 Twitter HPV vaccination First 100 tweets that included news articles from April 1, 2011 to October 31, 2011 Bahk (2016) 36 Twitter Vaccination All tweets from August 2013 to July 2014 Massey (2016) 37 Twitter HPV vaccination All tweets from August 1, 2014 to July 31, 2015 Surian (2016) 38 Twitter HPV vaccination All tweets from October 1, 2013 to October 29, 2015 Du (2017) 39 Twitter HPV vaccination All tweets from November 2, 2015 to March 28, 2016 Dunn (2017) 40 Twitter HPV vaccination All tweets from October 1, 2013 to October 30, 2015 Keim-Malpass (2017) 41 Twitter HPV vaccination All tweet over two-week period in June 2015 Shapiro (2017) 42 Twitter HPV vaccination All tweets from Australia, Canada, and the UK from January 2014 to April 2016 Lama (2018) 43 Twitter HPV All tweets posted by users in the USA from November 11, 2014 to August 8, 2016 Massey (2018) 44 Twitter HPV vaccination All tweets from August 1, 2014 to July 31, 2015 Teoh (2018) 45 Twitter Cervical cancer Top tweets in January 2016 Keelan (2010...…”

Section: Content Valencementioning

confidence: 99%

See 1 more Smart Citation

A systematic literature review to examine the potential for social media to impact HPV vaccine uptake and awareness, knowledge, and attitudes about HPV and HPV vaccination

Ortiz

Smith

Coyne‐Beasley

2019

173

116

This article summarizes the findings from a systematic literature review to examine how social media may impact HPV vaccine uptake and HPV and HPV vaccine related awareness, knowledge, and attitudes. Study inclusion criteria was original data collection of at least one data point about social media and HPV and/or HPV vaccination, such that the study provided insight into how social media content may influence HPV and HPV vaccine related knowledge, attitudes, and/or behaviors. A total of 44 relevant articles were identified using the following databases: PubMed, PsycINFO, Communication Source, Sociological Abstracts, Business Source Elite, and the Educational Resources Information Center (ERIC). Most studies analyzed the valence, type, and frequency of social media content about HPV vaccination, and some found associations between potential exposure to negative, anti-vacc`11qine content and lower vaccination rates. Some studies that included primary human subject data collection found that engagement with HPV related social media content was associated with improved awareness and knowledge but not with increased vaccine uptake. The literature overall is lacking in systematic and rigorous research examining the effects of social media on HPV related knowledge, attitudes, and behaviors and needs further examination as social media increasingly becomes a source of health information.

“…8 In contrast, Briones et al (2012) found that 33% of videos were provaccine, potentially indicating the increase in anti-vaccine content on YouTube. 6 Similarly, Keim-Malpass et al (2017) found that on Twitter, 51% of the tweets were classified as "positive" and 44% of the Tweets were considered "negative" 14 Similarly, on Pinterest, vaccine side-effects and safety were primary concerns of users. An overwhelming majority of "pinned" images were anti-vaccine (74%) compared to provaccine content (18%).…”

Section: Introductionmentioning

confidence: 99%

Social media use and human papillomavirus awareness and knowledge among adults with children in the household: examining the role of race, ethnicity, and gender

Lama

Quinn

Nan

et al. 2020

Background: Though human papillomavirus (HPV) vaccination is a safe and effective method of protecting against associated cancers, uptake rates remain low among adolescents. Few studies have examined how social media use contributes to HPV-related knowledge gaps among parents and caregivers. Objective: To investigate the association between social media use and HPV-related awareness and knowledge with a focus on differences by gender and race/ethnicity among a nationally representative sample of adults with children in the household. Methods: We used data from the Health Information National Trends (HINTS) Survey (2017-2019) (N = 2,720). Multivariate logistic regressions were used to examine the association of social media use on HPV awareness and knowledge outcomes. Results: Compared to non-users, engaging in one, two, three, or four social media behaviors were associated with greater HPV awareness (aOR: 2.09; 95%CI: 1.18-3.70, aOR: 2.49; 95%CI: 1.40-4.42, aOR: 2.64; 95%CI: 1.15-6.05, and aOR: 2.44; 95%CI: 1.11-5.36, respectively). Increased social media use was associated with increased HPV vaccine awareness. Men, African American, Hispanic, and Asian American respondents were less likely to be aware of HPV or HPV vaccine. Social media use was not associated with cancer knowledge. Conclusions: Increased social media use is associated with an increased awareness of HPV and HPV vaccine for adults with children in the household. Social media-based efforts can be utilized to increase knowledge of the benefits of HPV vaccination as cancer prevention, which may be a precursor to reducing HPV vaccine hesitancy and encouraging uptake to decrease cancer incidence rates among vulnerable populations.