Title |
Association between parent attitudes and receipt of human papillomavirus vaccine in adolescents
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Published in |
BMC Public Health, October 2017
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DOI | 10.1186/s12889-017-4787-5 |
Pubmed ID | |
Authors |
Jeffrey J. VanWormer, Casper G. Bendixsen, Elizabeth R. Vickers, Shannon Stokley, Michael M. McNeil, Julianne Gee, Edward A. Belongia, Huong Q. McLean |
Abstract |
Human 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. A 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. There 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. Reductions 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. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Canada | 1 | 5% |
Unknown | 18 | 95% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 16 | 84% |
Practitioners (doctors, other healthcare professionals) | 2 | 11% |
Scientists | 1 | 5% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 110 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 27 | 25% |
Student > Bachelor | 16 | 15% |
Researcher | 7 | 6% |
Student > Ph. D. Student | 7 | 6% |
Student > Doctoral Student | 5 | 5% |
Other | 15 | 14% |
Unknown | 33 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 25 | 23% |
Nursing and Health Professions | 22 | 20% |
Social Sciences | 9 | 8% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 3% |
Agricultural and Biological Sciences | 3 | 3% |
Other | 10 | 9% |
Unknown | 38 | 35% |