Are women ready for the HPV vaccine?

Slomovitz, Brian M.; Sun, Charlotte C.; Frumovitz, Michael; Soliman, Pamela T.; Schmeler, Kathleen M.; Pearson, Heidi C.; Berenson, Abbey B.; Ramírez, Pedro T.; Lu, Karen H.; Bodurka, Diane C.

doi:10.1016/j.ygyno.2006.02.003

Cited by 92 publications

(83 citation statements)

References 15 publications

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“…"HPV vaccination approval" in Table 1 indicates the proportion of respondents who said "Yes, I would get my daughter vaccinated whatever the cost". As some previous studies have shown, mothers are broadly in favour of getting their daughters and also their sons vaccinated against HPV (Waller et al 2006;Slomovitz et al 2006).…”

Section: Resultsmentioning

confidence: 83%

Attitudinal and socio-structural determinants of cervical cancer screening and HPV vaccination uptake: a quantitative multivariate analysis

Kuitto

Pickel

et al. 2010

J Public Health

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Aim The introduction of the human papillomavirus (HPV) vaccine enables for the first time in the history of cancer prevention the possibility of combating the major cause of a cancer even before its onset. The secondary prevention measure of cervical cancer screening has thus been complemented by a primary prevention measure. The aim of this study is to analyse the determinants of uptake of preventive measures against cervical cancer as a basis for comparing the determinants of screening attendance with those of HPV vaccination attendance. Subject and methods A population-based representative survey comprising 760 randomly selected women aged 14 to 65 was performed in the German federal state of Mecklenburg-Western Pomerania. Prevention behaviour, attitudes towards cervical cancer screening and HPV vaccination, and knowledge about cervical cancer and HPV were investigated by means of a structured questionnaire. Descriptive analyses and multivariate logistic regression analyses were conducted to identify the determinants of screening and HPV vaccine uptake. Results Attendance both at screening and at HPV vaccination was best predicted by attitudinal factors. Positive connotations of cancer prevention measures and utility expectations, fear of cancer and high subjective risk perception were conducive to attendance at screening and HPV vaccination. Screening attendance was less regular among women of lower socioeconomic status. In contrast, HPV vaccination uptake was higher for young women with lower educational attainment and lower social class. Knowledge did not impact prevention behaviour significantly. There is no trade-off between screening and vaccination attendance; the vast majority of respondents was aware of the necessity of regular screening attendance even when vaccinated against HPV. Conclusions Uptake rates for existing primary and secondary prevention measures against cervical cancer can be enhanced by fostering perceptions of utility and positive connotations of regular screening and becoming vaccinated against HPV. Elderly women in particular should be encouraged to attend screening by means of a recall system. Given the low overall level of knowledge about cervical cancer and its risk factors, there is a need for education about the necessity and utility of prevention to reach women of all social classes.

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Section: Resultsmentioning

confidence: 83%

Attitudinal and socio-structural determinants of cervical cancer screening and HPV vaccination uptake: a quantitative multivariate analysis

Kuitto

Pickel

et al. 2010

J Public Health

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“…Numerous studies have explored the attitudes of men and women on HPV vaccination, both for themselves and their children (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). Interestingly, the majority of these studies were conducted in countries where cervical cancer rates have dwindled in the last few decades due to widespread screening measures.…”

Section: Discussionmentioning

confidence: 99%

“…The questions were based on modified versions of questionnaires from several other studies on attitudes towards HPV vaccination (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). Prior to the start of the study, we conducted two focus groups with adult women presenting to both clinics to assess general knowledge about vaccines, cancer, and cervical cancer.…”

Section: Methodsmentioning

confidence: 99%

Cervical cancer and HPV vaccination: Knowledge and attitudes of adult women in Lusaka, Zambia.

Liu

Vwalika

Hacker

et al. 2010

JCO

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“…Given the need for parental consent, research into parental acceptance is also important. Overall attitudes seem to be broadly positive in the United States (4,6,7), Mexico (8), and the United Kingdom (9), with acceptance rates ranging from 55% to 84%. Factors associated with acceptance include attitudes to vaccines in general, normative beliefs, and perceived benefits of the vaccine.…”

Section: Introductionmentioning

confidence: 99%

Mothers' Attitudes towards Preventing Cervical Cancer through Human Papillomavirus Vaccination: A Qualitative Study

Waller

Marlow

Wardle

2006

Cancer Epidemiology, Biomarkers &Amp; Prevention

138

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Prophylactic vaccines against human papillomavirus (HPV) types causing cervical cancer will soon be available. Success of the vaccine relies on parents' willingness to vaccinate their prepubescent daughters. We explored mothers' attitudes towards vaccination. Twenty-four mothers of girls ages 8 to 14 years took part in four focus groups. Discussions covered attitudes to vaccination in general, cancer vaccines, vaccines for sexually transmitted infections (STI), and the HPV vaccine. Discussions were recorded, transcribed, and analyzed thematically. Mothers were broadly provaccination. Some were excited about a cancer vaccine, although there were fears that it might lead to unhealthy behaviors (e.g., smoking). STI vaccines got a mixed reception. Enthusiasm was moderated by concerns about an increase in risky sexual behavior. When provided with information about the HPV vaccine, women were in favor of protecting their daughters from cervical cancer, abnormal Papanicolaou results and, potentially, from cervical screening. Some worried about an increase in promiscuity and risk of other STIs. There was disagreement about the age at which girls should be vaccinated. Although some women thought this question should be medically driven, others were concerned about discussing the vaccine with young girls and preferred to wait until they were older. In conclusion, mothers were broadly in favor of HPV vaccination but had reservations, particularly about vaccinating girls as young as 10. Larger-scale quantitative work is needed to assess acceptability at the population level. If the vaccine is introduced, information provision is likely to be key to ensuring parents understand the rationale for vaccinating at a young age. (Cancer Epidemiol Biomarkers Prev 2006;15(7):1257 -61)

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Are women ready for the HPV vaccine?

Cited by 92 publications

References 15 publications

Attitudinal and socio-structural determinants of cervical cancer screening and HPV vaccination uptake: a quantitative multivariate analysis

Attitudinal and socio-structural determinants of cervical cancer screening and HPV vaccination uptake: a quantitative multivariate analysis

Cervical cancer and HPV vaccination: Knowledge and attitudes of adult women in Lusaka, Zambia.

Mothers' Attitudes towards Preventing Cervical Cancer through Human Papillomavirus Vaccination: A Qualitative Study

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