Decision-making about HPV vaccination in parents of boys and girls: A population-based survey in England and Wales

Waller, Jo; Forster, Alice S.; Ryan, Mairéad; Richards, Rebecca; Bedford, Helen; Marlow, Laura A.V.

doi:10.1016/j.vaccine.2019.11.046

Cited by 40 publications

(48 citation statements)

References 21 publications

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“…In a survey of 725 adults between 27 and 45 years of age in the USA, only 36% of responders were aware that HPV infection can cause noncervical cancers 49 . In a separate survey of roughly 1,000 UK parents with children in school years 5–7 (aged 9–12 years), before the extension of vaccination to boys in 2019, only half had heard of HPV and fewer than 25% knew that HPV vaccination would be offered to boys 50 . In this study, appropriate education of parents led to approximately two-thirds indicating that they would allow their child to be vaccinated, while only 10% would not.…”

Section: Epidemiologymentioning

confidence: 99%

“…This finding implies that the provision of appropriate information to parents by health-care providers and public health administrators can lead to a high level of vaccine acceptance. Further education can help to assuage additional concerns for those who are undecided and demonstrate so-called flexible hesitancy 50 . Importantly, improved knowledge on the part of health-care providers is also needed to effectively implement large-scale vaccination programmes.…”

Section: Epidemiologymentioning

confidence: 99%

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HPV-associated oropharyngeal cancer: epidemiology, molecular biology and clinical management

et al. 2022

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Oropharyngeal squamous cell carcinoma (OPSCC) comprises cancers of the tonsils, base of tongue, soft palate and uvula (Fig. 1). Like other head and neck squamous cell carcinomas (HNSCCs), OPSCC has historically been linked to alcohol and tobacco consumption. A reduction in the prevalence of smoking in most high-income countries over the past 20 years has led to a decline in the incidence of HNSCC; however, carcinogenic human papillomavirus (HPV) infection has emerged as an important risk factor that has driven an increase in the incidence of OPSCC over the same period. More specifically, HPV now accounts for 71% and 51.8% of all OPSCCs in the USA and UK, respectively [1][2][3][4] . Of these, 85-96% are caused by HPV-16 infections and are therefore expected to be preventable by prophylactic HPV vaccination, which is known to be effective in preventing HPV-associated cervical neoplasia and is now being administered to both boys and girls in several countries 4,5 . The most recent edition of the American Joint Committee on Cancer (AJCC) staging system defined HPV-positive (HPV + ) and HPV-negative (HPV -) OPSCCs as separate entities, with distinct molecular profiles, tumour characteristics and outcomes 6 (Table 1). Importantly, the former is associated with a more favourable prognosis 7 . In this Review, we provide a comprehensive overview of HPV + OPSCC, focusing on how our increasing knowledge of disease biology has informed clinical practice and is guiding the pursuit of improved treatments. Epidemiology Rising incidence, particularly in menAmong all cancers, OPSCC has one of the most rapidly rising incidences in high-income countries 8,9 . An increasing incidence of this disease has been observed in the UK, USA, across Europe, New Zealand and in parts of Asia [9][10][11][12][13][14][15][16][17][18][19] . In both the UK and the USA, the incidence of oropharyngeal cancer in men has surpassed that of cervical cancer in women 8 (Fig. 1). Globally, the percentage of OPSCCs that are HPV + was reported in 2021 to be 33%; however, prevalence varies considerably depending on the geographical region, with estimates ranging from 0% in southern India to 85% in Lebanon 20 .HPV + OPSCC is more prevalent than HPV -OPSCC among those who do not consume tobacco or alcohol; however, a substantial history of tobacco and alcohol use remains prominent in patients with the former and is associated with worse outcomes 21,22 . Furthermore, sexual behaviour is an established risk factor for HPV + OPSCC, with a strong association observed between number of

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Section: Epidemiologymentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

HPV-associated oropharyngeal cancer: epidemiology, molecular biology and clinical management

et al. 2022

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“…Nossos resultados apontam que a taxa de imunizados declinou gradativamente em todas as microrregiões de Tocantins. Contudo, quando consultada a literatura científica é possível identificar que não se trata de um fenômeno ocorrente apenas no Estado em questão, mas em países como o Estados Unidos, Dinamarca, Canadá, França, País de Gales e Inglaterra os efeitos são semelhantes [12][13][14][15][16][17][18] . Acreditamos que a queda da cobertura vacinal também esteja associada as ações do movimento antivacina (MA), que vem crescendo fortemente no Brasil 19 .…”

Section: Discussionunclassified

Tendência Da Imunização Contra O HPV Na População Masculina No Estado Do Tocantins Entre Os Anos De 2017-2019

Silva¹,

Araújo²

2020

Rev Pat Tocantins

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Objetivo: descrever a tendência da cobertura da vacina tetravalente na população masculina no estado do Tocantins no período de 2017 a 2019. Metodologia: Trata-se de um estudo de caráter descritivo transversal de série temporal e espacial sobre a tendência vacinal. Os dados foram obtidos mediante consulta ao Sistema de Informação do Programa Nacional de Imunização. Foram incluídos nesta pesquisa o registro das três doses administradas da vacina. Os dados foram analisados estatisticamente por intervalo de confiança a 95% e regressão linear simples para identificar a variação anual da cobertura vacinal. Resultados: Foram notificados 77.868 indivíduos do sexo masculino imunizados contra o HPV no período estudado. Os registros foram maiores nas microrregiões do Porto Nacional, onde se insere a capital do estado, com 21,83%, seguido de Araguaína e Bico do Papagaio com 17,87% e 16,63%, respectivamente. Os dados deste estudo apontam que houve decréscimo na taxa de imunizados por habitantes, com regressão no número de imunizados de 0,88% ao ano. Conclusão: Acredita-se que a disseminação de concepções que comprometem a segurança dos imunobiológicos, assim como a ausência da divulgação sobre a importância das vacinas, são fatores que estão contribuindo para o declínio vacinal nos indivíduos do sexo masculino. Recomenda-se a elaboração de campanhas educativas que sensibilizem a população masculina sobre a gravidade desta infecção e da importância do imunobiológico para a segurança da saúde individual e coletiva.

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“…Furthermore, gaps in basic knowledge and deficiencies in understanding the subject, especially among eligible girls and to some extent their mothers, have been identified as challenges to making a knowledgeable choice. Consequently, education campaigns for girls and their parents have been advocated to raise awareness, especially of the vaccine's safety and efficacy (Cohen & Head, 2013; Das et al, 2010; Davies et al, 2017; Patel et al, 2016; Waller et al, 2020).…”

Section: Findings Of Applied Health Research and Health Sociologymentioning

confidence: 99%

From knowledge to a gendered event and trustful ties: HPV vaccine framings of eligible Finnish girls and school nurses

Virtanen

Salmivaara

2021

Sociology Health & Illness

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In the present study, we examine socio‐cultural and practical aspects of human papillomavirus vaccination (HPVV) through a multi‐sited study of framings. We ask how HPVV is framed in the daily lives of vaccination‐aged Finnish girls and in school nurses’ everyday work. We then mirror these framings against both each other and Finland's official vaccination campaign. Based on analysis of interviews with 24 nurses and 12 girls and the campaign materials, we argue first that the campaign frames vaccination as an individual, knowledge‐based decision reflecting the informed consent principle. Second, however, the vaccination is framed in the everyday lives of eligible girls through gendered social ties and as a gendered and cohort‐specific event pivoting around the needle prick. Third, HPVV is not primarily framed in the school nurses’ work as preparing the girls for the vaccination decision by sharing official information but through trust‐based social relationships with the girls and their parents. We conclude that, as the vaccination is not an issue of individually reflected and knowledge‐based decision‐making for the two interviewed key groups, the official Finnish HPVV campaign and the undergirding informed consent principle drift into problems in their practical implementation.

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Decision-making about HPV vaccination in parents of boys and girls: A population-based survey in England and Wales

Cited by 40 publications

References 21 publications

HPV-associated oropharyngeal cancer: epidemiology, molecular biology and clinical management

HPV-associated oropharyngeal cancer: epidemiology, molecular biology and clinical management

Tendência Da Imunização Contra O HPV Na População Masculina No Estado Do Tocantins Entre Os Anos De 2017-2019

From knowledge to a gendered event and trustful ties: HPV vaccine framings of eligible Finnish girls and school nurses

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