HPV Vaccination Mandates — Lawmaking amid Political and Scientific Controversy

Colgrove, James; Abiola, Sara

doi:10.1056/nejmsr1003547

Cited by 89 publications

(78 citation statements)

References 10 publications

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“…A qualitative assessment of state legislators found that they consider acceptability to parents as one factor in determining whether to pursue HPV vaccine requirement laws (15). While editorials in the medical literature and popular media have highlighted potential parental concerns about HPV immunization requirements (16)(17)(18), the acceptability of requirements to parents is not well understood.…”

Section: Introductionmentioning

confidence: 99%

Parent Attitudes about School Requirements for Human Papillomavirus Vaccine in High-Risk Communities of Los Angeles, California

Robitz¹,

Gottlieb²,

Rosa

et al. 2011

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Human papillomavirus (HPV) immunization requirements for school entry could increase HPV vaccine uptake but are controversial. This study assessed parents' attitudes about HPV immunization requirements.Methods: During October 2007 to June 2008, we conducted telephone surveys with 484 parents of girls attending middle/high schools serving communities in Los Angeles County with elevated cervical cancer rates.Results: Parents were mostly Hispanic (81%) or African American (15%); 71% responded in Spanish. Many parents did not know if HPV vaccine works well (42%) or is unsafe (41%). Overall, 59% of parents agreed that laws requiring HPV vaccination for school attendance "are a good idea." In multivariable analysis, African Americans and Hispanics responding in English were less likely than Hispanics responding in Spanish to agree (aOR 0.1, 95% CI: 0.1-0.3; aOR 0.4, 95% CI: 0.2-0.8, respectively). Parents were less likely to agree with these laws if they did not believe the vaccine works well (aOR 0.2, 95% CI: 0.1-0.5) but more likely to agree if they believed the vaccine is not "too new for laws like these" (aOR 4.5, 95% CI: 2.6-8.0). Agreement with laws increased to 92% when including agreement that "these laws are okay only if parents can opt out."Conclusions: In this at-risk community, more than half of the parents agreed with HPV immunization requirements generally, and the vast majority agreed when including opt-out provisions.Impact: Support for HPV vaccine requirements may depend on race/ethnicity and inclusion of opt-out provisions. Information about vaccine efficacy and safety may increase support and reduce uncertainty about HPV vaccine in high-risk populations. Cancer Epidemiol Biomarkers Prev; 20(7); 1421-9. Ó2011 AACR.

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Section: Introductionmentioning

confidence: 99%

Parent Attitudes about School Requirements for Human Papillomavirus Vaccine in High-Risk Communities of Los Angeles, California

Robitz¹,

Gottlieb²,

Rosa

et al. 2011

Cancer Epidemiology, Biomarkers &Amp; Prevention

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show abstract

“…12,13 Differences between HPV infection and other vaccine preventable diseases may contribute to resistance to school requirements. 9 HPV vaccines are primarily intended to prevent a genital cancer caused by a sexually transmitted virus. Requirements have been made for other adolescent vaccines in many states.…”

mentioning

confidence: 99%

Acceptability of school requirements for human papillomavirus vaccine

et al. 2011

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“…The term "mandates" or "mandatory" vaccination is used in most discussions of vaccination requirements [10,12,16,17,21,22,26]. Bills requiring HPV vaccinations for school entry were coded as mandatory vaccination if the law mentioned "required" or "mandated" vaccination.…”

Section: Methodsmentioning

confidence: 99%

Early Policy Responses to the Human Papillomavirus Vaccine in the United States, 2006–2010

Laugesen

Mistry

Carameli

et al. 2014

Journal of Adolescent Health

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HPV Vaccination Mandates — Lawmaking amid Political and Scientific Controversy

Abstract: Proponents of compulsory HPV immunization cited the severity of cervical cancer and the efficacy of the vaccine as primary motivations for wanting to ensure that all girls were vaccinated.

Cited by 89 publications

References 10 publications

Parent Attitudes about School Requirements for Human Papillomavirus Vaccine in High-Risk Communities of Los Angeles, California

Parent Attitudes about School Requirements for Human Papillomavirus Vaccine in High-Risk Communities of Los Angeles, California

Acceptability of school requirements for human papillomavirus vaccine

Early Policy Responses to the Human Papillomavirus Vaccine in the United States, 2006–2010

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