Influence of parent characteristics and disease outcome framing on HPV vaccine acceptability among rural, Southern women

Abstract

Rural women, especially those who are younger, may be more accepting of the HPV vaccine when it is framed as a cervical cancer vaccine. Messages to mothers about the HPV vaccine for their daughters might be made more effective by framing the vaccine in terms of cancer and sexually transmitted disease prevention.

A systematic review of measures used in studies of human papillomavirus (HPV) vaccine acceptability

“…Weak tests of validity were performed in 16% of the studies [5, 8, 23, 24, 26, 29, 30, 34, 37–39], primarily using expert opinion or qualitative evaluation. Two studies used focus groups to improve the content validity of survey items [8, 15]; ten reported having had items reviewed by a panel of experts or tested among similar populations [5, 8, 23, 24, 29, 30, 34, 37–39]. Of the studies conducted in the U.S., only one developed an instrument for Spanish-speaking populations [37].…”

“…Items were categorized as “vaccine acceptability” if they included the word “would,” as in “ Would you agree to vaccination …” or “ Would you accept the vaccine …” Of 31 (39%) studies that measured this construct, 21 measured parental acceptability of the vaccine for daughters [5, 7, 8, 12, 15, 25, 34, 38, 39, 44, 53, 58, 60, 61, 80–86]. Eighteen measured acceptability for oneself [7, 9, 10, 12, 25, 34–36, 38, 48, 50, 61, 78, 80, 84, 85, 87, 88], and five inquired about the acceptability of vaccinating sons [60, 61, 74, 80, 84].…”

“…Eighteen measured acceptability for oneself [7, 9, 10, 12, 25, 34–36, 38, 48, 50, 61, 78, 80, 84, 85, 87, 88], and five inquired about the acceptability of vaccinating sons [60, 61, 74, 80, 84]. …”

“…Response formats were typically Likert-type or dichotomous (32% and 26%, respectively). Two studies assessed vaccine acceptability using a single cost referent “ if it were free ” [25, 34]. Two others assessed acceptability at graduated levels of cost [12, 88].…”

“…A small number of studies inquired about acceptability (for self or daughter) of an HPV vaccine that provided protection against different health outcomes, or had graduated levels of efficacy [10, 34, 86, 88]. For example, two studies by the same author [86, 88] presented hypothetical scenarios that varied along four dimensions (mode of transmission, severity of infection, vaccine efficacy and availability of behavioral methods for prevention).…”