Marketing HPV Vaccine

Rothman, Sheila M.; Rothman, David J.

doi:10.1001/jama.2009.1179

Cited by 84 publications

(18 citation statements)

References 22 publications

(16 reference statements)

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“…It is possible that parents did not fully understand the connection between HPV and diseases that could affect their sons (e.g., genital warts, anal cancer) because early vaccine promotion efforts emphasized the relationship between the vaccine and cervical cancer. 42-44 Yet other constructs measuring closely related HPV vaccine beliefs (i.e., anticipated regret of HPV infection, importance of protecting the son's future partner, and perceived likelihood of HPV infection) were associated with willingness, providing some support for this hypothesis. However, as hypothesized, expectations about pain after vaccination were associated with sons' willingness, although we also found evidence for the negative association with parents' anticipated regret of fainting after vaccination.…”

Section: Resultsmentioning

confidence: 86%

HPV vaccine for teen boys: Dyadic analysis of parents' and sons' beliefs and willingness

Moss

Reiter

Brewer

2015

Preventive Medicine

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Objective Parents and adolescents often decide together whether the child should receive human papillomavirus (HPV) vaccine. However, few studies have investigated the dyadic nature of beliefs that affect this process. Method Data came from the 2010 HPV Immunization in Sons (HIS) Study, a national sample of 412 parents and their adolescent sons. We conducted dyadic multivariate logistic regression to test the relationships between parents' and sons' HPV vaccine beliefs and their willingness to have the son receive the vaccine. Results Fewer than half of parents and sons were willing to have the sons receive HPV vaccine (43% and 29%, respectively). Willing parents and sons anticipated greater regret if the son did not receive HPV vaccine but later contracted an HPV infection (parent odds ratio [OR]=1.72, 95% confidence interval [CI]=1.24-2.40; son OR=1.51, 95% CI=1.04-2.19) (both p<.05). Lower concerns about side effects, such as pain and fainting, were also associated with willingness. Conclusion Parents and sons were more willing to have the son receive HPV vaccine if they had higher anticipated regret about potential HPV infection and lower concerns about side effects. Communication campaigns should target these beliefs to increase parents' and sons' willingness to seek HPV vaccination.

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Section: Resultsmentioning

confidence: 86%

HPV vaccine for teen boys: Dyadic analysis of parents' and sons' beliefs and willingness

Moss

Reiter

Brewer

2015

Preventive Medicine

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“…This is related to the stronger linkage of HPV infection with sexual transmission, and to the fact that HPV vaccine introduction took place in the beginning of the 21 st century, when the public tends to be less likely to accept vaccine recommendations without questioning them [3, 19]. Based on the experience gained from HBV history, the developers of the HPV vaccine attempted to introduce their product to the US market without drawing attention to matters of sexual behavior [20]. …”

Section: Introductionmentioning

confidence: 99%

On the implications of desexualizing vaccines against sexually transmitted diseases: health policy challenges in a multicultural society

Velan

Yadgar

2017

Isr J Health Policy Res

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Two vaccines against sexually transmitted infections are included in many national vaccination programs: Hepatitis B Virus (HBV) vaccine and Human Papilloma Virus (HPV) vaccine. The trajectories of the implementation of these two programs were marked by differences in the way the sexual context of risk was communicated to the public. These trajectories fluctuated between full accounts of the sexual nature of the infection and attempts to desexualize the vaccines. Vaccine desexualization can be achieved by withholding information of sexual context, blurring information, and distancing the age of vaccination from the age of sexual debut. Desexualization may be advantageous in promoting public health and personal health of people who believe that HPV vaccination leads to increased promiscuity, people who believe that protection against STD is not relevant to their children, and people who are not comfortable discussing the sexuality of their children. On the other hand, desexualizing may be disadvantageous for children to parents who tend to express passiveness towards vaccination, parents who attribute importance to sex education, and teenagers with homosexual orientations. The ethical analysis of vaccine desexualization reveals a complex interplay of considerations related to utility, causation of harm, duty of transparency, right to know, and right not to know. This analysis suggests that the moral merits of applying desexualization are questionable. Lastly, a sociopolitical consideration of the matter, suggests that decisions on vaccine desexualization can have implications on the interrelationships between various social groups and subgroups composing a certain population, and may highlight intercultural schisms. All this indicates that shaping the sexual framework of vaccination programs bears implications far beyond the practical considerations of vaccine promotion.

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“…[10] Yet, HPV vaccination of boys would prevent most of an estimated 7,490 cases of HPV-associated cancer cases diagnosed annually in males. [6, 11, 12] A significant barrier to HPV-vaccination among preteens is reluctance by both healthcare providers and parents to vaccinate at a young age.…”

Section: Introductionmentioning

confidence: 99%

Intervention effects from a social marketing campaign to promote HPV vaccination in preteen boys

Cates¹,

Diehl²,

Crandell³

et al. 2014

Vaccine

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Objectives Adoption of human papillomavirus (HPV) vaccination in the US has been slow. In 2011, HPV vaccination of boys was recommended by CDC for routine use at ages 11–12. We conducted and evaluated a social marketing intervention with parents and providers to stimulate HPV vaccination among preteen boys. Methods We targeted parents and providers of 9–13 year old boys in a 13 county NC region. The 3-month intervention included distribution of HPV vaccination posters and brochures to all county health departments plus 194 enrolled providers; two radio PSAs; and an online CME training. A Cox proportional hazards model was fit using NC immunization registry data to examine whether vaccination rates in 9–13 year old boys increased during the intervention period in targeted counties compared to control counties (n=15) with similar demographics. To compare with other adolescent vaccines, similar models were fit for HPV vaccination in girls and meningococcal and Tdap vaccination of boys in the same age range. Moderating effects of age, race, and Vaccines for Children (VFC) eligibility on the intervention were considered. Results The Cox model showed an intervention effect (β=0.29, HR=1.34, p=.0024), indicating that during the intervention the probability of vaccination increased by 34% in the intervention counties relative to the control counties. Comparisons with HPV vaccination in girls and Tdap and meningococcal vaccination in boys suggest a unique boost for HPV vaccination in boys during the intervention. Model covariates of age, race and VFC eligibility were all significantly associated with vaccination rates (p<.0001 for all). HPV vaccination rates were highest in the 11–12 year old boys. Overall, three of every four clinic visits for Tdap and meningococcal vaccines for preteen boys were missed opportunities to administer HPV vaccination simultaneously. Conclusions Social marketing techniques can encourage parents and health care providers to vaccinate preteen boys against HPV.

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Marketing HPV Vaccine

Cited by 84 publications

References 22 publications

HPV vaccine for teen boys: Dyadic analysis of parents' and sons' beliefs and willingness

HPV vaccine for teen boys: Dyadic analysis of parents' and sons' beliefs and willingness

On the implications of desexualizing vaccines against sexually transmitted diseases: health policy challenges in a multicultural society

Intervention effects from a social marketing campaign to promote HPV vaccination in preteen boys

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