Meaningful Methods for Increasing Human Papillomavirus Vaccination Rates: An Integrative Literature Review

Vollrath, Kristin; Thul, Susan; Holcombe, Jenny M.

doi:10.1016/j.pedhc.2017.07.005

Cited by 18 publications

(41 citation statements)

References 41 publications

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“…Physician biases and concerns related to teen sexual behavior have also been reported, particularly as a barrier to male vaccination [17, 31]. Since physician recommendations, as well as parental acceptance of the vaccine, are vital to vaccine uptake [18], strengthening the evidence for the lack of association between HPV vaccination and subsequent sexual behavior is imperative.…”

Section: Discussionmentioning

confidence: 99%

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HPV vaccination has not increased sexual activity or accelerated sexual debut in a college-aged cohort of men and women

et al. 2019

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Background The human papillomavirus (HPV) is the most common sexually transmitted infection and is linked to several types of cancer. HPV vaccination uptake in the U.S. is relatively low, despite the vaccine’s high efficacy. Some parents of adolescents have concerns that vaccination will encourage sexual behavior and therefore choose not to vaccinate. Previous studies investigating vaccination and sexual behavior have included only young women and girls. Methods The objective of this study is to assess associations between HPV-vaccination and sexual behavior in a college-age cohort of both men and women. We analyzed questionnaire data collected from the Michigan HPV and Oropharyngeal Cancer Study, a cohort study designed to investigate HPV infection and its association with sexual behavior (data collected 2015–17, Ann Arbor, MI). Here, we consider vaccination status, sexual behavior, and substance use among 241 college-aged men and women. Logistic, Poisson, and Cox regression were used to determine the relationship between probability of sexual debut, number of sexual partners, and HPV vaccination status at baseline as well as between age at sexual debut and vaccination status at debut. Results HPV vaccination status was not significantly associated with an increased likelihood of sexual debut (odds ratio: 0.80 (95% CI: 0.41–1.58), decreased age of sexual debut (hazard ratio: 0.81 (95% CI: 0.65–1.00), nor an increased number of sexual partners (per year sexually active; incidence rate ratio: 1.27 (95% CI: 0.86–1.87)) in this cohort, after controlling for age, race, sex, and substance use. Instead, race or alcohol use were independent predictors of sexual behavior. Conclusions Concerns about the influence of the HPV vaccine on sexual behavior are likely unfounded for both men and women. These results can aid in increasing vaccine acceptability, inform and strengthen physician recommendations, and ultimately reduce the burden of HPV and HPV-related cancers in the U.S. Electronic supplementary material The online version of this article (10.1186/s12889-019-7134-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

“…These factors are a major obstacle in HPV vaccine uptake. Increasing acceptability and understanding among parents, as well as strengthening provider recommendations, will be necessary for expanding vaccine coverage and reducing disease burden [18].…”

Section: Introductionmentioning

confidence: 99%

HPV vaccination has not increased sexual activity or accelerated sexual debut in a college-aged cohort of men and women

et al. 2019

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“…In this survey, most providers reported that they felt like patients and parents might not be accepting of vaccine information provided by them, or that parents might have concerns about vaccine safety and effectiveness. Developing training materials and communication toolkits for dental providers – or adapting those that have already been developed and have been shown to be effective for medical providers – may bolster dental provider confidence in recommending vaccination to their patients, but additional research is needed to assess the effectiveness of this type of educational intervention.…”

Section: Discussionmentioning

confidence: 99%

Dental provider practices and perceptions regarding adolescent vaccination

Naleway

Henninger

Waiwaiole

et al. 2017

J Public Health Dent

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“…This may explain the discrepancy between the GP-reported recommendation/vaccination rate (i.e. 70%) ( Bouvret et al, 2016 ; Collange et al, 2016 ; Verger et al, 2015 ) and actual HPV vaccination rates (of less than 30%), which is also reported in other settings ( Rosen et al, 2018 ; Vollrath et al, 2018 ). The positive effect of higher (>3000 consultations/year) workload on GPs behaviour ( Collange et al, 2016 ) seems to contradict our hypothesis on time constraints stated above.…”

Section: Discussionmentioning

confidence: 87%

“…Despite the change of the target age group from 14 years to 11–14 years, the age of girls remains an issue for GPs, raising even more concerns. The main reason is that HPV vaccination remains strongly connected to sexuality or sexual behaviour, as reported in other settings, such as the United States and Canada ( Rosen et al, 2018 ; Vollrath et al, 2018 ). However, age/sexuality/parents fears does not seem to impact GPs' recommendation decision regarding HPV vaccination (in our review).…”

Section: Discussionmentioning

confidence: 98%

Cognitions and behaviours of general practitioners in France regarding HPV vaccination: A theory-based systematic review

Escriva–Boulley

Mandrik

Préau

et al. 2021

Preventive Medicine

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Human papillomavirus (HPV) vaccination is safe and efficacious to prevent persistent HPV infection, precancerous anogenital lesions and cervical cancer. However, in countries where vaccination programmes are implemented outside of schools, such as France, reaching high HPV vaccination coverage of the target population is challenging. Many studies have been performed in France to assess cognitions of general practitioners (GPs) regarding HPV vaccination. However, the evidence is not consistent about which cognitions are key. To provide a comprehensive overview, we performed a systematic review of studies conducted in France on GPs' cognitions regarding HPV vaccination and used the reasoned action approach to extract and synthesize data. The systematic search was performed up to July 2020 in Medline via PubMed, PsycINFO, PsycARTICLES, Embase, CINAHL Plus, Web of Science, Pascal and Francis databases. Grey literature was searched for in the French Public Health Database, Cairn. Info, yahoo.fr , and Google Scholar. Twenty-five scientific publications were selected based on eligibility criteria and assessed for quality. Our qualitative synthesis highlights that although 73% of GPs report recommending HPV vaccination, up to 50% would not recommend it because of concerns, including changes in patients' health behaviours and doubts about safety and/or efficacy. GPs' injunctive norms, i.e. trust in institutional information, were shown to be associated positively with GPs' willingness to recommend HPV vaccination. Parents' fears, girls' age, and potential connection with sexuality do not seem to affect GPs' recommendations. These results will inform the development of a professional educational intervention targeting GPs in France.

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Meaningful Methods for Increasing Human Papillomavirus Vaccination Rates: An Integrative Literature Review

Cited by 18 publications

References 41 publications

HPV vaccination has not increased sexual activity or accelerated sexual debut in a college-aged cohort of men and women

HPV vaccination has not increased sexual activity or accelerated sexual debut in a college-aged cohort of men and women

Dental provider practices and perceptions regarding adolescent vaccination

Cognitions and behaviours of general practitioners in France regarding HPV vaccination: A theory-based systematic review

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