Views of parents regarding human papillomavirus vaccination: A systematic review and meta-ethnographic synthesis of qualitative literature

Marshall, Sarah; Fleming, Aoife; Moore, Anne; Sahm, Laura J.

doi:10.1016/j.sapharm.2018.05.013

Cited by 36 publications

(32 citation statements)

References 63 publications

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“…This supports previous research that community acceptability towards HPV vaccination is a slow process that requires first acknowledging rumors, fears, and concerns, prior to expressing the benefits and safety of HPV vaccination [41]. This review supports prior research that calls for strategies to first address prominent misinformation about HPV vaccination in the SSA context prior to HPV vaccination campaign roll out [13,14,16,26,41], highlighting that HPV vaccination decision-making is complex and multifactorial [60,61].…”

Section: Discussionsupporting

confidence: 83%

Stakeholders’ Understandings of Human Papillomavirus (HPV) Vaccination in Sub-Saharan Africa: A Rapid Qualitative Systematic Review

2021

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Cervical cancer rates in Sub-Saharan Africa (SSA) are amongst the highest worldwide. All three of the Human Papillomavirus (HPV) vaccines (9-valent, quadrivalent and bivalent HPV vaccine) provide primary protection against the most common cancer-causing strains of HPV (types 16 and 18) that are known to cause 70% of cervical cancers. Over the last five years, there has been an increase in Sub-Saharan African countries that have introduced the HPV vaccine. The majority of research has been conducted on supply-side barriers and facilitators to HPV vaccination uptake in SSA, yet little research has been conducted on demand-side or end-user perspectives of, and decisions around, HPV vaccination. In order to complement existing research, and inform current and future HPV vaccination implementation approaches, this qualitative systematic review explored Stakeholders’ understandings of HPV vaccination in SSA. This review searched the following databases: Embase (via Scopus), Scopus, MEDLINE (via PubMed), PubMed, EBSCOhost, Academic Search Premier, Africa-Wide Information, CINAHL, PsycARTICLES, PsycINFO, SocINDEX, Web of Science, and the Cochrane Controlled Register of Trials (CENTRAL) and found a total of 259 articles. Thirty-one studies were found eligible for inclusion and were analyzed thematically using Braun and Clarke’s methods for conducting a thematic analysis. The quality of included studies was assessed using the Critical Appraisal Skills Programme (CASP) checklist. Three major themes emerged from this analysis; knowledge of HPV vaccination and cervical cancer is intertwined with misinformation; fear has shaped contradictory perceptions about HPV vaccination and gender dynamics are relevant in how stakeholders understand HPV vaccination in SSA.

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Section: Discussionsupporting

confidence: 83%

Stakeholders’ Understandings of Human Papillomavirus (HPV) Vaccination in Sub-Saharan Africa: A Rapid Qualitative Systematic Review

2021

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“…A search of key national and international websites that register, fund, or publish knowledge syntheses failed to locate an existing synthesis to address our review questions. We identified several helpful systematic reviews in the areas of vaccine hesitancy [ 41 , 60 , 98 ], acceptability [ 60 , 99 ], inequity of HPV vaccine uptake [ 100 ], barriers and facilitators to HPV vaccination in young women [ 25 , 57 , 61 , 101 , 102 ], and identification and assessment of interventions to improve HPV vaccine uptake [ 64 , 79 , 80 , 103 ]. We identified several tangential emergent syntheses through the PROSPERO International Prospective Register of Systematic Reviews pertaining to parental-reported barriers and facilitators to HPV vaccination [ 104 ], hesitancy toward HPV vaccine [ 105 ], the effects of mass media interventions on enhancing childhood vaccine uptake [ 106 ], health care provider recommendation of HPV vaccine in boys and young men [ 107 , 108 ], and individual and environmental-level factors influencing HPV vaccination [ 107 ].…”

Section: Methodsmentioning

confidence: 99%

Barriers, supports, and effective interventions for uptake of human papillomavirus- and other vaccines within global and Canadian Indigenous peoples: a systematic review protocol

et al. 2018

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BackgroundDespite the existence of human papilloma virus (HPV) vaccines with demonstrated safety and effectiveness and funded HPV vaccination programs, coverage rates are persistently lower and cervical cancer burden higher among Canadian Indigenous peoples. Barriers and supports to HPV vaccination in Indigenous peoples have not been systematically documented, nor have interventions to increase uptake in this population. This protocol aims to appraise the literature in Canadian and global Indigenous peoples, relating to documented barriers and supports to vaccination and interventions to increase acceptability/uptake or reduce hesitancy of vaccination. Although HPV vaccination is the primary focus, we anticipate only a small number of relevant studies to emerge from the search and will, therefore, employ a broad search strategy to capture literature related to both HPV vaccination and vaccination in general in global Indigenous peoples.MethodsEligible studies will include global Indigenous peoples and discuss barriers or supports and/or interventions to improve uptake or to reduce hesitancy, for the HPV vaccine and/or other vaccines. Primary outcomes are documented barriers or supports or interventions. All study designs meeting inclusion criteria will be considered, without restricting by language, location, or data type. We will use an a priori search strategy, comprised of key words and controlled vocabulary terms, developed in consultation with an academic librarian, and reviewed by a second academic librarian using the PRESS checklist. We will search several electronic databases from date of inception, without restrictions. A pre-defined group of global Indigenous websites will be reviewed for relevant gray literature. Bibliographic searches will be conducted for all included studies to identify relevant reviews. Data analysis will include an inductive, qualitative, thematic synthesis and a quantitative analysis of measured barriers and supports, as well as a descriptive synthesis and quantitative summary of measures for interventions.DiscussionTo our knowledge, this study will contribute the first systematic review of documented barriers, supports, and interventions for vaccination in general and for HPV vaccination. The results of this study are expected to inform future research, policies, programs, and community-driven initiatives to enhance acceptability and uptake of HPV vaccination among Indigenous peoples.Systematic review registrationPROSPERO Registration Number: CRD42017048844Electronic supplementary materialThe online version of this article (10.1186/s13643-018-0692-y) contains supplementary material, which is available to authorized users.

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“…This indicates that high levels of vaccine uptake in females can provide herd immunity for most males, and this has been taken into account by the British government when making policy decisions, such as opting not to add a catch-up programme for older boys. 3 Unfortunately, this approach fails to account for the fact that uptake of the HPV vaccine is dropping worldwide, 6 with a recent review indicating that levels were suboptimal. 7 This alone renders the herd protection argument invalid, but we must also consider that depending on the future relationship agreed between the EU and UK, free-movement within Europe may continue to add to the problem.…”

mentioning

confidence: 99%

“…Regarding HPV vaccination, parents are typically motivated to protect their children and prevent disease. 6 , 8 However, clinicians have a duty to provide unambiguous information in a timely manner and to be in a position to address parental concerns regarding vaccine safety. Given that safety data are available for the HPV vaccines, safety concerns cannot be used as a valid argument against their use.…”

mentioning

confidence: 99%

Can a single dose of the human papilloma virus (HPV) vaccine prevent oropharyngeal cancer?

Kanatas

2020

British Journal of Oral and Maxillofacial Surgery

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Views of parents regarding human papillomavirus vaccination: A systematic review and meta-ethnographic synthesis of qualitative literature

Cited by 36 publications

References 63 publications

Stakeholders’ Understandings of Human Papillomavirus (HPV) Vaccination in Sub-Saharan Africa: A Rapid Qualitative Systematic Review

Stakeholders’ Understandings of Human Papillomavirus (HPV) Vaccination in Sub-Saharan Africa: A Rapid Qualitative Systematic Review

Barriers, supports, and effective interventions for uptake of human papillomavirus- and other vaccines within global and Canadian Indigenous peoples: a systematic review protocol

Can a single dose of the human papilloma virus (HPV) vaccine prevent oropharyngeal cancer?

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