“Why is it so necessary?”: African American Parents’ Perspectives on Delaying and Refusing HPV Vaccination

Washington, Ariel; Chabaan, Jasmine; Fakih, Ali; Ford, Sabrina; Rutledge, Lisa H.; Lilly, Jametta; Herrera, Maida Y.; Kim, Yang; Thompson, Hayley S.

doi:10.1016/j.pedhc.2023.01.002

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…Factors associated with low vaccination rates include race/ethnicity, parental education, marital status, provider recommendation, income, and age [ 13 ]. Since the HPV vaccine may be initiated as young as age 9, parental beliefs significantly determine the age at which a child receives it.…”

Section: Introductionmentioning

confidence: 99%

Understanding Barriers to Human Papillomavirus Vaccination among Parents of 9–10-Year-Old Adolescents: A Qualitative Analysis

Agana-Norman,

Martinez Martinez,

Shanmugasundaram

et al. 2024

Vaccines

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HPV vaccination rates remain low among US adolescents, with only 54% completing the series in 2019. The vaccine is recommended at age 11–12 but can be given as early as age 9. Although it has been found that offering the vaccine earlier improves completion rates by age 13, parents remain reluctant to allow their younger children to initiate this vaccine. The purpose of this study was to better understand parental beliefs regarding receipt of the HPV vaccine among their children at ages 9–10. A 40 min phone interview was completed with 21 participants who were asked about their vaccine viewpoints. Even after receiving one-on-one education from a patient navigator, many caretakers expressed inadequate knowledge of the HPV vaccine and limited exposure to both positive and negative influences. The biggest concern was vaccine side effects, often resulting from a lack of medical understanding. Most parents were reluctant to vaccinate their children at a school-based clinic or pharmacy and believed that the government should not mandate HPV vaccination for public school attendance. Our study provides insight into parental beliefs and attitudes about HPV vaccination at age 9–10 years and barriers that need to be addressed.

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Section: Introductionmentioning

confidence: 99%

Understanding Barriers to Human Papillomavirus Vaccination among Parents of 9–10-Year-Old Adolescents: A Qualitative Analysis

Agana-Norman,

Martinez Martinez,

Shanmugasundaram

et al. 2024

Vaccines

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HPV Vaccination Information Access, Needs, and Preferences Among Black and Hispanic Mothers

Kohler,

Wagner,

Vega

et al. 2024

Journal of Health Communication

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Global parental acceptance, attitudes, and knowledge regarding human papillomavirus vaccinations for their children: a systematic literature review and meta-analysis

Heyde,

Osmani,

Schauberger

et al. 2024

BMC Women's Health

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Background This systematic literature review aims to summarize global research on parental acceptance, attitudes, and knowledge regarding human papillomavirus vaccinations. Methods The literature search was conducted in PubMed, Web of Science and Scopus, and included publications from 2006 to 2023. Study quality was assessed using the Newcastle-Ottawa Scale. The Grading of Recommendations Assessment, Development, and Evaluation guidelines were used to assess the strength of evidence for the primary outcome. Meta-analyses were performed using random-effects models to estimate pooled parental acceptance of HPV vaccinations. Studies were stratified by study years, and a subgroup analysis was conducted to estimate vaccine acceptance rates by world regions. Additionally, sensitivity analyses examined the role of parents in accepting HPV vaccinations for children of different sexes. Results Based on 86 studies, we found that parents generally supported HPV vaccinations for their children, yet HPV vaccine acceptance rates showed high variation (12.0 to 97.5%). The subgroup analysis revealed geographical variations in pooled parental HPV vaccine acceptance rates, with the highest rate observed in Africa (79.6%; 95% CI: 73.5–85.2; I² = 98.3%; p < 0.01) and the lowest in North America (56.7%; 95% CI: 49.3–64.0; I² = 99.4%; p < 0.01). Sensitivity analyses showed that acceptance was higher for daughters than for sons, with mothers more willing to get their daughters vaccinated. The proportion of parents reporting barriers or benefits regarding HPV vaccinations varied widely (0.3–95.8%) between study regions. Across all world regions, fear of adverse effects and concerns about vaccine safety were the main barriers, whereas the desire to protect their children from cancer was a significant predictor of vaccine acceptance. Knowledge levels varied widely (6.5 to 100%) between world regions and according to the questions asked. In most studies, knowledge e.g., that HPV is sexually transmitted, and that HPV vaccination provides protection against cervical cancer, ranged from moderate to high. Conclusions The results indicated moderate parental acceptance of HPV vaccines. Public knowledge of HPV infection should be promoted, and special efforts should be made to minimize the existing barriers and increase vaccination accessibility and uptake.

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“Why is it so necessary?”: African American Parents’ Perspectives on Delaying and Refusing HPV Vaccination

Cited by 3 publications

References 20 publications

Understanding Barriers to Human Papillomavirus Vaccination among Parents of 9–10-Year-Old Adolescents: A Qualitative Analysis

Understanding Barriers to Human Papillomavirus Vaccination among Parents of 9–10-Year-Old Adolescents: A Qualitative Analysis

HPV Vaccination Information Access, Needs, and Preferences Among Black and Hispanic Mothers

Global parental acceptance, attitudes, and knowledge regarding human papillomavirus vaccinations for their children: a systematic literature review and meta-analysis

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