Low rates of free human papillomavirus vaccine uptake among young women

Objective: To determine uptake of quadrivalent human papillomavirus recombinant vaccine (quadrivalent; Gardasil®, Merck, New Jersey, USA) offered under optimal conditions to women 18 to 24 years of age, and to identify predictors of uptake. Methods: Young women (n = 209) were recruited from a university health clinic. After completing a self-administered questionnaire, women received a free voucher for the entire vaccine series. Results: Only 59 women (28.2%) who were offered this free service completed the series. Just over half (50.7%) received the first dose. Of those, 78.3% returned to receive the second and 55.7% returned for the third. Young women who felt their mothers might not want them to be vaccinated were much less likely to complete the series compared with those who felt their mothers would ‘definitely’ want them to be vaccinated (P = 0.0002). Also, young women who indicated that they would take the time to return to the clinic for doses two and three were far more likely to complete the series (P = 0.0004). Several measures failed to achieve even bivariate significance with vaccine uptake, including being sexually active in the past 12 months, ever having a Pap test or an abnormal Pap test result, and ever having a sexually transmissible infection. Conclusions: Even under ideal conditions, uptake of Gardasil among women 18–24 years of age may be quite low. Maternal endorsement and young women’s perceptions about the time needed to return for subsequent doses are important determinants of vaccine uptake. Fortunately, these two determinants lend themselves to intervention efforts.

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Predictors of Initial Uptake of Human Papillomavirus Vaccine Uptake Among Rural Appalachian Young Women

The Journal of Primary Prevention ◽

10.1007/s10935-013-0295-2 ◽

2013 ◽

Vol 34 (1-2) ◽

pp. 71-80 ◽

Cited By ~ 12

Author(s):

Baretta R. Casey ◽

Richard A. Crosby ◽

Robin C. Vanderpool ◽

Mark Dignan ◽

Wallace Bates

Keyword(s):

Human Papillomavirus ◽

Young Women ◽

Vaccine Uptake ◽

Human Papillomavirus Vaccine ◽

Papillomavirus Vaccine ◽

Initial Uptake

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Attitudes about human papillomavirus vaccine in young women

International Journal of STD & AIDS ◽

10.1258/095646203321605486 ◽

2003 ◽

Vol 14 (5) ◽

pp. 300-306 ◽

Cited By ~ 180

Author(s):

Jessica A Kahn ◽

Susan L Rosenthal ◽

Tara Hamann ◽

David I Bernstein

Keyword(s):

Human Papillomavirus ◽

Young Women ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Human Papillomavirus Vaccine ◽

Chi Square ◽

Positive Attitudes ◽

Number Of Sexual Partners ◽

Papillomavirus Vaccine ◽

To Receive

Human papillomavirus (HPV) vaccines are under investigation, but little is known about attitudes regarding vaccination. The aims of this study were to identify attitudes about and intention to receive an HPV vaccine in young women using a theory-based model. Young women ( n=52, mean age 25 years, range 18-30 years, 35% Black/Non-Hispanic) completed a survey assessing knowledge, attitudes about HPV vaccination, and risk behaviours. Associations between attitudes and intention to receive the vaccine were assessed using Mann-Whitney U or chi-square tests. Subjects reported positive attitudes about receiving an HPV vaccine and high intention to receive the vaccine both for themselves and their daughters. Variables associated significantly with intention included knowledge ( P=0.004), personal beliefs about vaccination ( P=0.004), belief that others would approve of vaccination ( P=0.005), and higher number of sexual partners ( P=0.028). Information on attitudes about HPV vaccination and predictors of intention to receive a vaccine may guide immunization initiatives for young adults.

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An exploratory study of undergraduate healthcare student perspectives regarding human papillomavirus and vaccine intent in India

Women s Health ◽

10.1177/17455065211055304 ◽

2021 ◽

Vol 17 ◽

pp. 174550652110553

Author(s):

Seemitha Shetty ◽

Veena Shetty ◽

Sanjeev Badiger ◽

Avinash K Shetty

Keyword(s):

Cervical Cancer ◽

Human Papillomavirus ◽

Focus Group ◽

Exploratory Study ◽

Student Perspectives ◽

Vaccine Uptake ◽

Human Papillomavirus Vaccine ◽

Vaccine Cost ◽

Papillomavirus Vaccine ◽

To Receive

Objective: Safe and effective human papillomavirus vaccines are available against cervical cancer and other human papillomavirus–associated diseases. Vaccine uptake is low in India given lack of universal vaccination programme. This exploratory study describes the medical, dental and nursing undergraduate student perspectives about human papillomavirus and intentions to receive the vaccine. Methods: Using a cross-sectional, explorative study design, we conducted two focus group discussions among a convenience sample of male (n = 11) and female (n = 9) student group aged ⩾18 years, respectively, at a medical college in South India. The focus group discussion sessions were recorded, transcribed and analysed using thematic content analysis. Results: Over half of the students showed adequate knowledge of cervical cancer and human papillomavirus. Medical students had much in-depth knowledge of cervical cancer, vaccine cost and its side effects compared to dental and nursing students. Human papillomavirus vaccine knowledge was relatively less among males compared to females; most male participants were unaware of the availability of the human papillomavirus vaccine. Intention to receive the vaccine was higher among females than males. All the participants had positive attitude in creating awareness in the community and making the vaccine cost-effective. Cultural concerns and high vaccine cost were cited major barriers for vaccine uptake. Suggestion of physician recommendation in promotion of human papillomavirus vaccine uptake was an emerging theme. Conclusion: Educating male students and those enrolled in dental and nursing courses about human papillomavirus vaccine, addressing cultural concerns and advocating provider recommendation for promoting vaccine uptake are potential strategies to improve future human papillomavirus vaccine intent among students and recommendations to patients in their role as future healthcare provider.

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Human Papillomavirus Vaccine Uptake, Barriers to Vaccination, and Predictors of Vaccination in Young Women

Journal of Adolescent Health ◽

10.1016/j.jadohealth.2008.10.036 ◽

2009 ◽

Vol 44 (2) ◽

pp. S13 ◽

Cited By ~ 1

Author(s):

K. Conroy ◽

S.L. Rosenthal ◽

G.D. Zimet ◽

Y. Jin ◽

D.I. Bernstein ◽

...

Keyword(s):

Human Papillomavirus ◽

Young Women ◽

Vaccine Uptake ◽

Human Papillomavirus Vaccine ◽

Papillomavirus Vaccine

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Vaccine Hesitancy and Differential Susceptibility to Media Coverage: A Critical Documentary Led to Substantial Reductions in Human Papillomavirus Vaccine Uptake in Denmark

Medical Decision Making ◽

10.1177/0272989x211003589 ◽

2021 ◽

pp. 0272989X2110035

Author(s):

Maria Knoth Humlum ◽

Niels Skipper ◽

Peter Rønø Thingholm

Keyword(s):

Human Papillomavirus ◽

Hpv Vaccine ◽

Media Coverage ◽

Differential Susceptibility ◽

Vaccine Uptake ◽

Vaccine Hesitancy ◽

Human Papillomavirus Vaccine ◽

Policy Makers ◽

Quasi Experimental ◽

Papillomavirus Vaccine

Objectives To investigate whether negative media coverage of the human papillomavirus (HPV) vaccine led to a decrease in the uptake of the first dose of the HPV vaccine (HPV1) in Denmark and, importantly, whether some groups of individuals were more susceptible to negative media coverage. Methods We measured HPV vaccine uptake of 12-year-old girls born in 2001 to 2004 using Danish administrative data. A quasi-experimental design was employed to assess whether a documentary that was critical of the HPV vaccine and aired in March 2015 affected HPV uptake. Results The documentary led to a quick and substantial decrease in the monthly propensity to vaccinate, which dropped 3 percentage points—or about 50%—in response to the documentary. Responses differed substantially across subgroups, and girls from families with high socioeconomic status (SES) were more susceptible to the negative media coverage. Conclusions Susceptibility to negative media coverage varied substantially across subgroups, highlighting the need for policy makers to appropriately target and differentiate initiatives to improve vaccine compliance rates.

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