HPV vaccine recommendation profiles among a national network of pediatric practitioners: understanding contributors to parental vaccine hesitancy and acceptance

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.

Download Full-text

PIN176 Social MEDIA As a Tool to Monitor Factors for HPV Vaccine Hesitancy in France

Value in Health ◽

10.1016/j.jval.2020.08.1017 ◽

2020 ◽

Vol 23 ◽

pp. S573

Author(s):

S. Renner ◽

P. Voillot ◽

P. Foulquié ◽

A. Mebarki ◽

N. Texier ◽

...

Keyword(s):

Social Media ◽

Hpv Vaccine ◽

Vaccine Hesitancy

Download Full-text

Collaborating with Complementary and Alternative Medicine (CAM) Providers When Writing HPV Vaccine Review Articles

Journal of Clinical Medicine ◽

10.3390/jcm9020592 ◽

2020 ◽

Vol 9 (2) ◽

pp. 592

Author(s):

Michael J. Deml ◽

Léna G. Dietrich ◽

Bernhard Wingeier ◽

Gisela Etter ◽

Caesar Gallmann ◽

...

Keyword(s):

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Hpv Vaccine ◽

Healthcare Providers ◽

Vaccine Hesitancy ◽

Background Information ◽

Communication Tools ◽

Provider Perspectives ◽

Review Articles ◽

Complementary And Alternative

Novel strategies are needed to address vaccine hesitancy (VH), which correlates with complementary and alternative medicine (CAM). In Switzerland, CAM providers play important roles in vaccine counseling of vaccine hesitant (VH) parents, and traditional vaccination messaging tends to overlook CAM provider perspectives. In the setting of a Swiss national research program on VH, our key strategy has been to work together closely with CAM providers. To assess the feasibility of generating educational human papillomavirus (HPV) vaccine materials that would interest VH healthcare providers (HCPs), we invited four CAM providers to co-author two HPV vaccine review articles for general practitioners. We conducted thematic analysis of CAM provider comments to identify patterns that could complement and improve vaccination messaging from CAM perspectives. We identified several themes and generated an inventory of CAM provider messaging recommendations related to language use, presentation of background information, nuanced statements regarding HPV vaccine efficacy and safety, and communication tools that would be important to VH HCPs. Contrary to our initial expectations, and in an inclusive, respectful atmosphere of open dialogue, we were able to productively finalize our manuscripts. In the opinion of the CAM co-authors, the manuscripts effectively considered the communication needs and perspectives of VH HCPs. Engaging with CAM providers appears to be a feasible and innovative avenue for providing vaccine information and designing communication tools aimed at VH healthcare providers.

Download Full-text

Patient-Level Factors Associated With Lack of Health Care Provider Recommendation for the Human Papillomavirus Vaccine Among Young Cancer Survivors

Journal of Clinical Oncology ◽

10.1200/jco.19.02026 ◽

2020 ◽

Vol 38 (25) ◽

pp. 2892-2901

Author(s):

Jocelyn M. York ◽

James L. Klosky ◽

Yanjun Chen ◽

James A. Connelly ◽

Karen Wasilewski-Masker ◽

...

Keyword(s):

Health Care ◽

Cancer Survivors ◽

Health Care Provider ◽

Care Provider ◽

Hpv Vaccine ◽

Insurance Coverage ◽

Hpv Vaccination ◽

Factors Associated ◽

Patient Level ◽

Vaccine Recommendation

PURPOSE Young cancer survivors are at increased risk for morbidities related to infection with the human papillomavirus (HPV), yet their HPV vaccine initiation rates remain low. Patient-/parent-reported lack of health care provider recommendation for HPV vaccination is strongly associated with vaccine noninitiation. We aimed to identify patient-level factors associated with survivor-/parent-reported lack of provider recommendation for HPV vaccination among young cancer survivors. METHODS Cancer survivors ages 9-26 years and 1-5 years off therapy completed a cross-sectional survey (parent-completed for survivors 9-17 years of age). Lack of health care provider HPV vaccine recommendation was the outcome of interest in a multivariable logistic regression model that included relevant patient-level sociodemographic, clinical, and vaccine-related variables. RESULTS Of 955 survivors, 54% were male, 66% were non-Hispanic White, and 36% had leukemia. At survey participation, survivors were an average age (± standard deviation) of 16.3 ± 4.7 years and 32.8 ± 14.7 months off therapy. Lack of provider HPV vaccine recommendation was reported by 73% (95% CI, 70% to 75%) of survivors. For the entire cohort, patient-level factors associated with lack of reported provider recommendation included perceived lack of insurance coverage for the HPV vaccine (odds ratio [OR], 4.0; 95% CI, 2.7 to 5.9; P < .001), male sex (OR, 2.8; 95% CI, 1.9 to 4.0; P < .001), and decreased parent-survivor communication regarding HPV vaccination (OR, 1.7 per unit decrease in score; 95% CI, 1.3 to 2.2; P < .001). In the sex- and age-stratified models, perceived lack of insurance coverage (all models) and male sex (age-stratified models) were also significantly associated with lack of reported provider recommendation. CONCLUSION We identified factors characterizing survivors at risk for not reporting receipt of a health care provider HPV vaccine recommendation. Future research is needed to develop interventions that facilitate effective provider recommendations for HPV vaccination among all young cancer survivors.

Download Full-text

Impact of HPV vaccine hesitancy on cervical cancer in Japan: a modelling study

The Lancet Public Health ◽

10.1016/s2468-2667(20)30010-4 ◽

2020 ◽

Vol 5 (4) ◽

pp. e223-e234 ◽

Cited By ~ 15

Author(s):

Kate T Simms ◽

Sharon J B Hanley ◽

Megan A Smith ◽

Adam Keane ◽

Karen Canfell

Keyword(s):

Cervical Cancer ◽

Hpv Vaccine ◽

Vaccine Hesitancy ◽

Modelling Study

Download Full-text

HPV vaccination in a context of public mistrust and uncertainty: a systematic literature review of determinants of HPV vaccine hesitancy in Europe

Human Vaccines & Immunotherapeutics ◽

10.1080/21645515.2018.1564436 ◽

2019 ◽

Vol 15 (7-8) ◽

pp. 1615-1627 ◽

Cited By ~ 25

Author(s):

Emilie Karafillakis ◽

Clarissa Simas ◽

Caitlin Jarrett ◽

Pierre Verger ◽

Patrick Peretti-Watel ◽

...

Keyword(s):

Literature Review ◽

Systematic Literature Review ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Vaccine Hesitancy

Download Full-text

Risk Reduction Interventions for Human Papillomavirus in Rural Maryland

Journal of Doctoral Nursing Practice ◽

10.1891/jdnp-d-19-00047 ◽

2020 ◽

Vol 13 (2) ◽

pp. 134-141

Author(s):

S. Dale G. Jafari ◽

Susan J. Appel ◽

D. Gail Shorter

Keyword(s):

Human Papillomavirus ◽

Risk Reduction ◽

Rural Community ◽

Hpv Vaccine ◽

Public Awareness ◽

Statistical Significance ◽

Vaccine Hesitancy ◽

Convenience Sample ◽

Immunization Rates ◽

Healthy People 2020

BackgroundHuman papillomavirus (HPV) is largely vaccine preventable. The Healthy People 2020 target goal for vaccine administration is 80%. Current United States (U. S.) rates are far lower primarily because of vaccine hesitancy and lack of provider recommendation.ObjectiveImplement a risk reduction initiative to increase HPV vaccine rates in females aged 12–26 in five rural counties in Maryland.MethodsA convenience sample from a rural community screened an HPV documentary movie, Questionnaire responses pre- and postscreening were surveyed for impact on vaccine readiness. Postscreening focus group comments were analyzed for common themes. Females aged 12–26 from a University Medical Group Women's Health Center located in rural Maryland were targeted. Chart review of immunization records 90 days pre- and postprovider vaccine recommendation demonstrated impact.ResultsPublic awareness events have the potential to impact HPV vaccine hesitancy, but this research did not achieve statistical significance. Direct provider to patient recommendations resulted in a 15% increase in HPV immunizations.ConclusionsEducation of vaccine-eligible individuals should be undertaken.Implications for NursingProviders who recommend administration of the vaccine significantly increase immunization rates.

Download Full-text

Introduction of HPV vaccination in Kenya

Afrika Focus ◽

10.21825/af.v29i2.4851 ◽

2016 ◽

Vol 29 (2) ◽

Author(s):

Heleen Vermandere

Keyword(s):

Cervical Cancer ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Organizational Factors ◽

Personal Control ◽

Vaccine Uptake ◽

Vaccine Hesitancy ◽

Open Communication ◽

Vaccine Acceptability ◽

Hpv Vaccine Acceptability

HPV vaccination prevents cervical cancer, the fourth most common cancer among women worldwide. Measured HPV vaccine acceptability is often high but does it also lead to high uptake? Methodology: A cohort was set up assessing HPV vaccine acceptability and other health behav- iour constructs before, and vaccine uptake after an HPV vaccination programme in Eldoret, Kenya. Focus groups shed light on the motivation for vaccine uptake or refusal. Results: Acceptability was high but was no strong predictor of uptake, and neither were the constructs of the Health Belief Model. Lack of information and fear of side effects were major barriers. Feeling uncomfortable to discuss cervical cancer hampered open communication. Discussion: Distrust towards new vaccines and the health system blocked translation from willingness-to-vaccinate to actual uptake, as did organizational factors such as poor promotion. Conclusion: Future research should include broader concepts such as vaccine hesitancy and factors beyond personal control in order to predict vaccine uptake. Key words: HPV vaccination, acceptability, uptake, longitudinal study, Kenya

Download Full-text

The Role of the Media on Maternal Confidence in Provider HPV Recommendation

10.21203/rs.3.rs-34379/v3 ◽

2020 ◽

Author(s):

Kimberly Walker ◽

Heather Owens ◽

Gregory Zimet

Keyword(s):

Hpv Vaccine ◽

Hpv Vaccination ◽

Vaccine Hesitancy ◽

Vaccination Rates ◽

Sexual Stigma ◽

Individual Interviews ◽

Vaccination Recommendation ◽

Protection Efficacy ◽

The Media

Abstract Background: Despite a growing understanding of the importance of provider HPV recommendation on parental acceptance, U.S. HPV vaccination rates remain suboptimal. Given the prevalence and use of the media for health decisions, this study examined the relationship between the media and provider HPV recommendation on maternal HPV vaccine hesitancy. Methods: Thirty individual interviews with HPV vaccine-accepting mothers in the Midwest U.S. were conducted to examine their feelings of hesitancy around the decision to accept HPV vaccination at the time of provider recommendation and their suggestions for improving the recommendation experience by addressing media concerns. Results: Media exposure was an antecedent to hesitancy for three main vaccination concerns: safety, protection/efficacy and sexual stigma. Although mothers accepted vaccination, they continued to feel confused and hesitant about HPV vaccination. They had several recommendations for how providers could combat hesitancy to improve confidence in HPV vaccine acceptance. Conclusions: Providers’ approach to HPV vaccination recommendation must consider concerns reported in the media with delivery techniques modified to adjust to maternal fears absorbed from adverse media information.

Download Full-text

The Impact of Narrative Strategy on Promoting HPV Vaccination among College Students in Korea: The Role of Anticipated Regret

Vaccines ◽

10.3390/vaccines8020176 ◽

2020 ◽

Vol 8 (2) ◽

pp. 176 ◽

Cited By ~ 1

Author(s):

Jarim Kim

Keyword(s):

Undergraduate Students ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Vaccine Uptake ◽

Vaccine Hesitancy ◽

Anticipated Regret ◽

The Public ◽

The Impact ◽

Hpv Vaccine Uptake

Human papillomavirus (HPV) vaccine hesitancy contributes to unsatisfactory vaccination coverage in Korea despite its high efficacy in preventing various diseases including cervical cancer. To enhance HPV vaccine uptake, effective communication with the public is key. To develop effective health promotion messages, this study examined the effects of message format on attitudes and intentions toward HPV vaccination, specifically focusing on anticipated action and inaction regrets. It employed a randomized experimental message design format (narrative versus didactic messages). A total of 222 Korean undergraduate students who had not received the HPV shot participated in the experiment. The results showed that didactic messages produce greater anticipated inaction regret, which further influences HPV vaccination attitudes and behaviors. Anticipated regret could potentially explain mixed narrative effects across health behaviors as described in existing literature.

Download Full-text