HPV vaccine decision-making among young men who have sex with men

Introduction: In March 2014, Brazil began its national HPV immunization campaign targeting girls ages 9-13. Objective: Describe determinants of parental decisions to vaccinate their daughters against HPV.Method: In this qualitative study, thirty semi-structured interviews were conducted at five health posts in São Paulo, Brazil. Interview questions explored parental opinions of disease prevention methods, vaccines in general, and the HPV vaccine. Interviews were analyzed using grounded theory. Results: Overall, parental knowledge about HPV and the vaccine was low, yet most eligible daughters had been vaccinated. Parents perceived the HPV vaccine to be normal, preventative, and protective. Parents viewed themselves as accountable for their children’s health, and saw the vaccine as a parenting tool for indirect control. Trust in healthcare professionals and an awareness of the dangers of “nowadays” (uncertainties regarding disease and sexual behavior) were also important in vaccine decision-making. These factors held more explanatory power for decisions to vaccinate than parental knowledge levels. This was the first study to qualitatively examine the perception of publically provided HPV vaccination among parents with eligible daughters in Brazil. The findings help interpret the greater than 90% coverage for the first HPV vaccine dose in Brazil. The results indicate that attempts to understand, maintain, or modify vaccination rates require the consideration of context specific factors, which influence both parent perspectives and vaccination decisions. Conclusion: HPV knowledge levels are not predictive of parental decisions to vaccinate daughters. Context specific factors from the sociocultural dimensions of parenting, sexuality, gender, and the healthcare system are more influential in vaccine decision-making.

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Role of Healthcare Providers� Recommendation Style in HPV Vaccine Decision-Making among Haitian Parents and Female Patients

Californian Journal of Health Promotion ◽

10.32398/cjhp.v15i3.1910 ◽

2017 ◽

Vol 15 (3) ◽

pp. 68-80 ◽

Cited By ~ 2

Author(s):

Dudith Pierre-Victor ◽

Dionne P. Stephens ◽

Rachel Clarke ◽

Kemesha Gabbidon ◽

Purnima Madhivanan

Keyword(s):

Decision Making ◽

Hpv Vaccine ◽

Healthcare Providers ◽

Preventive Measure ◽

Vaccine Uptake ◽

Transmitted Infection ◽

Haitian Women ◽

Female Patients ◽

Vaccine Decision Making

Background and Purpose: The strong influence of physician recommendation on vaccine uptake is well established in the literature. However, its influence on HPV vaccine decision-making among young Haitian women is understudied. This study investigated the role of healthcare providers� recommendation style in Haitian parents� and female patients� HPV vaccine decision-making. Methods: Thirty selfidentified Haitian women aged 17-26 years were recruited from a large university campus in the Southeastern United States (N=30). They completed in-depth face-to-face interviews regarding their HPV vaccine decision-making process. Transcripts were analyzed using thematic analysis. Results: Provider recommendation was cited as a major factor that influenced HPV vaccine uptake. Additionally, the framing of the HPV vaccine message greatly influenced vaccine decisions. Messages that framed the vaccine as a preventive measure for cervical cancer or as a preventive vaccine without an emphasis on the sexual transmission route of the virus were most effective. Messages that framed the vaccine as a preventive measure against a sexually transmitted infection did not positively influence young women to be vaccinated. Conclusions: These findings indicate that providers� recommendation style highly affects HPV vaccine decision. Thus, appropriate HPV vaccine framing is important for encouraging vaccine uptake in this ethnic group.

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Modifiable and Non-Modifiable Factors Associated with HPV Vaccine Decision-Making among American Indian Women College Students

American Indian Culture and Research Journal ◽

10.17953/aicrj.40.4.samuel-nakamura ◽

2016 ◽

Vol 40 (4) ◽

pp. 71-81

Author(s):

Christine Samuel-Nakamura ◽

Felicia Schanche Hodge

Keyword(s):

Risk Factors ◽

College Students ◽

Cervical Cancer ◽

Decision Making ◽

American Indian ◽

Hpv Vaccine ◽

Effective Interventions ◽

Modifiable Factors ◽

Proven Efficacy ◽

Vaccine Decision Making

Cervical cancer is a preventable disease that is highly prevalent among American Indian (AI) women. Some types of the Human papillomavirus (HPV) has been identified as causing cervical cancer in women and other less common cancers such as cancer of the anus, vagina, vulva, and oral cavity. Two vaccines, Gardasil® and Cervarix®, are available for primary protection against HPV. Despite its proven efficacy, additional efforts are needed to improve HPV update among AI women. Our project was designed to assess HPV vaccine readiness among AI college students, and identify factors that influence their decision-making. Modifiable risk factors are ideal to identify in that they can be targeted for health behavior education and intervention. Further, risk factors once identified can be tailored for designing effective interventions in high-risk communities.

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Butch Tops and Femme Bottoms? Sexual Positioning, Sexual Decision Making, and Gender Roles Among Young Gay Men

American Journal of Men s Health ◽

10.1177/1557988312455214 ◽

2012 ◽

Vol 6 (6) ◽

pp. 505-518 ◽

Cited By ~ 57

Author(s):

Michelle Marie Johns ◽

Emily Pingel ◽

Anna Eisenberg ◽

Matthew Leslie Santana ◽

José Bauermeister

Keyword(s):

Decision Making ◽

Gay Men ◽

Qualitative Interviews ◽

Young Men ◽

The United States ◽

Heterosexual Couples ◽

Sexual Decision Making ◽

Sex With Men ◽

Young Gay Men ◽

Hiv Aids

Gender and power are theoretical constructs linked to discussions of sexual transmission of HIV/AIDS among heterosexual couples. Despite the fact that HIV rates are rising among young men who have sex with men in the United States, work examining the role of gender in sexual decision making of young men who have sex with men remains in its infancy. Through qualitative interviews with 34 young gay men (YGM), the authors seek to contribute to the literature in this area by focusing on the ways that YGM understand and enact sexual positions during anal sex. The authors’ results highlight the diversity of YGM’s sexual preferences, as well as the high degree of sexual fluidity. Ideas of gender appear to inform part of this process; however, YGM critiqued conventional gender norms and emphasized the centrality of relationships (i.e., casual vs. romantic) in their sexual decision making. The authors discuss the importance of considering gender and interpersonal factors when designing HIV/AIDS prevention messages for YGM.

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