School Nurses’ Professional Practice in the HPV Vaccine Decision-Making Process

The human papillomavirus (HPV) vaccine is a key intervention in the prevention of HPV infection and associated cancers. This review emphasizes the importance of understanding what influences decision-making about this vaccine. Guided by the work of Whittemore and Knafl, and Pluye and Hong, we identified 25 studies, from which four prominent themes emerged: fear and risk, pain, parental involvement, and involvement of others. Fear of cervical cancer was a strong motivation to receive the vaccine, and the extent of parental involvement also had an impact on decision-making. Recommendations to receive the vaccine by health-care providers were also an important influence. School nurses are fundamental to the promotion and delivery of the HPV vaccine and should stress the significant role that it plays in the prevention of cancer. Additionally, school nurses should ensure that discussions about HPV infection and vaccine include parents where appropriate and should distinctly recommend vaccination to those eligible.

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“THOSE WHO LOVE, VACCINATE”: PARENTAL PERCEPTIONS OF HPV VACCINATION

Journal of Human Growth and Development ◽

10.7322/jhgd.106013 ◽

2015 ◽

Vol 25 (3) ◽

pp. 341 ◽

Cited By ~ 5

Author(s):

Ellen Dias De Oliveira Chiang ◽

Misha L. Baker ◽

Daniella Figueroa-Downing ◽

Maria Luiza Baggio ◽

Luisa Villa ◽

...

Keyword(s):

Decision Making ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Explanatory Power ◽

Parental Knowledge ◽

Specific Factors ◽

Knowledge Levels ◽

Parental Decisions ◽

Context Specific ◽

Vaccine Decision Making

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

Health Education Journal ◽

10.1177/0017896916647988 ◽

2016 ◽

Vol 76 (1) ◽

pp. 52-65 ◽

Cited By ~ 9

Author(s):

Christopher W Wheldon ◽

Ellen M Daley ◽

Eric R Buhi ◽

Julie A Baldwin ◽

Alan G Nyitray ◽

...

Keyword(s):

Decision Making ◽

Hpv Vaccine ◽

Young Men ◽

Sex With Men ◽

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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Understanding How Adolescents Think about the HPV Vaccine

Vaccines ◽

10.3390/vaccines8040693 ◽

2020 ◽

Vol 8 (4) ◽

pp. 693

Author(s):

Robyn A. Pennella ◽

Katherine A. Ayers ◽

Heather M. Brandt

Keyword(s):

Decision Making ◽

Thematic Analysis ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

The United States ◽

The Body ◽

Decision Making Process ◽

Vaccination Rates ◽

Qualitative Thematic Analysis ◽

Adolescent Attitudes

Despite educational efforts, Tennessee human papillomavirus (HPV) vaccination rates are 43%, among the lowest in the United States. This study examined how adolescents think about the HPV vaccine to identify patterns and misconceptions to enhance educational efforts. Adolescents (ages 11–12) (N = 168) responded to open-ended questions regarding their thinking about the HPV vaccine. Data were analyzed and interpreted using qualitative thematic analysis. Three domains of themes emerged from responses: (1) characteristics of HPV vaccination, (2) knowledge-related themes, and (3) beliefs-related themes. Prevention of HPV and cancer was the most referenced characteristic of HPV vaccination followed by HPV vaccine rates and HPV vaccine efficacy. Student inquiries were mostly centered on HPV vaccine composition, administration, duration and how the vaccine interacts with the body. Some responses indicated a desire for more information about HPV not specific to the HPV vaccine. Overall, adolescent attitudes were positive towards the HPV vaccine. This study highlights specific questions adolescents have about the vaccine that can be used to tailor future HPV educational efforts, empowering adolescents with the knowledge to be more active students in the decision-making process. In addition, the potential for adolescents to serve as community advocates for the vaccine should be considered for future interventions.

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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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Vaccination Decision-Making and HPV Knowledge: How Informed and Engaged Are Young Adult HPV Vaccine Recipients in Australia?

Journal of Vaccines ◽

10.1155/2014/495347 ◽

2014 ◽

Vol 2014 ◽

pp. 1-9 ◽

Cited By ~ 2

Author(s):

Rebekah C. Laidsaar-Powell ◽

Kirsten J. McCaffery ◽

Tanya Mather ◽

Ilona Juraskova

Keyword(s):

Decision Making ◽

Sexual Health ◽

Hpv Vaccine ◽

Sexual Attitudes ◽

Population Based ◽

Future Research ◽

Decision Making Process ◽

Post Vaccination ◽

Hpv Knowledge ◽

Vaccination Decision

Objectives. To date, there has been limited research on the decision-making process of HPV vaccine recipients. This study aimed to explore HPV-related knowledge, vaccination decision-making, and post vaccination attitudes about sexual behaviour in women who participated in the Australian school- and population-based HPV vaccine program. Materials and Methods. 102 female university students who had received the HPV vaccine (<27 years) completed scales on knowledge, vaccination decision-making, and post vaccination sexual attitudes. Results. HPV-related knowledge was low (M=57%), and women felt moderately involved in the vaccination decision (M=62%). Most women had not changed their sexual attitudes as a consequence of vaccination; however, some reported that since vaccination they feel less concerned about sexual health (19%). There were no significant differences between school- and population-based recipients on HPV knowledge (P=.559) or post vaccination sexual attitudes (P=.709). School-based recipients were significantly less autonomous in their decision-making (P=.001). Conclusion. Poor knowledge indicates a need for provision of information about HPV and post vaccination sexual health. Additionally, policy makers and health professionals may benefit from reiterating the importance of continued sexual health practices to HPV vaccine recipients. Future research should assess whether young women need to be more involved in the informed decision-making process for HPV vaccination.

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