School-based HPV vaccination positively impacts parents’ attitudes toward adolescent vaccination

Davies, C; Stoney, T; Hutton, H; Parrella, A; Kang, M; Macartney, K; Leask, J; McCaffrey, K; Zimet, G; Brotherton, JML; Marshall, HS; Skinner, SR; Group, FTHPVES

School-based HPV vaccination positively impacts parents’ attitudes toward adolescent vaccination

Davies, C Stoney, T Hutton, H Parrella, A Kang, M

Macartney, K Leask, J McCaffrey, K Zimet, G Brotherton, JML Marshall, HS Skinner, SR Group, FTHPVES

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Vaccine, 2021, 39, (30), pp. 4190-4198
Issue Date:: 2021-06-11

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Field	Value	Language
dc.contributor.author	Davies, C
dc.contributor.author	Stoney, T
dc.contributor.author	Hutton, H
dc.contributor.author	Parrella, A
dc.contributor.author	Kang, M https://orcid.org/0000-0002-9438-2518
dc.contributor.author	Macartney, K
dc.contributor.author	Leask, J
dc.contributor.author	McCaffrey, K
dc.contributor.author	Zimet, G
dc.contributor.author	Brotherton, JML
dc.contributor.author	Marshall, HS
dc.contributor.author	Skinner, SR
dc.contributor.author	Group, FTHPVES
dc.date.accessioned	2021-11-30T04:32:32Z
dc.date.available	2021-05-19
dc.date.available	2021-11-30T04:32:32Z
dc.date.issued	2021-06-11
dc.identifier.citation	Vaccine, 2021, 39, (30), pp. 4190-4198
dc.identifier.issn	0264-410X
dc.identifier.issn	1873-2518
dc.identifier.uri	http://hdl.handle.net/10453/151918
dc.description.abstract	Introduction This qualitative study aimed to explore parental attitudes, knowledge and decision-making about HPV vaccination for adolescents in the context of a gender-neutral school-based Australian National Immunisation Program (NIP). Methods Semi-structured interviews with parents of adolescents eligible for HPV vaccination were undertaken as part of an evaluation of a cluster-randomised controlled trial of a complex intervention in 40 schools (2013–2015). In this qualitative study, we purposively recruited a nested sample of parents from 11 schools across two Australian jurisdictions. Interviews explored parent knowledge and understanding of the HPV vaccine program; HPV vaccination decision-making; their adolescent’s knowledge about HPV vaccination; and their adolescent’s understanding about HPV vaccination, sexual awareness and behaviour. Transcripts were analysed using inductive and deductive thematic analysis. Results Parents’ of 22 adolescents had positive attitudes towards the program; the school-based delivery platform was the key driver shaping acceptance of and decision-making about HPV vaccination. They had difficulty recalling, or did not read, HPV vaccination information sent home. Some adolescents were involved in discussions about vaccination, with parents’ responsible for ultimate vaccine decision-making. All parents supported in-school education for adolescents about HPV and HPV vaccination. Parents’ knowledge about HPV vaccination was limited to cervical cancer and was largely absent regarding vaccination in males. Conclusions Parents’ positive attitudes towards the NIP and inclusion of the HPV vaccine is central to their vaccine decision-making and acceptance. More intensive communication strategies including school education opportunities are required to improve parents’ knowledge of HPV-related disease and to promote vaccine decision-making with adolescents.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Vaccine
dc.relation.isbasedon	10.1016/j.vaccine.2021.05.051
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	06 Biological Sciences, 07 Agricultural and Veterinary Sciences, 11 Medical and Health Sciences
dc.subject.classification	Virology
dc.subject.mesh	Humans
dc.subject.mesh	Papillomavirus Infections
dc.subject.mesh	Vaccination
dc.subject.mesh	Health Knowledge, Attitudes, Practice
dc.subject.mesh	Parents
dc.subject.mesh	Decision Making
dc.subject.mesh	Schools
dc.subject.mesh	Adolescent
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Papillomavirus Vaccines
dc.subject.mesh	Adolescent
dc.subject.mesh	Australia
dc.subject.mesh	Decision Making
dc.subject.mesh	Female
dc.subject.mesh	Health Knowledge, Attitudes, Practice
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Papillomavirus Infections
dc.subject.mesh	Papillomavirus Vaccines
dc.subject.mesh	Parents
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Schools
dc.subject.mesh	Vaccination
dc.title	School-based HPV vaccination positively impacts parents’ attitudes toward adolescent vaccination
dc.type	Journal Article
utslib.citation.volume	39
utslib.location.activity	Netherlands
utslib.for	06 Biological Sciences
utslib.for	07 Agricultural and Veterinary Sciences
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2021-11-30T04:32:31Z
pubs.issue	30
pubs.publication-status	Published
pubs.volume	39
utslib.citation.issue	30

Abstract:

Introduction This qualitative study aimed to explore parental attitudes, knowledge and decision-making about HPV vaccination for adolescents in the context of a gender-neutral school-based Australian National Immunisation Program (NIP). Methods Semi-structured interviews with parents of adolescents eligible for HPV vaccination were undertaken as part of an evaluation of a cluster-randomised controlled trial of a complex intervention in 40 schools (2013–2015). In this qualitative study, we purposively recruited a nested sample of parents from 11 schools across two Australian jurisdictions. Interviews explored parent knowledge and understanding of the HPV vaccine program; HPV vaccination decision-making; their adolescent’s knowledge about HPV vaccination; and their adolescent’s understanding about HPV vaccination, sexual awareness and behaviour. Transcripts were analysed using inductive and deductive thematic analysis. Results Parents’ of 22 adolescents had positive attitudes towards the program; the school-based delivery platform was the key driver shaping acceptance of and decision-making about HPV vaccination. They had difficulty recalling, or did not read, HPV vaccination information sent home. Some adolescents were involved in discussions about vaccination, with parents’ responsible for ultimate vaccine decision-making. All parents supported in-school education for adolescents about HPV and HPV vaccination. Parents’ knowledge about HPV vaccination was limited to cervical cancer and was largely absent regarding vaccination in males. Conclusions Parents’ positive attitudes towards the NIP and inclusion of the HPV vaccine is central to their vaccine decision-making and acceptance. More intensive communication strategies including school education opportunities are required to improve parents’ knowledge of HPV-related disease and to promote vaccine decision-making with adolescents.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/151918