We conducted a web-based survey among 476 white, Black, and Hispanic parents or caregivers with daughter(s) between the ages of 9–17 to better understand how religion influences HPV vaccine acceptance. Catholic parents were more likely than nonaffiliated parents to have already vaccinated their daughters (vs. being undecided) (OR = 3.26, 95% CI = 1.06, 10.06). Parents with frequent attendance at religious services were more likely than parents who do not attend services to have decided against vaccination (vs. being undecided) (OR = 2.92, 95% CI = 1.25, 6.84). Directions for research and implications for interventions are addressed.
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Gallup Poll (2008). Available at http://www.gallup.com/poll/1690/Religion.aspx. Accessed 19 Sept 2010.
Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall.
Allen, J. D., Othus, M. K., Shelton, R. C., Li, Y., Norman, N., Tom, L., et al. (2010). Parental decision making about the HPV vaccine. Cancer Epidemiology, Biomarkers and Prevention, 19(9), 2187–2198.
Baker, L., Wagner, T. H., Singer, S., & Bundorf, M. K. (2003). Use of the Internet and e-mail for health care information: Results from a national survey. Journal of the American Medical Association, 289, 2400–2406.
Barnack, J. L., Reddy, D. M., & Swain, C. (2010). Predictors of parents’ willingness to vaccinate for human papillomavirus and physicians’ intentions to recommend the vaccine. Women’s Health Issues, 20, 28–34.
Benjamins, M. R. (2006a). Religious influences on trust in physicians and the health care system. The International Journal of Psychiatry in Medicine, 36(1), 69–83.
Benjamins, M. R. (2006b). Religious influences on preventive health care use in a nationally representative sample of middle-age women. Journal of Behavioral Medicine, 29(1), 1–16.
Benjamins, M. R., & Brown, C. (2004). Religion and preventative health care utilization among the elderly. Social Science and Medicine, 58, 109–118.
Bernat, D. H., Harpin, S. B., Eisenberg, M. E., Bearinger, L. H., & Resnick, M. D. (2009). Parental support for the human papillomavirus vaccine. Journal of Adolescent Health, 45(5), 525–527.
Brabin, L., Roberts, S. A., Farzaneh, F., & Kitchener, H. C. (2006). Future acceptance of adolescent human papillomavirus vaccination: A survey of parental attitudes. Vaccine, 24(16), 3087–3094.
Centers for Disease Control and Prevention [CDC]. (2008). National, state, and local area vaccination coverage among adolescents aged 13–17 years–United States. Morbidity and Mortality Weekly Report, 58(36), 997–1001.
Constantine, N. A., & Jerman, P. (2007). Acceptance of human papillomavirus vaccination among Californian parents of daughters: A representative statewide analysis. Journal of Adolescent Health, 40(2), 108–115.
Dempsey, A. F., Zimet, G. D., Davis, R. L., & Koutsky, L. (2006). Factors that are associated with parental acceptance of human papillomavirus vaccines: A randomized intervention study of written information about HPV. Pediatrics, 117, 1486–1493.
Dunne, E. F., Unger, E. R., Sternberg, M., McQuillan, G., Swan, D. C., Patel, S. S., et al. (2007). Prevalence of HPV infection among females in the United States. Journal of the American Medical Association, 297(8), 813–819.
Etkind, P., Leh, S., Macdonald, P., Silva, E., & Peppe, J. (1992). Pertussis outbreaks in groups claiming religious exemptions to vaccinations. American Journal of Diseases of Children, 146, 173–176.
Harris, K. M., Schonlau, M., & Lurie, N. (2009). Surveying a nationally representative internet-based panel to obtain timely estimates of influenza vaccination rates. Vaccine, 27, 815–818.
Kahn, J. A., Ding, L., Huang, B., et al. (2009). Mothers’ intention for their daughters and themselves to receive the human papillomavirus vaccine: A national study of nurses. Pediatrics, 123(6), 1439–1445.
Kahn, J. A., Rosenthal, S. L., Hamann, T., & Bernstein, D. I. (2003). Attitudes about HPV in young women. International Journal of STD and AIDS, 14(5), 300–306.
Katz, M. L., Reiter, P. L., Heaner, S., Ruffin, M. T., Post, D. M., & Paskett, E. D. (2009). Acceptance of the HPV vaccine among women, parents, community leaders, and healthcare providers in Ohio Appalachia. Vaccine, 27(30), 3945–3952.
Kennedy, A. M., & Gust, D. A. (2008). Measles outbreak associated with a church congregation: A study of immunization attitudes of congregation members. Public Health Reports, 123(2), 126–134.
Kosmin, B. A. & Keysar, A. (2009). American Religious Identification Survey: Summary report (March 2009). Available at http://livinginliminality.files.wordpress.com/2009/03/aris_report_2008.pdf. Accessed 1 Sept 2010.
Kulig, J. C., Meyer, C. J., Hill, S. A., Handley, C. E., Lichtenberger, S. M., & Myck, S. L. (2002). Refusals and delay of immunization within Southwest Alberta: Understanding alternative beliefs and religious perspectives. Canadian Journal of Public Health, 93, 109–112.
Lenselink, C. H., Gerrits, M. M., Melchers, W. J., Massuger, L. F., van Hamont, D., & Bekkers, R. L. (2008). Parental acceptance of human papillomavirus vaccines. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 137(1), 103–107.
Marlow, L. A., Waller, J., Evans, R. E., & Wardle, J. (2009a). Predictors of interest in HPV vaccination: A study of British adolescents. Vaccine, 27(18), 2483–2488.
Marlow, L. A., Wardle, J., Foster, A. S., & Waller, J. (2009b). Ethnic differences in human papillomavirus awareness and vaccine acceptability. Journal of Epidemiology and Community Health, 63(12), 1010–1015.
McCaffery, K., Forrest, S., Waller, J., Desai, M., Szarewski, A., & Wardle, J. (2003). Attitudes towards HPV testing: A qualitative study of beliefs among Indian, Pakistani, African- Caribbean and white British women in the UK. British Journal of Cancer, 88(1), 42–46.
Omer, S. B., Enger, K. S., Moulton, L. H., Halsey, N. A., Stokley, S., & Salmon, D. A. (2008). Geographic clustering of nonmedical exemptions to school immunization requirements and associations with geographic clustering of pertussis. American Journal of Epidemiology, 168, 1389–1396.
Omer, S. B., Pan, W. K. Y., Halsey, N. A., Stokley, S., Moulton, L. H., Navar, A. M., et al. (2006). Nonmedical exemptions to school immunization requirements: Secular trends and association of state policies with pertussis incidence. Journal of the American Medical Association, 296(14), 1757–1763.
Salmon, D. A., Haber, M., Gangarosa, E. J., Phillips, L., Smith, N. J., & Chen, R. T. (1999). Health consequences of religious and philosophical exemptions from immunization laws. Journal of the American Medical Association, 282(1), 47–53.
Salmon, D. A., Sapsin, J. W., Teret, S., Jacobs, R. F., Thompson, J. W., Ryan, K., et al. (2005). Public health and the politics of school immunization requirements. American Journal of Public Health, 95(5), 778–783.
Schiller, P. L., & Levin, J. S. (1988). Is there a religious factor in health care utilization? A review. Social Science and Medicine, 27(12), 1369–1379.
Whooley, M. A., Boyd, A. L., Gardin, J. M., & Williams, D. R. (2002). Religious involvement and cigarette smoking in young adults: The CARDIA study (Coronary Artery Risk Development in Young Adults) study. Archives of Internal Medicine, 162(14), 1604–1610.
We are indebted to the individuals who participated in this survey and shared their perspectives and opinions.
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Shelton, R.C., Snavely, A.C., De Jesus, M. et al. HPV Vaccine Decision-Making and Acceptance: Does Religion Play a Role?. J Relig Health 52, 1120–1130 (2013). https://doi.org/10.1007/s10943-011-9553-x
- HPV vaccine
- Vaccine acceptance
- Cancer prevention