HPV Vaccine Education: Enhancing Knowledge and Attitudes of Community Counselors and Educators


Educational efforts targeting parents of preadolescents may help them make informed decisions about having their children vaccinated against the human papillomavirus (HPV). We conducted a pilot study examining knowledge, attitudes, and beliefs of community-based health educators and counselors who routinely disseminate sexual health and prevention information through counseling and supporting these parents. We evaluated the impact of a single, brief workshop by administering questionnaires before and after the session. The workshop consisted of an educational intervention that was presented orally by an expert in gynecological oncology and was followed by an open discussion period. Following the information and discussion session, improvements were seen in knowledge accuracy, confidence in being able to discuss HPV vaccine issues with parents, greater willingness to recommend the vaccine, and a better understanding of potential barriers to vaccine uptake. These results suggest that health educators and counselors may be better prepared to encourage their clients to make well-informed decisions regarding HPV vaccination.

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  1. 1.

    Society of Obstetricians and Gynaecologists of Canada. Incidence and Prevalence of HPV in Canada HPV Info 2011 [cited 2011 October 31]; Available from: http://www.hpvinfo.ca/health-care-professionals/what-is-hpv/incidence-and-prevalence-of-hpv-in-canada/.

  2. 2.

    Forman D et al (2012) Global burden of human papillomavirus and related diseases. Vaccine 30(Suppl 5):F12–F23

    Article  PubMed  Google Scholar 

  3. 3.

    National Advisory Committee on Immunization Update on Human Papillomavirus (HPV) Vaccines (2012) Can Commun Dis Rep 37:1–62

    Google Scholar 

  4. 4.

    Centers for Disease Control and Prevention (2011) Recommendations on the use of quadrivalent Human Papillomavirus vaccine in males - Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep 60:1705–1708

    Google Scholar 

  5. 5.

    Centers for Disease Control and Prevention (2010) FDA licensure of bivalent human papillomavirus vaccine (HPV2, Cervarix) for use in females and updated HPV vaccination recommendations from the Advisory Committee on Immunization Practices (ACIP). Morb Mortal Wkly Rep 59(20):626–629

    Google Scholar 

  6. 6.

    Tabrizi SN et al (2012) Fall in human papillomavirus prevalence following a national vaccination program. J Infect Dis 206(11):1645–1651

    Article  PubMed  Google Scholar 

  7. 7.

    Markowitz LE et al (2013) Reduction in Human Papillomavirus (HPV) Prevalence Among Young Women Following HPV Vaccine Introduction in the United States, National Health and Nutrition Examination Surveys, 2003–2010. J Infect Dis 208(3):385–393

    CAS  Article  PubMed  Google Scholar 

  8. 8.

    Macartney KK et al (2013) Safety of human papillomavirus vaccines: a review. Drug Saf 36(6):393–412

    CAS  Article  PubMed  Google Scholar 

  9. 9.

    Centers for Disease Control and Prevention (2011) National and state vaccination coverage among adolescents aged 13 through 17 years — United States, 2010. Morb Mortal Wkly Rep 60(33):1117–1123

    Google Scholar 

  10. 10.

    Kessels SJ et al (2012) Factors associated with HPV vaccine uptake in teenage girls: a systematic review. Vaccine 30(24):3546–3556

    Article  PubMed  Google Scholar 

  11. 11.

    Krawczyk A et al (2011) What's best for my daughter? Parents' perspectives on HPV vaccination for their daughters. Psychooncology 20(S2):100

    Google Scholar 

  12. 12.

    Trim K et al (2012) Parental knowledge, attitudes, and behaviours towards human papillomavirus vaccination for their children: a systematic review from 2001 to 2011. Obstet Gynecol Int 2012:921236

    PubMed Central  Article  PubMed  Google Scholar 

  13. 13.

    Luque JS et al (2011) Salud es vida: development of a cervical cancer education curriculum for promotora outreach with Latina farmworkers in rural Southern Georgia. Am J Public Health 101(12):2233–2235

    PubMed Central  Article  PubMed  Google Scholar 

  14. 14.

    Rose SB, Lanumata T, Lawton BA (2011) Promoting uptake of the HPV vaccine: the knowledge and views of school staff. J Sch Health 81(11):680–687

    Article  PubMed  Google Scholar 

  15. 15.

    Anhang R, Goodman A, Goldie SJ (2004) HPV communication: review of existing research and recommendations for patient education. CA Cancer J Clin 54(5):248–259

    Article  PubMed  Google Scholar 

  16. 16.

    Barnack-Tavlaris JL et al (2013) Focus group discussions in community-based participatory research to inform the development of a human papillomavirus (HPV) educational intervention for latinas in San Diego. J Cancer Educ (in press)

  17. 17.

    Gallo MF et al (2013) Evaluation of a volunteer community-based health worker program for providing contraceptive services in Madagascar. Contraception 88(5):657–665

    PubMed Central  Article  PubMed  Google Scholar 

  18. 18.

    Mukherjee JS, Eustache FE (2007) Community health workers as a cornerstone for integrating HIV and primary healthcare. AIDS Care 19(Suppl 1):S73–S82

    Article  PubMed  Google Scholar 

  19. 19.

    Irwin CE et al (2009) Preventive care for adolescents: few get visits and fewer get services. Pediatrics 123(4):e565–e572

    Article  PubMed  Google Scholar 

  20. 20.

    Ko EM, Missmer S, Johnson NR (2010) Physician attitudes and practice toward human papillomavirus vaccination. J Low Genit Tract Dis 14(4):339–345

    Article  PubMed  Google Scholar 

  21. 21.

    Kahn JA et al (2007) Factors influencing pediatricians' intention to recommend human papillomavirus vaccines. Ambul Pediatr 7(5):367–373

    Article  PubMed  Google Scholar 

  22. 22.

    Fisher CM et al (2012) The role of community-based organizations in adolescent sexual health promotion. Health Promot Pract 13(4):544–552

    Article  PubMed  Google Scholar 

  23. 23.

    Dahlstrom LA et al (2010) Attitudes to HPV vaccination among parents of children aged 12–15 years—a population-based survey in Sweden. Int J Cancer 126(2):500–507

    Article  PubMed  Google Scholar 

  24. 24.

    Krawczyk A et al (2012) How to inform: comparing written and video education interventions to increase human papillomavirus knowledge and vaccination intentions in young adults. J Am Coll Health 60(4):316–322

    Article  PubMed  Google Scholar 

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This study was funded by a team grant (Clinical Research Network on HPV and Allied Diseases) from the Canadian Institutes of Health Research (CIHR). The authors would like to thank Leonora King, Carol Liverman from Ometz (Montreal), the Louise Granofsky Psychosocial Oncology Program (Segal Cancer Centre, Jewish General Hospital) Psychosocial Oncology Research Training (PORT), and McGill University for their important support of this project.

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Correspondence to Z. Rosberger.

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Rosberger, Z., Krawczyk, A., Stephenson, E. et al. HPV Vaccine Education: Enhancing Knowledge and Attitudes of Community Counselors and Educators. J Canc Educ 29, 473–477 (2014). https://doi.org/10.1007/s13187-013-0572-z

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  • Human papillomavirus(HPV)
  • HPV vaccine
  • Education
  • Community counsellors