Clinician and Parent Perspectives on Educational Needs for Increasing Adolescent HPV Vaccination
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Human papillomavirus (HPV)-related morbidity and mortality remain a significant public health burden despite the availability of HPV vaccines for cancer prevention. We engaged clinicians and parents to identify barriers and opportunities related to adolescent HPV vaccination within a focused geographic region. This mixed-method study design used an interviewer-administered semi-structured interview with clinicians (n = 52) and a written self-administered survey with similar items completed by parents (n = 54). Items focused on experiences, opinions, and ideas about HPV vaccine utilization in the clinical setting, family, and patient perceptions about HPV vaccination and potential future efforts to increase vaccine utilization. Quantitative items were analyzed using descriptive statistics, while qualitative content was analyzed thematically. Suggested solutions for achieving higher rates of HPV vaccination noted by clinicians included public health education, the removal of stigma associated with vaccines, media endorsements, and targeting parents as the primary focus of educational messages. Parents expressed the need for more information about HPV-related disease, HPV vaccines, vaccine safety, sexual concerns, and countering misinformation on social media. Results from this mixed-method study affirm that educational campaigns targeting both health care professionals and parents represent a key facilitator for promoting HPV vaccination; disease burden and cancer prevention emerged as key themes for this messaging.
KeywordsHuman papillomavirus Vaccination Adolescents Clinician education Community education
This study was supported in part by Roswell Park Cancer Institute and National Cancer Institute (NCI) grants 3P30CA01605, 3P30CA016056-37S4, and U54CA153598. Portions of this manuscript were included as a poster presentation and received a second-place award among research posters at the 2015 International Cancer Education Conference that took place on October 21–23, 2015 in Tucson, Arizona. The authors would also like to acknowledge the assistance of Sue Lindner in transcribing the audiotapes from these structured interviews and Alvie Ashan for the qualitative data entry.
- 1.Centers for Disease Control and Prevention (CDC). Genital HPV infection fact sheet. http://www.cdc.gov/std/hpv/stdfact-hpv.htm Accessed 15 April 2016
- 2.International Agency for Research on Cancer (IARC) (2012). Human papillomaviruses. http://monographs.iarc.fr/ENG/Monographs/vol100B/mono100B11.pdf Accessed 2 June 2016
- 3.National Cancer Institute (2014) A snapshot of cervical cancer http://www.cancer.gov/research/progress/snapshots/cervical Accessed 9 May 2016
- 4.Palmer J, Carrico C, Costanzo C (2015) Idenifying and overcoming perceived barriers of providers towards HPV vaccination: a literature review. J Vaccines 2015:7. doi: 10.1155/2015/869468
- 7.Centers for Disease Control and Prevention (CDC) (2014) Human papillomavirus vaccination coverage among adolescent girls, 2007-2013, and postlicensure vaccine safety monitoring, 2006-2014—United States. MMWR Morb Mortal Wkly Rep 62(29):620–624Google Scholar
- 12.Gilkey MB, Calo WA, Moss JL, Shah PD, Marciniak MW, Brewer NT (2016) Provider communication and HPV vaccination: the impact of recommendation quality. Vaccine 34(9):1187–1192Google Scholar
- 15.Centers for Disease Control and Prevention (CDC). Advisory Committee on Immunization Practices (ACIP). http://www.cdc.gov/vaccines/acip/meetings/meetings-info.html Accessed 2 June 2016
- 16.Mahoney MC, Saad-Harfouche FG, Widman CA, Twarozek AM, Erwin DO, Rodriguez EM (2016) Clinician misperceptions about the importance of adolescent HPV vaccination. World Journal of. Vaccines 6:9–15Google Scholar
- 17.Ogunbajo A, Hansen CE, North AL, Okoloko E, Niccolai LM (2016) “I think they’re all basically the same”: parents’ perceptions of human papilloma virus (HPV) vaccine compared with other adolescent vaccines. Child Care Health Dev 42(4):582–587Google Scholar
- 19.Dempsey AF, Pyrzanowski J, Lockhart S, Campagna E, Barnard J, O’Leary ST (2016) Parents’ perceptions of provider communication regarding adolescent vaccines. Hum Vaccines Immunother 12(6):1469–1475Google Scholar
- 21.Allison MA, Hurley LP, Markowitz L, Crane LA, Brtnikova M, Beaty BL, Snow M, Cory J, Stokley S, Roark J, Kempe A (2016) Primary care physicians’ perspectives about HPV vaccine. Pediatrics. Accepted November 12 2015. doi: 10.1542/peds.2015-2488