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Exploring Facilitators and Barriers to Initiation and Completion of the Human Papillomavirus (HPV) Vaccine Series among Parents of Girls in a Safety Net System

Author

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  • Sean T. O’Leary

    (Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO 80045, USA
    The Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado School of Medicine and Children’s Hospital Colorado, Aurora, CO 80045, USA)

  • Steven Lockhart

    (The Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado School of Medicine and Children’s Hospital Colorado, Aurora, CO 80045, USA)

  • Juliana Barnard

    (Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO 80045, USA
    The Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado School of Medicine and Children’s Hospital Colorado, Aurora, CO 80045, USA)

  • Anna Furniss

    (The Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado School of Medicine and Children’s Hospital Colorado, Aurora, CO 80045, USA)

  • Miriam Dickinson

    (The Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado School of Medicine and Children’s Hospital Colorado, Aurora, CO 80045, USA
    Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO 80045, USA)

  • Amanda F. Dempsey

    (Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO 80045, USA
    The Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado School of Medicine and Children’s Hospital Colorado, Aurora, CO 80045, USA)

  • Shannon Stokley

    (National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA)

  • Steven Federico

    (Division of Pediatrics, Denver Health and Hospital Authority, Denver, CO 80204, USA)

  • Michael Bronsert

    (The Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado School of Medicine and Children’s Hospital Colorado, Aurora, CO 80045, USA)

  • Allison Kempe

    (Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO 80045, USA
    The Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado School of Medicine and Children’s Hospital Colorado, Aurora, CO 80045, USA
    The Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA)

Abstract

Objective: To assess, among parents of predominantly minority, low-income adolescent girls who had either not initiated (NI) or not completed (NC) the HPV vaccine series, attitudes and other factors important in promoting the series, and whether attitudes differed by language preference. Design/Methods: From August 2013–October 2013, we conducted a mail survey among parents of girls aged 12–15 years randomly selected from administrative data in a Denver safety net system; 400 parents from each group (NI and NC) were targeted. Surveys were in English or Spanish. Results: The response rate was 37% (244/660; 140 moved or gone elsewhere; 66% English-speaking, 34% Spanish-speaking). Safety attitudes of NIs and NCs differed, with 40% NIs vs. 14% NCs reporting they thought HPV vaccine was unsafe ( p < 0.0001) and 43% NIs vs. 21% NCs that it may cause long-term health problems ( p < 0.001). Among NCs, 42% reported they did not know their daughter needed more shots (English-speaking, 20%, Spanish-speaking 52%) and 39% reported that “I wasn’t worried about the safety of the HPV vaccine before, but now I am” (English-speaking, 23%, Spanish-speaking, 50%). Items rated as very important among NIs in the decision regarding vaccination included: more information about safety (74%), more information saying it prevents cancer (70%), and if they knew HPV was spread mainly by sexual contact (61%). Conclusions : Safety concerns, being unaware of the need for multiple doses, and low perceived risk of infection remain significant barriers to HPV vaccination for at-risk adolescents. Some parents’ safety concerns do not appear until initial vaccination.

Suggested Citation

  • Sean T. O’Leary & Steven Lockhart & Juliana Barnard & Anna Furniss & Miriam Dickinson & Amanda F. Dempsey & Shannon Stokley & Steven Federico & Michael Bronsert & Allison Kempe, 2018. "Exploring Facilitators and Barriers to Initiation and Completion of the Human Papillomavirus (HPV) Vaccine Series among Parents of Girls in a Safety Net System," IJERPH, MDPI, vol. 15(2), pages 1-17, January.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:2:p:185-:d:128314
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    References listed on IDEAS

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    1. Ylitalo, K.R. & Lee, H. & Mehta, N.K., 2013. "Health care provider recommendation, human papillomavirus vaccination, and Race/Ethnicity in the US national immunization survey," American Journal of Public Health, American Public Health Association, vol. 103(1), pages 164-169.
    2. Jamie C. Brehaut & Annette M. O'Connor & Timothy J. Wood & Thomas F. Hack & Laura Siminoff & Elisa Gordon & Deb Feldman-Stewart, 2003. "Validation of a Decision Regret Scale," Medical Decision Making, , vol. 23(4), pages 281-292, July.
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