Influence of Sources of Information and Parental Attitudes on Human Papillomavirus Vaccine Uptake among Adolescents

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• 作者：Natasha L. Underwood ; MPH ; CHES¹ ; ^{nherber@emory.edu" class="auth_mail" title="E-mail the corresponding author} ; Lisa M. Gargano ; PhD ; MPH¹ ; Samantha Jacobs ; MPH² ; Katherine Seib ; MSPH¹ ; Christopher Morfaw ; RN³ ; Dennis Murray ; MD⁴ ; James M. Hughes ; MD¹ ; ² ; Jessica M. Sales ; PhD²
• 关键词：Human papillomavirus ; Sources of information ; Adolescents
• 刊名：Journal of Pediatric and Adolescent Gynecology
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：29
• 期：6
• 页码：617-622
• 全文大小：180 K

文摘

The purpose of this study was to: 1) describe parental sources of information about human papillomavirus (HPV) vaccination for adolescents, 2) understand how parental sources of information about HPV vaccine are associated with adolescent HPV vaccine uptake, and 3) understand if the relationship between a greater number of HPV-related information sources and HPV vaccine uptake among adolescents is mediated by parental attitudes.

Design, Setting, Participants, and Interventions

We conducted a 3-arm randomized controlled trial in middle and high schools in eastern Georgia from 2011 to 2013. As part of the trial, we surveyed parents during the final year to understand their sources of information about HPV vaccine for their adolescent. Data were collected from 360 parents via phone and online surveys.

Main Outcome Measures

Parents responded to a survey that asked them to identify demographic information, parental HPV attitudes, sources of information about HPV vaccination, and HPV vaccine uptake.

Results

Most of the sample was African American (74%; n = 267) and 53% of parents (n = 192) reported that their adolescent received at least 1 HPV vaccine dose. The top sources of information about HPV vaccine reported by parents were a doctor or medical professional (80%; n = 287) and television (64%; n = 232). A mediation analysis showed sources of information about HPV vaccine are associated with parental attitudes, and parental attitudes about HPV vaccine are associated with vaccine uptake among adolescents.

Conclusion

These findings highlight the importance of HPV sources of information on parental attitudes.