Information needs of ethnically diverse, vaccine-hesitant parents during decision-making about the HPV vaccine for their adolescent child: a qualitative study
Abstract Background The English schools-based human papillomavirus (HPV) vaccination programme has the potential to eliminate HPV-related cancers if high uptake is achieved. However, unmet information needs among some parents may contribute to persisting lower uptake among minority ethnic groups. Th...
| Principais autores: | , , , , , , , , , , , |
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| Formato: | Artigo |
| Idioma: | English |
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BMC
2024-01-01
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| coleção: | BMC Public Health |
| Assuntos: | |
| Acesso em linha: | https://doi.org/10.1186/s12889-023-17540-4 |
| _version_ | 1827388090010828800 |
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| author | Harriet Fisher Sarah Denford Suzanne Audrey Adam Finn Huda Hajinur Matthew Hickman Sandra Mounier-jack Asha Mohamed Marion Roderick Leanne Tucker Julie Yates Tracey Chantler |
| author_facet | Harriet Fisher Sarah Denford Suzanne Audrey Adam Finn Huda Hajinur Matthew Hickman Sandra Mounier-jack Asha Mohamed Marion Roderick Leanne Tucker Julie Yates Tracey Chantler |
| author_sort | Harriet Fisher |
| collection | DOAJ |
| description | Abstract Background The English schools-based human papillomavirus (HPV) vaccination programme has the potential to eliminate HPV-related cancers if high uptake is achieved. However, unmet information needs among some parents may contribute to persisting lower uptake among minority ethnic groups. Through this study we aimed to understand the information needs of vaccine-hesitant, ethnically diverse parents during decision-making about the HPV vaccine for their adolescent child, to inform the future development of tailored communication materials. Methods Recruitment was facilitated thorough healthcare and community organisations within London and the South West of England. Semi-structured interviews took place between April and August 2023. Thematic analysis was undertaken, assisted by NVivo software. Results Of the 29 parents interviewed, the majority were mothers (79%), belonged to a minority ethnic group (88%), and had an adolescent child unvaccinated against HPV (72%). Five of the interviews were undertaken in the participants’ primary language with translation support. Most parents interviewed had limited knowledge about the HPV vaccine and appeared conflicted as to whether vaccines could offer benefits to health. Misunderstanding around the potential of developing serious side-effects (e.g. fertility issues, developing cancer) were factors that could negatively impact decision-making by parents. Stigma associated with the sexual transmissibility of HPV did not always negatively impact decision-making. However, some parents chose not to vaccinate on the basis of perceptions of low risk and a preference to provide education about sexual behaviours to their adolescent child. Conclusions Tailoring communication materials to address misunderstandings could support informed decision-making by vaccine hesitant parents for their adolescent children to be vaccinated against HPV. Future communication materials about the HPV vaccine should highlight the benefits of protection against cancer to increase parents’ motivation for protect their adolescent child; provide accurate convincing information in relation to the excellent safety profile; and emphasise the importance of providing HPV vaccine at the recommended age, all alongside communicating the universality and commonality of HPV infection. Trial registration N/A. |
| first_indexed | 2024-03-08T16:12:38Z |
| format | Article |
| id | doaj.art-b1d2793ed7184392803c4f1facdac7a0 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-08T16:12:38Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-b1d2793ed7184392803c4f1facdac7a02024-01-07T12:52:04ZengBMCBMC Public Health1471-24582024-01-0124111010.1186/s12889-023-17540-4Information needs of ethnically diverse, vaccine-hesitant parents during decision-making about the HPV vaccine for their adolescent child: a qualitative studyHarriet Fisher0Sarah Denford1Suzanne Audrey2Adam Finn3Huda Hajinur4Matthew Hickman5Sandra Mounier-jack6Asha Mohamed7Marion Roderick8Leanne TuckerJulie Yates9Tracey Chantler10National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Behavioural Science and Evaluation (BSE), Bristol Medical School, University of BristolNational Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Behavioural Science and Evaluation (BSE), Bristol Medical School, University of BristolNational Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Behavioural Science and Evaluation (BSE), Bristol Medical School, University of BristolNational Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Behavioural Science and Evaluation (BSE), Bristol Medical School, University of BristolCaafi HealthNational Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Behavioural Science and Evaluation (BSE), Bristol Medical School, University of BristolNational Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Vaccinations and Immunisation, London School of Hygiene and Tropical Medicine (LSHTM)Caafi HealthDepartment of Paediatric Immunology and Infectious Diseases, University Hospitals of Bristol and Weston NHS Foundation TrustUK Health Security AgencyNational Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Vaccinations and Immunisation, London School of Hygiene and Tropical Medicine (LSHTM)Abstract Background The English schools-based human papillomavirus (HPV) vaccination programme has the potential to eliminate HPV-related cancers if high uptake is achieved. However, unmet information needs among some parents may contribute to persisting lower uptake among minority ethnic groups. Through this study we aimed to understand the information needs of vaccine-hesitant, ethnically diverse parents during decision-making about the HPV vaccine for their adolescent child, to inform the future development of tailored communication materials. Methods Recruitment was facilitated thorough healthcare and community organisations within London and the South West of England. Semi-structured interviews took place between April and August 2023. Thematic analysis was undertaken, assisted by NVivo software. Results Of the 29 parents interviewed, the majority were mothers (79%), belonged to a minority ethnic group (88%), and had an adolescent child unvaccinated against HPV (72%). Five of the interviews were undertaken in the participants’ primary language with translation support. Most parents interviewed had limited knowledge about the HPV vaccine and appeared conflicted as to whether vaccines could offer benefits to health. Misunderstanding around the potential of developing serious side-effects (e.g. fertility issues, developing cancer) were factors that could negatively impact decision-making by parents. Stigma associated with the sexual transmissibility of HPV did not always negatively impact decision-making. However, some parents chose not to vaccinate on the basis of perceptions of low risk and a preference to provide education about sexual behaviours to their adolescent child. Conclusions Tailoring communication materials to address misunderstandings could support informed decision-making by vaccine hesitant parents for their adolescent children to be vaccinated against HPV. Future communication materials about the HPV vaccine should highlight the benefits of protection against cancer to increase parents’ motivation for protect their adolescent child; provide accurate convincing information in relation to the excellent safety profile; and emphasise the importance of providing HPV vaccine at the recommended age, all alongside communicating the universality and commonality of HPV infection. Trial registration N/A.https://doi.org/10.1186/s12889-023-17540-4HPV vaccineQualitativeVaccine hesitantParentsEthnic minorityInformation needs |
| spellingShingle | Harriet Fisher Sarah Denford Suzanne Audrey Adam Finn Huda Hajinur Matthew Hickman Sandra Mounier-jack Asha Mohamed Marion Roderick Leanne Tucker Julie Yates Tracey Chantler Information needs of ethnically diverse, vaccine-hesitant parents during decision-making about the HPV vaccine for their adolescent child: a qualitative study BMC Public Health HPV vaccine Qualitative Vaccine hesitant Parents Ethnic minority Information needs |
| title | Information needs of ethnically diverse, vaccine-hesitant parents during decision-making about the HPV vaccine for their adolescent child: a qualitative study |
| title_full | Information needs of ethnically diverse, vaccine-hesitant parents during decision-making about the HPV vaccine for their adolescent child: a qualitative study |
| title_fullStr | Information needs of ethnically diverse, vaccine-hesitant parents during decision-making about the HPV vaccine for their adolescent child: a qualitative study |
| title_full_unstemmed | Information needs of ethnically diverse, vaccine-hesitant parents during decision-making about the HPV vaccine for their adolescent child: a qualitative study |
| title_short | Information needs of ethnically diverse, vaccine-hesitant parents during decision-making about the HPV vaccine for their adolescent child: a qualitative study |
| title_sort | information needs of ethnically diverse vaccine hesitant parents during decision making about the hpv vaccine for their adolescent child a qualitative study |
| topic | HPV vaccine Qualitative Vaccine hesitant Parents Ethnic minority Information needs |
| url | https://doi.org/10.1186/s12889-023-17540-4 |
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