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To Consent or Decline HPV Vaccination: A Pilot Study at the Start of the National School-Based Vaccination Program in Sweden
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine. (Socialmedicinsk epidemiologi)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics.ORCID iD: 0000-0002-4590-4957
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2017 (English)In: Journal of School Health, ISSN 0022-4391, E-ISSN 1746-1561, Vol. 87, no 1, 62-70 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Parents' beliefs about human papillomavirus (HPV) vaccination influence whether they allow their daughters to be vaccinated. We examined the association between parents' refusal and sociodemographic background, knowledge and beliefs about HPV, and the HPV vaccination in relation to the Health Belief Model.

METHODS:

The sample consisted of 200 (55%) parents of children aged 11-12 years in the Swedish national vaccination program. Data were collected using a self-reported questionnaire. Most parents (N = 186) agreed to the vaccination. Pearson's chi-square, Fisher's exact test, and the Mann-Whitney U test were used to analyze data.

RESULTS:

Declining parents saw more risks and fewer benefits of HPV vaccination but no differences in beliefs regarding the severity or young girls' susceptibility to HPV were found. There was an association between refusing the HPV vaccine and lower acceptance of previous childhood vaccinations, and their main source of information was the Internet. Parents who declined the vaccine believed it could adversely affect condom use, the age of their daughter's sexual debut, and the number of sexual partners.

CONCLUSION:

Parents should have the possibility to discuss HPV and HPV vaccine with a school nurse or other health care professionals, and should have access to evidence-based information on the Internet.

Place, publisher, year, edition, pages
2017. Vol. 87, no 1, 62-70 p.
Keyword [en]
HPV vaccination; Health Belief Model; health beliefs; school nurses; school-based vaccination programs
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:uu:diva-308992DOI: 10.1111/josh.12470ISI: 000393826900008PubMedID: 27917484OAI: oai:DiVA.org:uu-308992DiVA: diva2:1051253
Available from: 2016-12-01 Created: 2016-12-01 Last updated: 2017-11-29Bibliographically approved

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Grandahl, MariaTydén, TanjaWesterling, RagnarNevéus, TryggveRosenblad, AndreasOscarsson, Marie

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Grandahl, MariaTydén, TanjaWesterling, RagnarNevéus, TryggveRosenblad, AndreasHedin, ErikOscarsson, Marie
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Caring SciencesDepartment of Women's and Children's HealthSocial MedicinePediatricsCentre for Clinical Research, County of VästmanlandDepartment of Medical Sciences
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