Exploring Facilitators and Barriers to Initiation and Completion of the Human Papillomavirus (HPV) Vaccine Series among Parents of Girls in a Safety Net System.
Exploring Facilitators and Barriers to Initiation and Completion of the Human Papillomavirus (HPV) Vaccine Series among Parents of Girls in a Safety Net System.
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DOI：
10.3390/ijerph15020185
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发表时间：
2018-01-23
影响因子：
--
通讯作者：
Kempe A
中科院分区：
文献类型：
--
作者：
O'Leary ST;Lockhart S;Barnard J;Furniss A;Dickinson M;Dempsey AF;Stokley S;Federico S;Bronsert M;Kempe A
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.
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DOI：
10.1158/1055-9965.epi-13-0979
发表时间：
2014-05
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
--
作者：
Reiter PL;Gupta K;Brewer NT;Gilkey MB;Katz ML;Paskett ED;Smith JS
通讯作者：
Smith JS
影响因子：
4.7
作者：
Watts, Luisa A.;Joseph, Naima;del Carmen, Marcela G.
通讯作者：
del Carmen, Marcela G.
影响因子：
1.9
作者：
Aragones A;Genoff M;Gonzalez C;Shuk E;Gany F
通讯作者：
Gany F
DOI：
10.15585/mmwr.mm6429a3
发表时间：
2015-07-31
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Reagan-Steiner S;Yankey D;Jeyarajah J;Elam-Evans LD;Singleton JA;Curtis CR;MacNeil J;Markowitz LE;Stokley S
通讯作者：
Stokley S
影响因子：
3.3
作者：
Clark, Sarah J.;Cowan, Anne E.;Stokley, Shannon
通讯作者：
Stokley, Shannon