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Published in: Journal of Community Health 5/2016

01-10-2016 | Original Paper

Factors Associated with College Students’ Intentions to Vaccinate Their Daughters Against HPV: Protecting the Next Generation

Authors: Kelly L. Wilson, Alice White, Brittany L. Rosen, Alethea Chiappone, Jairus C. Pulczinski, Marcia G. Ory, Matthew Lee Smith

Published in: Journal of Community Health | Issue 5/2016

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Abstract

Human papillomavirus (HPV) is a contemporary public health concern because of its association with cervical cancer. Despite evidence about HPV vaccination benefits, debate surrounds whether or not to vaccinate American youth. While no nationwide mandate exists, understanding the behaviors and intentions of future parents may provide insight about our ability to protect the next generation of school-aged youth. The purposes of this study were to examine factors associated with unmarried college students’ intentions to: (1) vaccinate their daughters against HPV and (2) give their daughters the choice about whether or not to be vaccinated. Data were analyzed from 1606 college students aged 18–26 using an internet-delivered questionnaire. Two binary logistic regression analyses were performed identifying predictor variables associated with participants’ intentions when having daughters in the future to vaccinate them against HPV and whether or not they would let their daughters decide to get the vaccination. Relative to those who did not intend to vaccinate their daughters against HPV, participants who were female (OR 1.55, P = 0.018), sexually active (OR 1.62, P = 0.001), diagnosed with HPV (OR 2.64, P < 0.001), received a flu shot in the past 12 months (OR 1.63, P = 0.002), perceived the HPV vaccine to be safe (OR 1.19, P < 0.001), and supported HPV vaccination mandates for school-aged youth (OR 2.58, P < 0.001) were more likely to report intentions of vaccinating their daughters against HPV. Participants who were sexually active (OR 1.45, P = 0.002) and perceived the HPV vaccine to be safe (OR 1.05, P = 0.012) were more likely to report they would allow their daughters to choose whether to be vaccinated against HPV. Until HPV vaccination mandates are enacted, parental support of vaccines are among the most effective way of increasing vaccine uptake. Identifying HPV vaccination support among future parents has potential to inform parent vaccination education programs related and advocacy for HPV vaccination policies.
Literature
2.
go back to reference Brewer, N. T., & Fazekas, K. I. (2007). Predictors of HPV vaccine acceptability: A theory-informed, systematic review. Preventive Medicine, 45(2–3), 107–114.CrossRefPubMed Brewer, N. T., & Fazekas, K. I. (2007). Predictors of HPV vaccine acceptability: A theory-informed, systematic review. Preventive Medicine, 45(2–3), 107–114.CrossRefPubMed
6.
go back to reference Centers for Disease Control and Prevention. (2013). National and state vaccination coverage among adolescents aged 13 through 17 years—United States, 2012. MMWR, 62(34), 685–693. Centers for Disease Control and Prevention. (2013). National and state vaccination coverage among adolescents aged 13 through 17 years—United States, 2012. MMWR, 62(34), 685–693.
8.
go back to reference Dempsey, A. F., Zimet, G. D., Davis, R. L., & Koutsky, L. (2006). Factors that are associated with parental acceptance of human papillomavirus vaccines: A randomized intervention study of written information about HPV. Pediatrics, 117, 1486–1493.CrossRefPubMed Dempsey, A. F., Zimet, G. D., Davis, R. L., & Koutsky, L. (2006). Factors that are associated with parental acceptance of human papillomavirus vaccines: A randomized intervention study of written information about HPV. Pediatrics, 117, 1486–1493.CrossRefPubMed
9.
go back to reference Fazekas, K. I., Brewer, N. T., & Smith, J. (2008). HPV vaccine acceptability in a rural southern area. Journal of Women’s Health, 17(4), 539–548.CrossRefPubMed Fazekas, K. I., Brewer, N. T., & Smith, J. (2008). HPV vaccine acceptability in a rural southern area. Journal of Women’s Health, 17(4), 539–548.CrossRefPubMed
10.
go back to reference Fisher, R., Darrow, D. H., Tranter, M., & Williams, J. V. (2008). Human papillomavirus vaccine: Recommendations, issues and controversies. Current Opinion in Pediatrics, 20(4), 441–445.CrossRefPubMed Fisher, R., Darrow, D. H., Tranter, M., & Williams, J. V. (2008). Human papillomavirus vaccine: Recommendations, issues and controversies. Current Opinion in Pediatrics, 20(4), 441–445.CrossRefPubMed
11.
go back to reference Food and Drug Administration. (2014). Product approval-prescribing information [package insert]. Cervarix [human papillomavirus bivalent (types 16, 18) vaccine, recombinant], Glaxo Smith Kline. Silver Spring, MD: US Department of Health and Human Services, Food and Drug Administration. Food and Drug Administration. (2014). Product approval-prescribing information [package insert]. Cervarix [human papillomavirus bivalent (types 16, 18) vaccine, recombinant], Glaxo Smith Kline. Silver Spring, MD: US Department of Health and Human Services, Food and Drug Administration.
12.
go back to reference Food and Drug Administration. (2014). Product approval-prescribing information [package insert]. Gardasil [human papillomavirus quadrivalent (types 6, 11, 16, and 18) vaccine, recombinant], Merck & Co, Inc. Silver Spring, MD: US Department of Health and Human Services, Food and Drug Administration. Food and Drug Administration. (2014). Product approval-prescribing information [package insert]. Gardasil [human papillomavirus quadrivalent (types 6, 11, 16, and 18) vaccine, recombinant], Merck & Co, Inc. Silver Spring, MD: US Department of Health and Human Services, Food and Drug Administration.
13.
go back to reference Gamble, H. L., Klosky, J. L., Parra, G. R., & Randolph, M. E. (2010). Factors influencing familial decision-making regarding human papillomavirus vaccination. Journal of Pediatric Psychology, 35(7), 704–715.CrossRefPubMed Gamble, H. L., Klosky, J. L., Parra, G. R., & Randolph, M. E. (2010). Factors influencing familial decision-making regarding human papillomavirus vaccination. Journal of Pediatric Psychology, 35(7), 704–715.CrossRefPubMed
14.
go back to reference Gerend, M. A., Lee, S. C., & Shepherd, J. E. (2006). Predictors of human papillomavirus vaccination acceptability among underserved women. Sexually Transmitted Diseases, 33, 1–4.CrossRef Gerend, M. A., Lee, S. C., & Shepherd, J. E. (2006). Predictors of human papillomavirus vaccination acceptability among underserved women. Sexually Transmitted Diseases, 33, 1–4.CrossRef
15.
go back to reference Gust, D. A., Kennedy, A., Shui, I., Smith, P. J., Nowak, G., & Pickering, L. K. (2005). Parent attitudes toward immunizations and healthcare providers. American Journal of Preventive Medicine, 29, 105–112.CrossRefPubMed Gust, D. A., Kennedy, A., Shui, I., Smith, P. J., Nowak, G., & Pickering, L. K. (2005). Parent attitudes toward immunizations and healthcare providers. American Journal of Preventive Medicine, 29, 105–112.CrossRefPubMed
16.
go back to reference Herzog, T. J., Huh, W. K., Downs, L. S., Smith, J. S., & Monk, B. J. (2008). Initial lessons learned in HPV vaccination. Gynecologic Oncology, 109(2), S4–S11.CrossRefPubMed Herzog, T. J., Huh, W. K., Downs, L. S., Smith, J. S., & Monk, B. J. (2008). Initial lessons learned in HPV vaccination. Gynecologic Oncology, 109(2), S4–S11.CrossRefPubMed
17.
go back to reference Horn, L., Howard, C., Waller, J., & Ferris, D. G. (2010). Opinions of parents about school-entry mandates for the human papillomavirus vaccine. Journal of Lower Genital Tract Disease, 14(1), 43–48.CrossRefPubMed Horn, L., Howard, C., Waller, J., & Ferris, D. G. (2010). Opinions of parents about school-entry mandates for the human papillomavirus vaccine. Journal of Lower Genital Tract Disease, 14(1), 43–48.CrossRefPubMed
18.
go back to reference Hughes, J., Cates, J. R., Liddon, N., Smith, J. S., Gottlieb, S. L., & Brewer, N. T. (2009). Disparities in how parents are learning about the human papillomavirus vaccine. Cancer Epidemiology, Biomarkers and Prevention, 18(2), 363–372.CrossRefPubMed Hughes, J., Cates, J. R., Liddon, N., Smith, J. S., Gottlieb, S. L., & Brewer, N. T. (2009). Disparities in how parents are learning about the human papillomavirus vaccine. Cancer Epidemiology, Biomarkers and Prevention, 18(2), 363–372.CrossRefPubMed
19.
go back to reference Kahn, J. A., Rosenthal, S. L., Hamann, T., & Bernstein, D. I. (2003). Attitudes about human papillomavirus vaccine in young women. International Journal of STD and AIDS, 14, 300–306.CrossRefPubMed Kahn, J. A., Rosenthal, S. L., Hamann, T., & Bernstein, D. I. (2003). Attitudes about human papillomavirus vaccine in young women. International Journal of STD and AIDS, 14, 300–306.CrossRefPubMed
20.
go back to reference Kahn, J. A., Ding, L., Huang, B., Zimet, G. D., Rosenthal, S. L., & Frazier, A. L. (2009). Mothers’ intention for their daughters and themselves to receive the human papillomavirus vaccine: A national study of nurses. Pediatrics, 123(6), 1439–1445.CrossRefPubMed Kahn, J. A., Ding, L., Huang, B., Zimet, G. D., Rosenthal, S. L., & Frazier, A. L. (2009). Mothers’ intention for their daughters and themselves to receive the human papillomavirus vaccine: A national study of nurses. Pediatrics, 123(6), 1439–1445.CrossRefPubMed
21.
go back to reference Kessels, S. J. M., Marshall, H. S., Watson, M., Braunack-Mayer, A. J., Reuzel, R., & Tooher, R. L. (2012). Factors associated with HPV vaccine uptake in teenage girls: A systematic review. Vaccine, 30(24), 3546–3556.CrossRefPubMed Kessels, S. J. M., Marshall, H. S., Watson, M., Braunack-Mayer, A. J., Reuzel, R., & Tooher, R. L. (2012). Factors associated with HPV vaccine uptake in teenage girls: A systematic review. Vaccine, 30(24), 3546–3556.CrossRefPubMed
22.
go back to reference Kimmel, S. R. (2006). Practical implementation of HPV vaccines in clinical practice. Journal of Family Practice, 55, 18–22. Kimmel, S. R. (2006). Practical implementation of HPV vaccines in clinical practice. Journal of Family Practice, 55, 18–22.
23.
go back to reference Lacey, C. J. N., Lowndes, C. M., & Shah, K. V. (2006). Chapter 4: Burden and management of non-cancerous HPV-related conditions: HPV-6/11 disease. Vaccine, 24, 35–41.CrossRef Lacey, C. J. N., Lowndes, C. M., & Shah, K. V. (2006). Chapter 4: Burden and management of non-cancerous HPV-related conditions: HPV-6/11 disease. Vaccine, 24, 35–41.CrossRef
24.
go back to reference Martinez, G., Copen, C. E., & Abma, J. C. (2011). Teenagers in the United States: Sexual activity, contraceptive use, and childbearing, 2006–2010 National Survey of Family Growth. National Center for Health Statistics. Vital Health Stats, 23(31), 1–13. Martinez, G., Copen, C. E., & Abma, J. C. (2011). Teenagers in the United States: Sexual activity, contraceptive use, and childbearing, 2006–2010 National Survey of Family Growth. National Center for Health Statistics. Vital Health Stats, 23(31), 1–13.
25.
go back to reference Morita, J. Y., Ramirez, E., & Trick, W. E. (2008). Effect of a school-entry vaccination requirement on racial and ethnic disparities in hepatitis B immunization coverage levels among public school students. Pediatrics, 121, e547–e552.CrossRefPubMed Morita, J. Y., Ramirez, E., & Trick, W. E. (2008). Effect of a school-entry vaccination requirement on racial and ethnic disparities in hepatitis B immunization coverage levels among public school students. Pediatrics, 121, e547–e552.CrossRefPubMed
26.
go back to reference Nagaraj, A. (2006). Does qualitative synthesis of anecdotal evidence with that from scientific research help in understanding public health issues: A review of low MMR uptake. European Journal of Public Health, 16, 85–88.CrossRefPubMed Nagaraj, A. (2006). Does qualitative synthesis of anecdotal evidence with that from scientific research help in understanding public health issues: A review of low MMR uptake. European Journal of Public Health, 16, 85–88.CrossRefPubMed
27.
go back to reference Olshen, E., Mahon, B. E., Wang, S., & Woods, E. R. (2007). The impact of states policies on vaccine coverage by age 13 in an insured population. Journal of Adolescent Health, 40, 405–411.CrossRefPubMed Olshen, E., Mahon, B. E., Wang, S., & Woods, E. R. (2007). The impact of states policies on vaccine coverage by age 13 in an insured population. Journal of Adolescent Health, 40, 405–411.CrossRefPubMed
28.
go back to reference Opel, D. J., Diekema, D. S., & Marcuse, E. K. (2008). A critique of criteria for evaluating vaccines for inclusion in mandatory school immunization programs. Pediatrics, 122(2), e504–e510.CrossRefPubMed Opel, D. J., Diekema, D. S., & Marcuse, E. K. (2008). A critique of criteria for evaluating vaccines for inclusion in mandatory school immunization programs. Pediatrics, 122(2), e504–e510.CrossRefPubMed
29.
go back to reference Satterwhite, C. L., Torrone, E., Meites, E., Dunne, E. F., Mahajan, R., Ocfemia, M. C., & Weinstock, H. (2013). Sexually transmitted infections among US women and men: Prevalence and incidence estimates, 2008. Sexually Transmitted Diseases, 40(3), 187–193.CrossRefPubMed Satterwhite, C. L., Torrone, E., Meites, E., Dunne, E. F., Mahajan, R., Ocfemia, M. C., & Weinstock, H. (2013). Sexually transmitted infections among US women and men: Prevalence and incidence estimates, 2008. Sexually Transmitted Diseases, 40(3), 187–193.CrossRefPubMed
30.
go back to reference Serpell, L., & Green, J. (2006). Parental decision-making in childhood vaccination. Vaccine, 24, 4041–4046.CrossRefPubMed Serpell, L., & Green, J. (2006). Parental decision-making in childhood vaccination. Vaccine, 24, 4041–4046.CrossRefPubMed
31.
go back to reference Smith, J. S., Brewer, N. T., Chang, Y., Liddon, N., Guerry, S., Pettigrew, E., & Gottlieb, S. (2011). Acceptability of school requirements for human papillomavirus vaccine. Human Vaccines, 7(9), 952–957.CrossRefPubMedPubMedCentral Smith, J. S., Brewer, N. T., Chang, Y., Liddon, N., Guerry, S., Pettigrew, E., & Gottlieb, S. (2011). Acceptability of school requirements for human papillomavirus vaccine. Human Vaccines, 7(9), 952–957.CrossRefPubMedPubMedCentral
32.
go back to reference Smith, J. S., Gilbert, P. A., Melendy, A., Rana, R. K., & Pimenta, J. M. (2011). Age-specific prevalence of human papillomavirus infection in males: A global review. Journal of Adolescent Health, 48(6), 540–552.CrossRefPubMed Smith, J. S., Gilbert, P. A., Melendy, A., Rana, R. K., & Pimenta, J. M. (2011). Age-specific prevalence of human papillomavirus infection in males: A global review. Journal of Adolescent Health, 48(6), 540–552.CrossRefPubMed
33.
go back to reference St John, B, I. I. I., Pitts, M., & Tufts, K. A. (2010). Disconnects between news framing and parental discourse concerning the state-mandated HPV vaccine: Implications for dialogic health communication and health literacy. Communication & Medicine, 7(1), 75–84.CrossRef St John, B, I. I. I., Pitts, M., & Tufts, K. A. (2010). Disconnects between news framing and parental discourse concerning the state-mandated HPV vaccine: Implications for dialogic health communication and health literacy. Communication & Medicine, 7(1), 75–84.CrossRef
34.
go back to reference Task Force on Community Preventive Services. (2000). Recommendations regarding interventions to improve vaccination coverage in children, adolescents, and adults. American Journal of Preventive Medicine, 18, 92–96.CrossRef Task Force on Community Preventive Services. (2000). Recommendations regarding interventions to improve vaccination coverage in children, adolescents, and adults. American Journal of Preventive Medicine, 18, 92–96.CrossRef
35.
go back to reference Winer, R. L., Feng, Q., Hughes, J. P., O’Reilly, S., Kiviat, N. B., & Koutsky, L. A. (2008). Risk of female human papillomavirus acquisition associated with first male sex partner. Journal of Infectious Diseases, 197(2), 279–282.CrossRefPubMedPubMedCentral Winer, R. L., Feng, Q., Hughes, J. P., O’Reilly, S., Kiviat, N. B., & Koutsky, L. A. (2008). Risk of female human papillomavirus acquisition associated with first male sex partner. Journal of Infectious Diseases, 197(2), 279–282.CrossRefPubMedPubMedCentral
36.
go back to reference 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, 103(1), 164–169.CrossRefPubMedPubMedCentral 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, 103(1), 164–169.CrossRefPubMedPubMedCentral
37.
go back to reference Zimet, G. D., Liddon, N., Rosenthal, S. L., Lazcano-Ponce, E., & Allen, B. (2006). Chapter 24: Psychosocial aspects of vaccine acceptability. Vaccine, 24(S3), S3/201–S3/209. Zimet, G. D., Liddon, N., Rosenthal, S. L., Lazcano-Ponce, E., & Allen, B. (2006). Chapter 24: Psychosocial aspects of vaccine acceptability. Vaccine, 24(S3), S3/201–S3/209.
Metadata
Title
Factors Associated with College Students’ Intentions to Vaccinate Their Daughters Against HPV: Protecting the Next Generation
Authors
Kelly L. Wilson
Alice White
Brittany L. Rosen
Alethea Chiappone
Jairus C. Pulczinski
Marcia G. Ory
Matthew Lee Smith
Publication date
01-10-2016
Publisher
Springer US
Published in
Journal of Community Health / Issue 5/2016
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-016-0192-8

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