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BMC Public Health
Published in: BMC Public Health 1/2022

01-12-2022 | Human Papillomavirus | Research

A qualitative study of parental associations and beliefs regarding the HPV vaccination for Dutch boys

Authors: Judith R. Venderbos, Renske Eilers, Hein de Vries, Kim van Zoonen

Published in: BMC Public Health | Issue 1/2022

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Abstract

Background

Human Papillomavirus (HPV) occurs in 80% of the sexually active population and may cause certain types of cancers among men and women. Vaccination against HPV could prevent cancers associated with HPV. The Dutch National Immunization Program (NIP) only includes HPV vaccination for girls, but the HPV vaccination for boys will be implemented in 2022. Little is known about the awareness of parents and their attitudes regarding the vaccination for boys. However, these concepts might influence the intention to vaccinate one’s child. Gaining insight in these factors could lead to more effective communication strategies.

Methods

This qualitative research aimed to explore parental associations and beliefs regarding the HPV vaccination for boys. In total, 16 interviews were conducted with parents. Topics discussed were primary associations with vaccinations, associations with HPV-vaccination and information needs regarding the HPV vaccination for boys.

Results

Most parents were unaware about HPV infections in boys as well as the possibility to vaccinate their sons. Furthermore, after hearing about the vaccine parents reported uncertainties about anticipated adverse effects of the vaccine. Other themes that emerged were difficulties with the proposed age at which boys would be offered the vaccination and low risk perception of the virus.

Conclusion

Public campaigns regarding (the HPV) vaccination should improve (parental) awareness about the virus and the vaccination, and increase knowledge. Moreover, it should address concerns regarding vaccination and be transparent about decision making. For example, a rationale why HPV vaccination is needed for boys who turn 10 years and its advantage to reducing risks for boys to contract HPV related cancers should be provided.
Appendix
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Literature
1.
Trottier H, Franco EL. The epidemiology of genital human papillomavirus infection. Vaccine. 2006;24:S4–S15.CrossRef
2.
Petrosky E, Bocchini JA Jr, Hariri S, Chesson H, Curtis CR, Saraiya M, et al. Use of 9-valent human papillomavirus (HPV) vaccine: updated HPV vaccination recommendations of the advisory committee on immunization practices. MMWR Morb Mortal Wkly Rep. 2015;64(11):300–4.PubMedPubMedCentral
3.
Schurink-van ‘t Klooster TM, de Melker HE. The National Immunisation Programme in the Netherlands: Surveillance and developments in 2015–2016. RIVM report; 2016. p. 2016–0141.
4.
5.
Alemany L, Saunier M, Alvarado-Cabrero I, Quiros B, Salmeron J, Shin HR, et al. Human papillomavirus DNA prevalence and type distribution in anal carcinomas worldwide. Int J Cancer. 2015;136(1):98–107.PubMedCrossRef
6.
Alemany L, Cubilla A, Halec G, Kasamatsu E, Quiros B, Masferrer E, et al. Role of human papillomavirus in penile carcinomas worldwide. Eur Urol. 2016;69(5):953–61.PubMedCrossRef
7.
Castellsague X, Alemany L, Quer M, Halec G, Quiros B, Tous S, et al. HPV involvement in head and neck cancers: comprehensive assessment of biomarkers in 3680 patients. J Natl Cancer Inst. 2016;108(6):djv403.PubMedCrossRef
8.
Serrano B, de Sanjosé S, Tous S, Quiros B, Muñoz N, Bosch X, et al. Human papillomavirus genotype attribution for HPVs 6, 11, 16, 18, 31, 33, 45, 52 and 58 in female anogenital lesions. Eur J Cancer. 2015;51(13):1732–41.PubMedCrossRef
9.
10.
Zhai L, Tumban E. Gardasil-9: a global survey of projected efficacy. Antivir Res. 2016;130:101–9.PubMedCrossRef
11.
Mariz FC, Gray P, Bender N, Eriksson T, Kann H, Apter D, et al. Sustainability of neutralising antibodies induced by bivalent or quadrivalent HPV vaccines and correlation with efficacy: a combined follow-up analysis of data from two randomised, double-blind, multicentre, phase 3 trials. Lancet Infect Dis. 2021;21(10):1458–68.PubMedCrossRef
12.
Gezondheidsraad. Advies vaccinatie tegen HPV. Den Haag2019.
13.
Qendri V. Health and economic impact of a tender-based, sex-neutral human papillomavirus 16/18 vaccination program in the Netherlands. J Infect Dis. 2017;216(2):210.PubMedCrossRef
14.
Gezondheidsraad Advies Vaccinatie tegen HPV 2019(9).
15.
Shapiro GK, Tatar O, Amsel R, Prue G, Zimet GD, Knauper B, et al. Using an integrated conceptual framework to investigate parents' HPV vaccine decision for their daughters and sons. Prev Med. 2018;116:203–10.PubMedCrossRef
16.
Lacombe-Duncan A, Newman PA, Baiden P. Human papillomavirus vaccine acceptability and decision-making among adolescent boys and parents: a meta-ethnography of qualitative studies. Vaccine. 2018;36(19):2545–58.PubMedCrossRef
17.
Patty NJS, van Dijk HM, Wallenburg I, Bal R, Helmerhorst TJM, van Exel J, et al. To vaccinate or not to vaccinate? Perspectives on HPV vaccination among girls, boys, and parents in the Netherlands: a Q-methodological study. BMC Public Health. 2017;17(1):872.PubMedPubMedCentralCrossRef
18.
Dempsey AF, Abraham LM, Dalton V, Ruffin M. Understanding the reasons why mothers do or do not have their adolescent daughters vaccinated against human papillomavirus. Ann Epidemiol. 2009;19(8):531–8.PubMedPubMedCentralCrossRef
19.
Hendry M, Lewis R, Clements A, Damery S, Wilkinson C. “HPV? Never heard of it!”: a systematic review of girls’ and parents’ information needs, views and preferences about human papillomavirus vaccination. Vaccine. 2013;31(45):5152–67.PubMedCrossRef
20.
van Keulen HM, Otten W, Ruiter RA, Fekkes M, van Steenbergen J, Dusseldorp E, et al. Determinants of HPV vaccination intentions among Dutch girls and their mothers: a cross-sectional study. BMC Public Health. 2013;13(1):111.PubMedPubMedCentralCrossRef
21.
Hopkins TG, Wood N. Female human papillomavirus (HPV) vaccination: global uptake and the impact of attitudes. Vaccine. 2013;31(13):1673–9.PubMedCrossRef
22.
Fisher H, Evans K, Ferrie J, Yates J, Roderick M, Audrey S. Young women’s autonomy and information needs in the schools-based HPV vaccination programme: a qualitative study; 2020.
23.
Radisic G, Chapman J, Flight I, Wilson C. Factors associated with parents' attitudes to the HPV vaccination of their adolescent sons : a systematic review. Prev Med. 2017;95:26–37.PubMedCrossRef
24.
Perez S, Tatar O, Gilca V, Shapiro GK, Ogilvie G, Guichon J, et al. Untangling the psychosocial predictors of HPV vaccination decision-making among parents of boys. Vaccine. 2017;35(36):4713–21.PubMedCrossRef
25.
Mortensen GL, Adam M, Idtaleb L. Parental attitudes towards male human papillomavirus vaccination: a pan-European cross-sectional survey. BMC Public Health. 2015;15(1):624.CrossRef
26.
Newman PA, Logie CH, Lacombe-Duncan A, Baiden P, Tepjan S, Rubincam C, et al. Parents’ uptake of human papillomavirus vaccines for their children: a systematic review and meta-analysis of observational studies. BMJ Open. 2018;8(4):e019206.PubMedPubMedCentralCrossRef
27.
de Vries H. An integrated approach for understanding health behavior; the I-change model as an example. Psychology and behavioral science. Int J. 2017;2:555–85.
28.
Friedman AL, Shepeard H. Exploring the knowledge, attitudes, beliefs, and communication preferences of the general public regarding HPV: findings from CDC focus group research and implications for practice. Health Educ Behav. 2007;34(3):471–85.PubMedCrossRef
29.
Brewer NT, Fazekas KI. Predictors of HPV vaccine acceptability: a theory-informed, systematic review. Prev Med. 2007;45(2–3):107–14.PubMedCrossRef
30.
Waller J, Marlow LA, Wardle J. The association between knowledge of HPV and feelings of stigma, shame and anxiety. Sex Transm Infect. 2007;83(2):155–9.PubMedPubMedCentralCrossRef
31.
Zimet GD, Mays RM, Sturm LA, Ravert AA, Perkins SM, Juliar BE. Parental attitudes about sexually transmitted infection vaccination for their adolescent children. Arch Pediatr Adolesc Med. 2005;159(2):132–7.PubMedCrossRef
32.
Dempsey AF, Butchart A, Singer D, Clark S, Davis M. Factors associated with parental intentions for male human papillomavirus vaccination: results of a national survey. Sex Transm Dis. 2011;38(8):769–76.PubMedCrossRef
33.
Knops-Dullens T, de Vries N, de Vries H. Reasons for non-attendance in cervical cancer screening programmes: an application of the integrated model for Behavioural change. Eur J Cancer Prev. 2007;16(5):436–45.PubMedCrossRef
34.
Ziarnowski KL, Brewer NT, Weber B. Present choices, future outcomes: anticipated regret and HPV vaccination. Prev Med. 2009;48(5):411–4.PubMedCrossRef
35.
Penţa MA, Crăciun IC, Băban A. The power of anticipated regret: predictors of HPV vaccination and seasonal influenza vaccination acceptability among young Romanians. Vaccine. 2020;38(6):1572–8.PubMedCrossRef
36.
Brewer NT, Hallman WK. Subjective and objective risk as predictors of influenza vaccination during the vaccine shortage of 2004–2005. Clin Infect Dis. 2006;43(11):1379–86.PubMedCrossRef
37.
Bekker H, Gough D, Williams M. Attendance choices about the influenza immunization programme: evidence for targeting patients' beliefs. Psychol Health Med. 2003;8(3):279–88.CrossRef
38.
Mayo AM, Cobler S. Flu vaccines and patient decision making: what we need to know. J Am Acad Nurse Pract. 2004;16(9):402–10.PubMedCrossRef
39.
Marlow LA, Waller J, Wardle J. Parental attitudes to pre-pubertal HPV vaccination. Vaccine. 2007;25(11):1945–52.PubMedCrossRef
40.
Wang Z, Wang J, Fang Y, Gross DL, Wong MC, Wong EL, et al. Parental acceptability of HPV vaccination for boys and girls aged 9–13 years in China–a population-based study. Vaccine. 2018;36(19):2657–65.PubMedCrossRef
41.
Myhre A, Xiong T, Vogel RI, Teoh D. Associations between risk-perception, self-efficacy and vaccine response-efficacy and parent/guardian decision-making regarding adolescent HPV vaccination. Papillomavirus Res. 2020;10:100204.PubMedPubMedCentralCrossRef
42.
43.
44.
Heath H, Cowley S. Developing a grounded theory approach: a comparison of Glaser and Strauss. Int J Nurs Stud. 2004;41(2):141–50.PubMedCrossRef
45.
Khan SN. Qualitative research method: grounded theory. Int J Bus Manag. 2014;9(11):224–33.CrossRef
46.
Glaser Barney G, Strauss AL. The discovery of grounded theory: strategies for qualitative research. New York: Adline de Gruyter; 1967.
47.
Waller J, Forster A, Ryan M, Richards R, Bedford H, Marlow L. Decision-making about HPV vaccination in parents of boys and girls: a population-based survey in England and Wales. Vaccine. 2020;38(5):1040–7.PubMedPubMedCentralCrossRef
48.
Lindsay AC, Delgado D, Valdez MJ, et al. “I don’t Think He Needs the HPV Vaccine Cause Boys Can’t Have Cervical Cancer”: a Qualitative Study of Latina Mothers’ (Mis) Understandings About Human Papillomavirus Transmission, Associated Cancers, and the Vaccine. J Canc Educ. 2022;37:370–8. https://​doi.​org/​10.​1007/​s13187-020-01824-z.
49.
Sherman SM, Nailer E. Attitudes towards and knowledge about human papillomavirus (HPV) and the HPV vaccination in parents of teenage boys in the UK. PLoS One. 2018;13(4):e0195801.PubMedPubMedCentralCrossRef
50.
Gottvall M, Stenhammar C, Grandahl M. Parents' views of including young boys in the Swedish national school-based HPV vaccination programme: a qualitative study. BMJ Open. 2017;7(2):e014255.PubMedPubMedCentralCrossRef
51.
52.
Bianco A, Pileggi C, Iozzo F, Nobile CGA, Pavia M. Vaccination against human papilloma virus infection in male adolescents: knowledge, attitudes, and acceptability among parents in Italy. Hum Vaccin Immunother. 2014;10(9):2536–42.PubMedPubMedCentralCrossRef
53.
Petrovic K, Burney S, Fletcher J. The relationship of knowledge, health value and health self-efficacy with men’s intentions to receive the human papillomavirus (HPV) vaccine. J Health Psychol. 2011;16(8):1198–207.PubMedCrossRef
54.
Hofman R, van Empelen P, Richardus JH, de Kok IM, De Koning HJ, van Ballegooijen M, et al. Predictors of HPV vaccination uptake: a longitudinal study among parents. Health Educ Res. 2014;29(1):83–96.PubMedCrossRef
55.
Schmid P, Betsch C. Effective strategies for rebutting science denialism in public discussions. Nat Hum Behav. 2019;3(9):931–9.PubMedCrossRef
56.
van Stekelenburg A, Schaap G, Veling H, Buijzen M. Correcting misperceptions: the causal role of motivation in corrective science communication about vaccine and food safety. Sci Commun. 2020;42(1):31–60.CrossRef
57.
Betsch C, Sachse K. Debunking vaccination myths: strong risk negations can increase perceived vaccination risks. Health Psychol. 2013;32(2):146.PubMedCrossRef
58.
Winterbottom A, Bekker HL, Conner M, Mooney A. Does narrative information bias individual's decision making? A systematic review. Soc Sci Med. 2008;67(12):2079–88.PubMedCrossRef
59.
Betsch C, Ulshöfer C, Renkewitz F, Betsch T. The influence of narrative v. statistical information on perceiving vaccination risks. Med Decis Mak. 2011;31(5):742–53.CrossRef
60.
Metadata
Title
A qualitative study of parental associations and beliefs regarding the HPV vaccination for Dutch boys
Authors
Judith R. Venderbos
Renske Eilers
Hein de Vries
Kim van Zoonen
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2022
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-022-13605-y

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