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Comparatively low attendance during Human Papillomavirus catch-up vaccination among teenage girls in the Netherlands : Insights from a behavioral survey among parents

Gefenaite, Giedre LU ; Smit, Marieke ; Nijman, Hans W. ; Tami, Adriana ; Drijfhout, Ingrid H. ; Pascal, Astrid ; Postma, Maarten J. ; Wolters, Bert A. ; Van Delden, Johannes J.M. and Wilschut, Jan C. , et al. (2012) In BMC Public Health 12(1). p.1-7
Abstract

Background: The Dutch Human Papillomavirus (HPV) catch-up vaccination program in 2009 appeared less successful than expected. We aimed to identify the most important determinants of refusing the vaccination. Methods: Two thousand parents of girls born in 1996 targeted for HPV vaccination received an invitation letter to participate in a questionnaire study. Two study groups were defined: the first group consisted of parents of girls who had accepted the vaccine and already received the first dose of HPV vaccination. The second group consisted of parents whose daughters were not vaccinated. The questionnaire consisted of a broad spectrum of possible determinants that were revealed after literature search and discussions with the... (More)

Background: The Dutch Human Papillomavirus (HPV) catch-up vaccination program in 2009 appeared less successful than expected. We aimed to identify the most important determinants of refusing the vaccination. Methods: Two thousand parents of girls born in 1996 targeted for HPV vaccination received an invitation letter to participate in a questionnaire study. Two study groups were defined: the first group consisted of parents of girls who had accepted the vaccine and already received the first dose of HPV vaccination. The second group consisted of parents whose daughters were not vaccinated. The questionnaire consisted of a broad spectrum of possible determinants that were revealed after literature search and discussions with the stakeholders. Results: Four hundred sixty nine questionnaires (24%) were returned, 307 (31%) from those who accepted and 162 (16%) from those who declined the vaccine. The decision not to accept the vaccine was largely determined by: (i) perception that the information provided by the government about the vaccine was limited or biased (OR 13.27); (ii) limited trust, that the government would stop the vaccination program if there were serious side effects (OR 9.95); (iii) lack of knowledge about the effectiveness of the vaccine (OR 7.67); (iv) concerns about the side effects of the vaccine (OR 4.94); (v) lack of conviction that HPV can be extremely harmful (OR 3.78); (vi) perception that the government is strongly influenced by vaccine producers (OR 3.54); and (vii) religious convictions (OR 2.18). Conclusions: This study revealed several determinants for HPV vaccination uptake after implementation of the HPV vaccine for adolescent girls. These determinants should be taken into consideration in order to successfully implement HPV vaccination into National Immunization Programs.

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publishing date
type
Contribution to journal
publication status
published
subject
in
BMC Public Health
volume
12
issue
1
article number
498
pages
1 - 7
publisher
BioMed Central (BMC)
external identifiers
  • pmid:22748022
  • scopus:84863109484
ISSN
1471-2458
DOI
10.1186/1471-2458-12-498
language
English
LU publication?
no
id
4b1a36cd-39cf-4729-8a85-9bd0985834d5
date added to LUP
2020-05-14 14:26:18
date last changed
2021-01-19 03:43:31
@article{4b1a36cd-39cf-4729-8a85-9bd0985834d5,
  abstract     = {<p>Background: The Dutch Human Papillomavirus (HPV) catch-up vaccination program in 2009 appeared less successful than expected. We aimed to identify the most important determinants of refusing the vaccination. Methods: Two thousand parents of girls born in 1996 targeted for HPV vaccination received an invitation letter to participate in a questionnaire study. Two study groups were defined: the first group consisted of parents of girls who had accepted the vaccine and already received the first dose of HPV vaccination. The second group consisted of parents whose daughters were not vaccinated. The questionnaire consisted of a broad spectrum of possible determinants that were revealed after literature search and discussions with the stakeholders. Results: Four hundred sixty nine questionnaires (24%) were returned, 307 (31%) from those who accepted and 162 (16%) from those who declined the vaccine. The decision not to accept the vaccine was largely determined by: (i) perception that the information provided by the government about the vaccine was limited or biased (OR 13.27); (ii) limited trust, that the government would stop the vaccination program if there were serious side effects (OR 9.95); (iii) lack of knowledge about the effectiveness of the vaccine (OR 7.67); (iv) concerns about the side effects of the vaccine (OR 4.94); (v) lack of conviction that HPV can be extremely harmful (OR 3.78); (vi) perception that the government is strongly influenced by vaccine producers (OR 3.54); and (vii) religious convictions (OR 2.18). Conclusions: This study revealed several determinants for HPV vaccination uptake after implementation of the HPV vaccine for adolescent girls. These determinants should be taken into consideration in order to successfully implement HPV vaccination into National Immunization Programs.</p>},
  author       = {Gefenaite, Giedre and Smit, Marieke and Nijman, Hans W. and Tami, Adriana and Drijfhout, Ingrid H. and Pascal, Astrid and Postma, Maarten J. and Wolters, Bert A. and Van Delden, Johannes J.M. and Wilschut, Jan C. and Hak, Eelko},
  issn         = {1471-2458},
  language     = {eng},
  month        = {07},
  number       = {1},
  pages        = {1--7},
  publisher    = {BioMed Central (BMC)},
  series       = {BMC Public Health},
  title        = {Comparatively low attendance during Human Papillomavirus catch-up vaccination among teenage girls in the Netherlands : Insights from a behavioral survey among parents},
  url          = {http://dx.doi.org/10.1186/1471-2458-12-498},
  doi          = {10.1186/1471-2458-12-498},
  volume       = {12},
  year         = {2012},
}