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Psychooncology. 2015 Oct;24(10):1316-1323. doi: 10.1002/pon.3894. Epub 2015 Jul 07.

'I didn't even know boys could get the vaccine': Parents' reasons for human papillomavirus (HPV) vaccination decision making for their sons.

Psycho-oncology

Samara Perez, Gilla K Shapiro, Christopher A Brown, Eve Dube, Gina Ogilvie, Zeev Rosberger

Affiliations

  1. Department of Psychology, McGill University, Montreal, QC, Canada.
  2. Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
  3. Institut National de Santé Publique du Québec, Québec, QC, Canada.
  4. Clinical Prevention Services, BC Centre for Disease Control, Vancouver, BC, Canada.
  5. School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
  6. Louise Granofsky Psychosocial Oncology Program, Segal Cancer Center, Jewish General Hospital, Montreal, QC, Canada.
  7. Department of Psychiatry, McGill University, Montreal, QC, Canada.
  8. Department of Oncology, McGill University, Montreal, QC, Canada.

PMID: 26152776 DOI: 10.1002/pon.3894

Abstract

OBJECTIVE: The study's objective was to examine parents' reasons for their decision to vaccinate their 9-16-year-old sons with the human papillomavirus (HPV) vaccine.

METHODS: Using the precaution adoption process model (PAPM), parents were classified according to one of six stages of decision making: unaware, unengaged, undecided, decided not to vaccinate, decided to vaccinate, or vaccinated. Parents responded to an open-ended question: 'What would influence your decision to have your son vaccinated or not against HPV?'

RESULTS: Three thousand one hundred and seventeen parents provided 2,874 interpretable narrative responses that were coded using thematic content analyses. The majority of parents were in the earlier precaution adoption process model stages, that is, unaware that the HPV vaccine could be given to boys (57.0%), unengaged (20.9%), or undecided (9.1%). Needing more information, vaccine cost, risks associated with vaccination, and wanting a doctor's recommendation influenced these earlier-staged parents' decisions. Parents who decided not to vaccinate their sons (6.8%) reported their decision was due to the risks, insufficient research, lack of confidence in vaccines, and/or no need for the vaccine (as their sons are not sexually active and/or too young). Parents who had decided to vaccinate their sons (5.0%) or who had vaccinated their sons (1.1%) reported that their decisions were based on protecting their sons' health and preventing disease.

CONCLUSION: There are important differences in the factors that influence parents' decision depending on where they are along the decision-making trajectory. Assuring that parents are well informed about the importance of male vaccination, reducing vaccine cost, accurately communicating vaccine safety, and improving patient-provider communication may augment vaccine coverage and prevent HPV-associated cancers in Canada. Copyright © 2015 John Wiley & Sons, Ltd.

Copyright © 2015 John Wiley & Sons, Ltd.

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