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Social, systemic, familial and individual factors influencing parental acceptability of human papillomavirus vaccines for children: A Meta-analysis of Observational Studies
Methods: We conducted a systematic search across multiple electronic databases to locate empirical studies published by December 31, 2013 that examined rates and/or correlates of parents’ HPV vaccine acceptability for children. We performed meta-analysis on studies examining similar correlates of HPV vaccine acceptability and calculated effect sizes for each variable, with a random-effects model to compensate for clinical and methodological diversity between studies, following PRISMA guidelines.
Results: Across 35 studies (n=25,725) examined, parental HPV vaccine acceptability ranged from 32.0%-91.0%; weighted mean acceptability=68.6 (SD=14.9). HPV vaccine acceptability was significantly associated with general and HPV vaccine attitudes/perceived benefits; HPV risk perceptions; health beliefs; provider recommendation; structural factors; sociodemographics; parent risk factors; and HPV knowledge/awareness.
Conclusions: Public health campaigns to promote positive HPV vaccine attitudes and HPV risk awareness, mitigate concerns about safety and encouraging youth sexual behavior, and interventions to reduce structural and practical barriers may support parents’ HPV vaccine acceptability for children. Investigations using more rigorous designs and intervention studies are needed to guide evidence-informed policy and practice recommendations to support parental acceptability of HPV vaccines for children.
Learning Areas:
Protection of the public in relation to communicable diseases including prevention or controlPublic health or related education
Social and behavioral sciences
Learning Objectives:
Explain the deleterious impacts of not vaccinating children and youth and the toll that “vaccine hesitancy” is taking on disease incidence
Describe the social, systemic, familial, and individual factors correlated with parental HPV vaccine acceptability
Compare the social, systemic, familial, and individual factors correlated with parental HPV vaccine acceptability
Discuss the public health implications for increasing HPV vaccine uptake
Identify the methodological issues associated with primary studies of parental HPV vaccine acceptability and with meta-analytic techniques
Keyword(s): Cancer Prevention and Screening, Immunizations
Qualified on the content I am responsible for because: I am a doctoral student and a Royal Bank of Canada Social Work Research Fellow at the Factor-Inwentash Faculty of Social Work (FIFSW), University of Toronto. My fellowship work includes meta-analyses exploring factors influencing HPV vaccine acceptability, led by Dr. Peter A. Newman, Professor at the FIFSW, Canada Research Chair in Health and Social Justice, and an international leader in social and behavioural research on vaccines and new HIV prevention technologies.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.