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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

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...

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Autores principales: Gefenaite, Giedre, Smit, Marieke, Nijman, Hans W, Tami, Adriana, Drijfhout, Ingrid H, Pascal, Astrid, Postma, Maarten J, Wolters, Bert A, van Delden, Johannes J M, Wilschut, Jan C, Hak, Eelko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3461412/
https://www.ncbi.nlm.nih.gov/pubmed/22748022
http://dx.doi.org/10.1186/1471-2458-12-498
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author Gefenaite, Giedre
Smit, Marieke
Nijman, Hans W
Tami, Adriana
Drijfhout, Ingrid H
Pascal, Astrid
Postma, Maarten J
Wolters, Bert A
van Delden, Johannes J M
Wilschut, Jan C
Hak, Eelko
author_facet Gefenaite, Giedre
Smit, Marieke
Nijman, Hans W
Tami, Adriana
Drijfhout, Ingrid H
Pascal, Astrid
Postma, Maarten J
Wolters, Bert A
van Delden, Johannes J M
Wilschut, Jan C
Hak, Eelko
author_sort Gefenaite, Giedre
collection PubMed
description 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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spelling pubmed-34614122012-10-02 Comparatively low attendance during Human Papillomavirus catch-up vaccination among teenage girls in the Netherlands: Insights from a behavioral survey among parents Gefenaite, Giedre Smit, Marieke Nijman, Hans W Tami, Adriana Drijfhout, Ingrid H Pascal, Astrid Postma, Maarten J Wolters, Bert A van Delden, Johannes J M Wilschut, Jan C Hak, Eelko BMC Public Health Research Article 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. BioMed Central 2012-07-02 /pmc/articles/PMC3461412/ /pubmed/22748022 http://dx.doi.org/10.1186/1471-2458-12-498 Text en Copyright ©2012 Gefenaite et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Gefenaite, Giedre
Smit, Marieke
Nijman, Hans W
Tami, Adriana
Drijfhout, Ingrid H
Pascal, Astrid
Postma, Maarten J
Wolters, Bert A
van Delden, Johannes J M
Wilschut, Jan C
Hak, Eelko
Comparatively low attendance during Human Papillomavirus catch-up vaccination among teenage girls in the Netherlands: Insights from a behavioral survey among parents
title Comparatively low attendance during Human Papillomavirus catch-up vaccination among teenage girls in the Netherlands: Insights from a behavioral survey among parents
title_full Comparatively low attendance during Human Papillomavirus catch-up vaccination among teenage girls in the Netherlands: Insights from a behavioral survey among parents
title_fullStr Comparatively low attendance during Human Papillomavirus catch-up vaccination among teenage girls in the Netherlands: Insights from a behavioral survey among parents
title_full_unstemmed Comparatively low attendance during Human Papillomavirus catch-up vaccination among teenage girls in the Netherlands: Insights from a behavioral survey among parents
title_short Comparatively low attendance during Human Papillomavirus catch-up vaccination among teenage girls in the Netherlands: Insights from a behavioral survey among parents
title_sort comparatively low attendance during human papillomavirus catch-up vaccination among teenage girls in the netherlands: insights from a behavioral survey among parents
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3461412/
https://www.ncbi.nlm.nih.gov/pubmed/22748022
http://dx.doi.org/10.1186/1471-2458-12-498
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