title: Parental attitudes to pre-pubertal HPV vaccination.
abstract: OBJECTIVE
  To determine the acceptability of childhood HPV vaccination and examine demographic, cultural, and psychosocial predictors of vaccine acceptance.
  
  
  METHODS
  School-based survey.
  
  
  METHODS
  Questionnaires sent to 1205 mothers of 8-14-year-old girls. Responses from 684 were included in the analyses.
  
  
  METHODS
  Ten schools (seven primary, three secondary) in four areas of England.
  
  
  RESULTS
  Seventy-five percent of mothers would accept the vaccine for their daughter. Vaccine acceptance was higher in mothers who had experience of cancer in the family (OR=1.61, CI: 1.14-2.29), had older daughters (OR=1.15, CI: 1.04-1.27), perceived approval from husband/partner (OR=14.51, CI: 6.15-34.25) and believed vaccine acceptance would be more normative (OR=1.78, CI: 1.59-2.01). Having concerns about too many vaccinations (OR=0.22, CI: 0.15-0.31) or vaccine side effects (OR=0.37, CI: 0.28-0.50) and worry about increasing promiscuity (OR=0.47, CI: 0.36-0.62) emerged as deterrents. The modal preferred age was 12 years. Endorsing vaccination at earlier ages was predicted by feeling able to discuss related topics, including sex, at younger ages (OR=1.37, CI: 1.24-1.51) and concern about increasing promiscuity (OR=0.61, CI: 0.47-0.78).
  
  
  CONCLUSIONS
  Overall, there was a favourable response to HPV vaccination. Emphasising the widespread acceptance of the vaccine might promote acceptance further, as would information on immunological and social benefits of earlier vaccination.
authors.affiliation: Cancer Research UK Health Behaviour Unit, Department of Epidemiology and Public Health, UCL, Gower Street, 2-16 Torrington Place, London WC1E 6BT, United Kingdom.
authors.forename: Laura A V
authors.initials: LA
authors.lastname: Marlow
authors.forename: Jo
authors.initials: J
authors.lastname: Waller
authors.forename: Jane
authors.initials: J
authors.lastname: Wardle
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D002648:Child; D003625:Data Collection; D004739:England; D005260:Female; D006801:Humans; D009035:Mothers / Q000523:psychology*; D053918:Papillomavirus Vaccines; D010290:Parents / Q000523:psychology*; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000523:psychology*
chemical_list: D053918:Papillomavirus Vaccines