title: [Reasons not to have your daughter vaccinated against the human papilloma virus in Twente: a questionnaire study].
abstract: OBJECTIVE
  To gain insight into parents' decision-making process, and their reasons for participation in the human papilloma virus (HPV) vaccination programme in the Twente region, the Netherlands.
  
  
  METHODS
  Cross-sectional study by means of a questionnaire.
  
  
  METHODS
  After the first vaccination round, a questionnaire was sent to the parents of 800 13-year-old girls, born in the year 1996 and living in the Twente region. Data were collected on the socio-demographic characteristics of the parents, their daughters' participation in the HPV vaccination programme (in which 13-15-year-olds were offered the vaccine previously offered only to 12-year-olds), and four determinants derived from the Health Belief Model (HBM): perceived susceptibility, severity, benefits and barriers.
  
  
  RESULTS
  371 questionnaires were returned (response rate 46%). 39% of the parents had had their daughters vaccinated. The main reasons for parents to decide not to participate in the vaccination programme were perceived dangers of the vaccine, the risk of minor or major side-effects, and perceived limited efficacy of the vaccine. Religious beliefs also played a limited, but statistically significant, role. Many parents found it difficult to decide whether to let their daughter participate in the vaccination programme.
  
  
  CONCLUSIONS
  Follow-up research into participation is recommended, especially once health-education has been improved and media attention is reduced. Future communication about HPV vaccination should take into account the role played by parents in deciding whether or not to participate in the vaccination programme and should concentrate on their concerns about vaccine side-effects and vaccine safety and the perceived efficacy of the new vaccine.
authors.affiliation: Afd. Algemene Gezondheidszorg, Vrije Universiteit, Amsterdam, the Netherlands.
authors.forename: Julianne D
authors.initials: JD
authors.lastname: van der Berg
authors.forename: Jan
authors.initials: J
authors.lastname: Roorda
authors.forename: Marjan J
authors.initials: MJ
authors.lastname: Westerman
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D002648:Child; D003430:Cross-Sectional Studies; D003657:Decision Making; D005260:Female; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009426:Netherlands; D030361:Papillomavirus Infections / Q000517:prevention & control; D053918:Papillomavirus Vaccines / Q000008:administration & dosage* / Q000009:adverse effects; D010290:Parents / Q000193:education* / Q000523:psychology*; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000523:psychology*
chemical_list: D053918:Papillomavirus Vaccines