title: Disconnects between news framing and parental discourse concerning the state-mandated HPV vaccine: implications for dialogic health communication and health literacy.
abstract: In 2007, Virginia became the first state in the US to mandate the human papillomavirus (HPV) vaccine. In 2009, the mandate required that parents of girls entering sixth grade (ages 11-12) vaccinate their daughters or sign the 'opt-out' waiver. This investigation is the first to explore how both the news media and parents framed and responded to the newly-mandated HPV vaccine. This research reveals disjoints between news media framing and parental framing. Implications of these gaps for parental healthcare decision-making are addressed and suggestions are offered for constructing a more dialogic, community-based approach that can increase health literacy regarding the HPV vaccine.
authors.affiliation: Department of Communication and Theatre Arts, Old Dominion University, Norfolk, VA 23529, USA. bsaintjo@odu.edu
authors.forename: Burton
authors.initials: B
authors.lastname: St John
authors.forename: Margaret
authors.initials: M
authors.lastname: Pitts
authors.forename: Kimberly Adams
authors.initials: KA
authors.lastname: Tufts
mesh_terms: D001294:Attitude to Health; D002648:Child; D003142:Communication; D003657:Decision Making; D005260:Female; D017144:Focus Groups; D057220:Health Literacy; D000068857:Human Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18; D006801:Humans; D017589:Immunization Programs; D018156:Journalism, Medical; D008297:Male; D037141:Mandatory Programs; D009524:Newspapers as Topic; D053918:Papillomavirus Vaccines; D010290:Parents; D014768:Virginia
chemical_list: D000068857:Human Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18; D053918:Papillomavirus Vaccines; C510352:human papillomavirus vaccine, L1 type 16, 18