title: Midwives at youth clinics attitude to HPV vaccination and their role in cervical cancer prevention.
abstract: OBJECTIVE
  To explore youth clinic midwives role in cervical cancer prevention and their attitude to HPV vaccination.
  
  
  METHODS
  Individual interviews with 13 midwives working at youth clinics in Sweden. The interviews were recorded, transcribed, and analysed by qualitative content analysis.
  
  
  RESULTS
  Three themes were identified in the qualitative content analysis: "Cervical cancer prevention not a prioritised area", "Ambivalence to the HPV vaccine", and "Gender and socioeconomic controversies". Few midwives talked spontaneously about cervical cancer prevention. The responsibility for providing information about HPV vaccination was considered as primarily that of school health nurses and parents. Midwives were positive about the HPV vaccination, but recognised certain risks, such as its potential negative impact on cervical cancer screening and increased sexual risk taking. The midwives expressed concerns with medical risks, such as side effects and unknown long-term effects of the HPV vaccine. The midwives in the study had ethical concerns that boys were not included in the program and not all families had the financial resources to vaccinate their children. Thus, weak socioeconomic groups might be excluded.
  
  
  CONCLUSIONS
  The midwives considered cervical cancer prevention as important, but did not integrate information on the HPV vaccine into their routine work, mainly because young people visiting youth clinics had had their sexual debut and they were concerned about the medical risks and that the vaccine was too expensive.
authors: School of Health and Caring Sciences, Linnaeus University, Sweden. marie.oscarsson@lnu.se
authors: Marie G
authors: MG
authors: Oscarsson
authors: Annica
authors: A
authors: Dahlberg
authors: Tanja
authors: T
authors: Tydén
mesh_terms: D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities; D001291:Attitude of Health Personnel; D002648:Child; D034462:Dissent and Disputes; D004989:Ethics; D005260:Female; D006801:Humans; D033181:Information Dissemination; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D008880:Midwifery; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000009:adverse effects; D057184:Practice Patterns, Nurses'; D024382:Professional Role; D036301:Qualitative Research; D012959:Socioeconomic Factors; D013548:Sweden; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines