title: Trust versus concerns-how parents reason when they accept HPV vaccination for their young daughter.
abstract: BACKGROUND
  From spring of 2012, human papillomavirus (HPV) vaccine against cervical cancer is offered free of charge to all girls aged 10-12 years through a school-based vaccination programme in Sweden. The aim of this study was to explore how parents reason when they accept HPV vaccination for their young daughter and also their views on HPV-related information.
  
  
  METHODS
  Individual interviews with parents (n = 27) of 11-12-year-old girls. The interviews were recorded, transcribed verbatim, and analysed using thematic content analysis.
  
  
  RESULTS
  Three themes emerged through the analysis: Trust versus concern, Responsibility to protect against severe disease, and Information about HPV and HPV vaccination is important. The parents expressed trust in recommendations from authorities and thought it was convenient with school-based vaccination. They believed that cervical cancer was a severe disease and felt a responsibility to protect their daughter from it. Some had certain concerns regarding side effects and vaccine safety, and wished for a dialogue with the school nurse to bridge the information gaps.
  
  
  CONCLUSIONS
  Trust in the recommendations from authorities and a wish to protect their daughter from a severe disease outweighed concerns about side effects. A school-based vaccination programme is convenient for parents, and the school nurse has an important role in bridging information gaps. The findings from this qualitative study cannot be generalized; however, it can provide a better understanding of how parents might reason when they accept the HPV vaccination for their daughter.
authors.affiliation: Department of Public Health and Caring Sciences, Uppsala University , Uppsala , Sweden.
authors.forename: Maria
authors.initials: M
authors.lastname: Gottvall
authors.forename: Maria
authors.initials: M
authors.lastname: Grandahl
authors.forename: Anna T
authors.initials: AT
authors.lastname: Höglund
authors.forename: Margareta
authors.initials: M
authors.lastname: Larsson
authors.forename: Christina
authors.initials: C
authors.lastname: Stenhammar
authors.forename: Bengt
authors.initials: B
authors.lastname: Andrae
authors.forename: Tanja
authors.initials: T
authors.lastname: Tydén
mesh_terms: D000328:Adult; D002648:Child; D003142:Communication; D003657:Decision Making; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009679:Nuclear Family; D053918:Papillomavirus Vaccines / Q000627:therapeutic use*; D010290:Parents; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011369:Professional-Patient Relations; D012572:School Health Services; D013548:Sweden; D035502:Trust; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control* / Q000821:virology; D014611:Vaccination
chemical_list: D053918:Papillomavirus Vaccines