title: Parents' Recall and Reflections on Experiences Related to HPV Vaccination for Their Children.
abstract: Human papillomavirus (HPV) vaccination coverage remains suboptimal in the United States. We conducted in-depth interviews with parents of adolescents from an urban primary care center serving a low-income minority population to describe their experiences. We identified the following themes: (a) parents of unvaccinated children generally had not discussed the vaccine with providers and had low awareness; (b) among unaware parents, provision of brief information generally resulted in positive comments about the vaccine; (c) vaccine was typically not requested by parents but rather offered by providers; (d) strength of the recommendations from providers varied, and vaccine was sometimes presented as optional or low priority; (e) parents had low awareness of the three-dose regimen and poor recall about completion; and (f) limited understanding of why boys should be vaccinated. More than 7 years after the introduction of HPV vaccine, there is substantial room for improving the way it is recommended and discussed by providers.
authors.affiliation: Yale School of Public Health, New Haven, Connecticut, USA Yale Center for Interdisciplinary Research on AIDS, New Haven, Connecticut, USA Yale Cancer Center, New Haven, Connecticut, USA linda.niccolai@yale.edu.
authors.forename: Linda M
authors.initials: LM
authors.lastname: Niccolai
authors.affiliation: Yale School of Medicine, New Haven, Connecticut, USA.
authors.forename: Caitlin E
authors.initials: CE
authors.lastname: Hansen
authors.affiliation: Yale School of Public Health, New Haven, Connecticut, USA Yale Center for Interdisciplinary Research on AIDS, New Haven, Connecticut, USA.
authors.forename: Marisol
authors.initials: M
authors.lastname: Credle
authors.affiliation: Yale School of Public Health, New Haven, Connecticut, USA Yale School of Medicine, New Haven, Connecticut, USA Yale Graduate School of Arts and Sciences, New Haven, Connecticut, USA.
authors.forename: Eugene D
authors.initials: ED
authors.lastname: Shapiro
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D008913:Minority Groups / Q000523:psychology*; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010290:Parents / Q000523:psychology*; D011203:Poverty / Q000523:psychology*; D014481:United States; D014611:Vaccination / Q000523:psychology*; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: barriers; health care; human papillomavirus; immunization; pediatrics; qualitative analysis