title: Survey of Japanese mothers of daughters eligible for human papillomavirus vaccination on attitudes about media reports of adverse events and the suspension of governmental recommendation for vaccination.
abstract: OBJECTIVE
  Following media reports of adverse medical events surrounding human papillomavirus (HPV) vaccination and the suspension of Japanese governmental recommendation, most adolescents have refrained from receiving the vaccine. This represents a national critical event, because the incidence of cervical cancer in Japan continues to increase.
  
  
  METHODS
  We conducted an Internet survey to investigate why Japanese adolescent girls decline, continue or discontinue their HPV vaccination, how their mothers influence their decision, and the mothers' feelings about future HPV vaccination for their daughters. One thousand mothers with daughters 10-18 years of age were recruited for our questionnaire.
  
  
  RESULTS
  Our results suggest that acceptance of the HPV vaccine was determined predominantly by the mother's perceptions of risk versus benefits, rather than the daughter's wishes. The mothers' knowledge of the benefits of the prophylactic HPV vaccine and their attitude toward cervical cancer screening influenced their decision whether to allow their daughter to receive future vaccinations. The tenor of survey responses of those mothers who were anti-vaccine changed significantly to the positive in response to a proposed scenario where the governmental recommendation for the HPV vaccine was reinstated, whereas a hypothetical educational intervention sheet did not significantly change their attitude.
  
  
  CONCLUSIONS
  Promotion of the HPV vaccine through comprehensive education for both mothers and daughters, not only on the vaccine itself, but also about cervical cancer and screening, is required for any successful program to prevent cervical cancer.
authors.affiliation: The Obstetrical Gynecological Society of Osaka, Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Tomomi
authors.initials: T
authors.lastname: Egawa-Takata
authors.affiliation: The Obstetrical Gynecological Society of Osaka, Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Ueda
authors.affiliation: The Obstetrical Gynecological Society of Osaka, Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Akiko
authors.initials: A
authors.lastname: Morimoto
authors.affiliation: The Obstetrical Gynecological Society of Osaka, Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Yoshino
authors.affiliation: The Obstetrical Gynecological Society of Osaka, Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Tadashi
authors.initials: T
authors.lastname: Kimura
authors.affiliation: Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
authors.forename: Nobumichi
authors.initials: N
authors.lastname: Nishikawa
authors.affiliation: Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Sekine
authors.affiliation: The Obstetrical Gynecological Society of Osaka, Osaka, Japan.
authors.forename: Yorihiko
authors.initials: Y
authors.lastname: Horikoshi
authors.affiliation: The Obstetrical Gynecological Society of Osaka, Osaka, Japan.
authors.forename: Tetsu
authors.initials: T
authors.lastname: Takagi
authors.affiliation: The Obstetrical Gynecological Society of Osaka, Osaka, Japan.|Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Enomoto
mesh_terms: D000293:Adolescent; D002648:Child; D003146:Communications Media; D005260:Female; D006076:Government; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007564:Japan; D009035:Mothers; D009679:Nuclear Family; D053918:Papillomavirus Vaccines / Q000009:adverse effects*; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000009:adverse effects* / Q000706:statistics & numerical data
chemical_list: D053918:Papillomavirus Vaccines
keywords: HPV; Japan; attitudes; health knowledge; human papillomavirus vaccine; practice; questionnaire; survey; vaccination/psychology