title: Influence of Sources of Information and Parental Attitudes on Human Papillomavirus Vaccine Uptake among Adolescents.
abstract: OBJECTIVE
  The purpose of this study was to: 1) describe parental sources of information about human papillomavirus (HPV) vaccination for adolescents, 2) understand how parental sources of information about HPV vaccine are associated with adolescent HPV vaccine uptake, and 3) understand if the relationship between a greater number of HPV-related information sources and HPV vaccine uptake among adolescents is mediated by parental attitudes.
  
  
  METHODS
  We conducted a 3-arm randomized controlled trial in middle and high schools in eastern Georgia from 2011 to 2013. As part of the trial, we surveyed parents during the final year to understand their sources of information about HPV vaccine for their adolescent. Data were collected from 360 parents via phone and online surveys.
  
  
  METHODS
  Parents responded to a survey that asked them to identify demographic information, parental HPV attitudes, sources of information about HPV vaccination, and HPV vaccine uptake.
  
  
  RESULTS
  Most of the sample was African American (74%; n = 267) and 53% of parents (n = 192) reported that their adolescent received at least 1 HPV vaccine dose. The top sources of information about HPV vaccine reported by parents were a doctor or medical professional (80%; n = 287) and television (64%; n = 232). A mediation analysis showed sources of information about HPV vaccine are associated with parental attitudes, and parental attitudes about HPV vaccine are associated with vaccine uptake among adolescents.
  
  
  CONCLUSIONS
  These findings highlight the importance of HPV sources of information on parental attitudes.
authors.affiliation: Emory University, School of Medicine, Atlanta, Georgia. Electronic address: nherber@emory.edu.
authors.forename: Natasha L
authors.initials: NL
authors.lastname: Underwood
authors.affiliation: Emory University, School of Medicine, Atlanta, Georgia.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Gargano
authors.affiliation: Emory University, Rollins School of Public Health, Atlanta, Georgia.
authors.forename: Samantha
authors.initials: S
authors.lastname: Jacobs
authors.affiliation: Emory University, School of Medicine, Atlanta, Georgia.
authors.forename: Katherine
authors.initials: K
authors.lastname: Seib
authors.affiliation: East Central Health District, Georgia Department of Public Health, Atlanta, Georgia.
authors.forename: Christopher
authors.initials: C
authors.lastname: Morfaw
authors.affiliation: Georgia Regents University, School of Medicine, Atlanta, Georgia.
authors.forename: Dennis
authors.initials: D
authors.lastname: Murray
authors.affiliation: Emory University, School of Medicine, Atlanta, Georgia; Emory University, Rollins School of Public Health, Atlanta, Georgia.
authors.forename: James M
authors.initials: JM
authors.lastname: Hughes
authors.affiliation: Emory University, Rollins School of Public Health, Atlanta, Georgia.
authors.forename: Jessica M
authors.initials: JM
authors.lastname: Sales
mesh_terms: D000293:Adolescent; D001741:Black or African American; D054626:Consumer Health Information / Q000379:methods*; D005260:Female; D005845:Georgia; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D030361:Papillomavirus Infections / Q000517:prevention & control / Q000523:psychology*; D053918:Papillomavirus Vaccines / Q000627:therapeutic use; D010290:Parents / Q000523:psychology*; D010342:Patient Acceptance of Health Care; D012574:Schools; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000523:psychology* / Q000706:statistics & numerical data
chemical_list: D053918:Papillomavirus Vaccines
keywords: Adolescents; Human papillomavirus; Sources of information