title: Timing Is Everything: Exploring Parental Decisions to Delay HPV Vaccination.
abstract: The delayed uptake of the human papillomavirus (HPV) vaccine offers an opportunity to explore how temporality and risk are at work in everyday life. Drawing from a mixed-methods study with parents ( N = 50) in Northern California, this study explored parents' decision to delay HPV vaccination for their children among parents who had not yet vaccinated ( n = 27). At the core of these decisions were temporal assessments of risk whereby parents weighed their child's (perceived) present risk of HPV exposure against the uncertain perceived risks of the vaccine itself. Our findings are promising as they indicate that given time, and the continued growth of evidence regarding the safety and effectiveness of HPV vaccination, completion rates should increase. However, our results also suggest that vaccination delays are not merely a matter of scientific doubt but also based on parents' (potentially inaccurate) perceptions of their child's sexual readiness, and thus potentially more difficult to overcome.
authors.affiliation: 1 University of Michigan, Ann Arbor, Michigan, USA.|2 National Cancer Institute, Bethesda, Maryland, USA.
authors.forename: Katharine A
authors.initials: KA
authors.lastname: Rendle
authors.affiliation: 3 Carthage College, Kenosha, Wisconsin, USA.
authors.forename: Emily A
authors.initials: EA
authors.lastname: Leskinen
mesh_terms: D000293:Adolescent; D002140:California; D002648:Child; D003657:Decision Making; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage* / Q000009:adverse effects; D010290:Parents / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010465:Perception; D036301:Qualitative Research; D018570:Risk Assessment
chemical_list: D053918:Papillomavirus Vaccines
keywords: United States; adolescents; cancer prevention; decision making; immunization; qualitative; risk; semistructured interviews