OBJECTIVES: Australia was one of the first countries to implement a nationwide program providing HPV vaccination to girls at school. To date, there are no published studies describing decision-making processes and behavior postimplementation of HPV vaccination of adolescents participating in a school-based program. DESIGN: A purposive sample of nine schools was selected to reflect a range of vaccination coverage and school types. Semistructured focus groups with girls and interviews with parents, teachers, and immunization nurses (n = 185) were conducted until saturation was reached. Transcripts were analyzed inductively and emergent themes were subject to constant comparison. MAIN OUTCOME MEASURES: Explanatory model of decision-making in HPV vaccination. RESULTS: An explanatory model of decision-making and behavior was constructed from the data. Five decision-making states emerged across a continuum of vaccination behavior: active decision-vaccinated, passive decision- vaccinated, passive decision- not vaccinated, active decision- not vaccinated, and antivaccination. A range of factors influenced participants in each decision-behavior state. Adolescents were often part of the decision-making process. Where adolescents were not involved, nonagreement sometimes occurred. CONCLUSION: We have presented a variety of paths girls and their parents experience regarding decision-making and behavior in HPV vaccination. Attitudes, past experiences, and worldviews contributed to this process.
OBJECTIVES: Australia was one of the first countries to implement a nationwide program providing HPV vaccination to girls at school. To date, there are no published studies describing decision-making processes and behavior postimplementation of HPV vaccination of adolescents participating in a school-based program. DESIGN: A purposive sample of nine schools was selected to reflect a range of vaccination coverage and school types. Semistructured focus groups with girls and interviews with parents, teachers, and immunization nurses (n = 185) were conducted until saturation was reached. Transcripts were analyzed inductively and emergent themes were subject to constant comparison. MAIN OUTCOME MEASURES: Explanatory model of decision-making in HPV vaccination. RESULTS: An explanatory model of decision-making and behavior was constructed from the data. Five decision-making states emerged across a continuum of vaccination behavior: active decision-vaccinated, passive decision- vaccinated, passive decision- not vaccinated, active decision- not vaccinated, and antivaccination. A range of factors influenced participants in each decision-behavior state. Adolescents were often part of the decision-making process. Where adolescents were not involved, nonagreement sometimes occurred. CONCLUSION: We have presented a variety of paths girls and their parents experience regarding decision-making and behavior in HPV vaccination. Attitudes, past experiences, and worldviews contributed to this process.
Authors: Jane K Cover; Nguyen Quy Nghi; D Scott LaMontagne; Dang Thi Thanh Huyen; Nguyen Tran Hien; Le Thi Nga Journal: BMC Public Health Date: 2012-08-09 Impact factor: 3.295
Authors: S Rachel Skinner; Cristyn Davies; Spring Cooper; Tanya Stoney; Helen Marshall; Jane Jones; Joanne Collins; Heidi Hutton; Adriana Parrella; Gregory Zimet; David G Regan; Patti Whyte; Julia M L Brotherton; Peter Richmond; Kirsten McCaffrey; Suzanne M Garland; Julie Leask; Melissa Kang; Annette Braunack-Mayer; John Kaldor; Kevin McGeechan Journal: BMC Public Health Date: 2015-09-15 Impact factor: 3.295
Authors: Maria Grandahl; Tanja Tydén; Ragnar Westerling; Tryggve Nevéus; Andreas Rosenblad; Erik Hedin; Marie Oscarsson Journal: J Sch Health Date: 2017-01 Impact factor: 2.118