학술논문
"The problem is not lack of information": A qualitative study of parents and school nurses' perceptions of barriers and potential solutions for HPV vaccination in schools.
Document Type
Academic Journal
Author
Dionne M; Institut national de santé publique du Québec, Québec, Canada.; Sauvageau C; Institut national de santé publique du Québec, Québec, Canada; Centre de recherche du CHU de Québec-Université Laval, Québec, Canada; Université Laval, Québec, Canada.; Kiely M; Institut national de santé publique du Québec, Québec, Canada; Centre de recherche du CHU de Québec-Université Laval, Québec, Canada.; Rathwell M; University of Saskatchewan, Saskatoon, Canada; Urban Public Health Network, Saskatoon, Canada.; Bandara T; University of Saskatchewan, Saskatoon, Canada; Urban Public Health Network, Saskatoon, Canada.; Neudorf C; University of Saskatchewan, Saskatoon, Canada; Urban Public Health Network, Saskatoon, Canada.; Dubé È; Institut national de santé publique du Québec, Québec, Canada; Centre de recherche du CHU de Québec-Université Laval, Québec, Canada. Electronic address: eve.dube@inspq.qc.ca.
Source
Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 8406899 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-2518 (Electronic) Linking ISSN: 0264410X NLM ISO Abbreviation: Vaccine Subsets: MEDLINE
Subject
Language
English
Abstract
Background: HPV vaccination has been offered in school programs for over a decade in Quebec, Canada, but the vaccine coverages are not reaching the target coverage in several regions. This qualitative study aimed to describe barriers and enabling conditions of HPV vaccination as perceived by parents and school nurses and identify potential solutions to improve HPV vaccine uptake rates and acceptance in school-based programs.
Methods: Three focus group discussions were conducted with parents of children in Grades 2 or 3 who were unsure or unwilling to vaccinate. Individual interviews were conducted with 24 school nurses. A thematic content analysis was performed using N'Vivo.
Results: The main parental questions and concerns regarding the HPV vaccination were the children's young age, the possible side effects, the rationale behind boys' vaccination and the possible interaction with COVID-19 vaccination. Except for interaction with COVID-19 vaccination, these concerns remain similar to those identified before the pandemic. Interviews highlighted that the information on HPV vaccination provided by the public was not well understood by parents. Parents suggested different tools to access information tailored to their concerns and situation. From the nurses' perspective, HPV vaccination promotion tools such as decision-aids and social media communication campaigns were needed and could reduce their work.
Conclusion: COVID-19 may have disrupted the acceptance of the vaccines. While strategies to catch up on missed doses and reduce access barriers to vaccines are urgently needed, our findings highlight that a shift in attitudes toward routine vaccines may pose further challenges even if HPV vaccine coverage appears to have returned to pre-pandemic levels.
Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: CS has research grants paid to the organization (INSPQ or CRCHU de Québec-Université Laval) for clinical trials and epidemiological studies funded by non-profit organizations: MSSS, Bill & Melinda Gates Foundation and Michael Smith Foundation). CS is an active member of the Comité sur l’immunisation du Québec and the National Advisory Committee on Immunization HPV Vaccination and Herpes Zoster Vaccination Working Group.
(Copyright © 2023. Published by Elsevier Ltd.)
Methods: Three focus group discussions were conducted with parents of children in Grades 2 or 3 who were unsure or unwilling to vaccinate. Individual interviews were conducted with 24 school nurses. A thematic content analysis was performed using N'Vivo.
Results: The main parental questions and concerns regarding the HPV vaccination were the children's young age, the possible side effects, the rationale behind boys' vaccination and the possible interaction with COVID-19 vaccination. Except for interaction with COVID-19 vaccination, these concerns remain similar to those identified before the pandemic. Interviews highlighted that the information on HPV vaccination provided by the public was not well understood by parents. Parents suggested different tools to access information tailored to their concerns and situation. From the nurses' perspective, HPV vaccination promotion tools such as decision-aids and social media communication campaigns were needed and could reduce their work.
Conclusion: COVID-19 may have disrupted the acceptance of the vaccines. While strategies to catch up on missed doses and reduce access barriers to vaccines are urgently needed, our findings highlight that a shift in attitudes toward routine vaccines may pose further challenges even if HPV vaccine coverage appears to have returned to pre-pandemic levels.
Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: CS has research grants paid to the organization (INSPQ or CRCHU de Québec-Université Laval) for clinical trials and epidemiological studies funded by non-profit organizations: MSSS, Bill & Melinda Gates Foundation and Michael Smith Foundation). CS is an active member of the Comité sur l’immunisation du Québec and the National Advisory Committee on Immunization HPV Vaccination and Herpes Zoster Vaccination Working Group.
(Copyright © 2023. Published by Elsevier Ltd.)