TY - JOUR
T1 - Human papillomavirus vaccination uptake: a longitudinal study showing ethnic differences in the influence of the intention-to-vaccinate among parent-daughter dyads
AU - Jongen, Vita W.
AU - van der Loeff, Maarten F. Schim
AU - Boyd, Anders
AU - Petrignani, Mariska
AU - Prins, Maria
AU - van der Wal, Marcel
AU - Nielen, Astrid
AU - de Melker, Hester
AU - Paulussen, Theo G. W. M.
AU - Alberts, Catharina J.
N1 - Funding Information: This study was funded by grant 50-50405-98-121 (dossier number 204005002, Academic Collaborative) from ZonMw, the Netherlands, a grant from the GGD Research & Development fund of the Public Health Service of Amsterdam (project number 11?15; kp 2617) and a grant from the RAC of the National Institute of Public Health and the Environment (RIVM) (reference 00077/2019 LCI]vD/HvdK/ks). We would like to thank all parents/guardians and their daughters for participating in this study. Additionally, we would like to thank the research assistants who assisted in gathering the data for this study, the data managers, and Yvonne Hazeveld and Fatima El Fakiri (GGD Amsterdam), members of the HP4V advisory group. We would like to thank Susan Gamon for proof reading the manuscript. Publisher Copyright: © 2020 Taylor & Francis Group, LLC.
PY - 2021
Y1 - 2021
N2 - Introduction: It is unclear what role daughters play in the decision-making process regarding HPV vaccination. Therefore, we explored the impact of HPV vaccination intention among parents and their 12–13 year-old daughters on HPV vaccination uptake. Methods: In February 2014 parents/guardians and their 12–13 year-old daughters were invited to complete a questionnaire about socio-psychological determinants of the decision-making process regarding HPV vaccination. Vaccination status of the daughter was retrieved from the national vaccination database after the last possible vaccination date in 2014. The association between HPV vaccination uptake and intention, and determinants of intention, was jointly assessed using a generalized structural equation model, stratified by origin of parents (Dutch versus non-Dutch). Results: In total, 273 Dutch parent-daughter dyads and 165 non-Dutch dyads were analyzed for this study. HPV vaccination uptake was 90% (246/273) and 84% (139/165) in the Dutch and non-Dutch group, respectively. In the Dutch group, high parental intention (β = 2.3, 95%CI 1.2–3.3) and high daughters’ intention (β = 1.5, 95%CI 0.41–2.6) were significantly associated with HPV vaccination uptake. In the non-Dutch group, high daughters’ intention (β = 1.2, 95%CI 0.16–2.2) was significantly associated with HPV vaccination, but high parental intention was not (β = 0.52, 95%CI −0.47–1.5). Attitude was the most prominent socio-psychological determinant associated with vaccination intention among all groups. Conclusion: In the non-Dutch group, only daughters’ intention was significantly associated with HPV vaccination uptake, whereas in the Dutch group both the parents’ and the daughters’ intention were significantly associated with uptake. The role of the child in the decision-making process might need to be taken into account when developing new interventions focused on increasing HPV vaccination uptake, especially among individuals of non-Dutch origin.
AB - Introduction: It is unclear what role daughters play in the decision-making process regarding HPV vaccination. Therefore, we explored the impact of HPV vaccination intention among parents and their 12–13 year-old daughters on HPV vaccination uptake. Methods: In February 2014 parents/guardians and their 12–13 year-old daughters were invited to complete a questionnaire about socio-psychological determinants of the decision-making process regarding HPV vaccination. Vaccination status of the daughter was retrieved from the national vaccination database after the last possible vaccination date in 2014. The association between HPV vaccination uptake and intention, and determinants of intention, was jointly assessed using a generalized structural equation model, stratified by origin of parents (Dutch versus non-Dutch). Results: In total, 273 Dutch parent-daughter dyads and 165 non-Dutch dyads were analyzed for this study. HPV vaccination uptake was 90% (246/273) and 84% (139/165) in the Dutch and non-Dutch group, respectively. In the Dutch group, high parental intention (β = 2.3, 95%CI 1.2–3.3) and high daughters’ intention (β = 1.5, 95%CI 0.41–2.6) were significantly associated with HPV vaccination uptake. In the non-Dutch group, high daughters’ intention (β = 1.2, 95%CI 0.16–2.2) was significantly associated with HPV vaccination, but high parental intention was not (β = 0.52, 95%CI −0.47–1.5). Attitude was the most prominent socio-psychological determinant associated with vaccination intention among all groups. Conclusion: In the non-Dutch group, only daughters’ intention was significantly associated with HPV vaccination uptake, whereas in the Dutch group both the parents’ and the daughters’ intention were significantly associated with uptake. The role of the child in the decision-making process might need to be taken into account when developing new interventions focused on increasing HPV vaccination uptake, especially among individuals of non-Dutch origin.
KW - HPV
KW - Human papillomavirus
KW - The Netherlands
KW - parent-daughter dyads
KW - vaccination
KW - vaccination acceptability
KW - vaccination intention
KW - vaccination uptake
UR - http://www.scopus.com/inward/record.url?scp=85091378221&partnerID=8YFLogxK
U2 - https://doi.org/10.1080/21645515.2020.1808411
DO - https://doi.org/10.1080/21645515.2020.1808411
M3 - Article
C2 - 32966170
SN - 2164-5515
VL - 17
SP - 990
EP - 999
JO - Human vaccines & immunotherapeutics
JF - Human vaccines & immunotherapeutics
IS - 4
ER -