Factors influencing parental decision making for the human papillomavirus (HPV) vaccine: A literature review (pp. 265-276)
Authors: Nemica Thavarajah, Edward Chow, and Jose Arocha
Abstract: The primary objective of this study was to explore the literature to determine common factors that influence parental decision making regarding uptake of the HPV vaccine for their sons and daughters. A systematic literature review was conducted using MEDLINE, EMBASE, and PsychINFO databases to identify studies published between January 2011 and October 2013 reporting factors influencing parental decision making regarding uptake of the HPV vaccine for their children. A total of 19 studies regarding parental decision making for the HPV vaccine for daughters and/or sons and fit the eligibility criteria were retrieved. The sample size of the studies retrieved ranged from 20 to 8652 parents. The most prevalent factors (found in five or more studies) in order of most to least prevalent included knowledge on prophylaxis; concerns with safety and/or side effects; trust in health provider, and/or government, and/or school; sexual health; positive parental attitudes; insufficient information; influence of family and/or friends; and parent-child communication. Many factors influence parental decisions in regards to providing consent for their children to receive the HPV vaccine. Future efforts should focus on addressing these factors to improve uptake of the HPV vaccine by implementing focused strategies and decision aids to help parents make informed decisions.