Analysis of Parents’ Attitudes and Knowledge toward Immunization and How These Factors Influence Their Decisions to Vaccinate Their Children against Human Papilloma Virus (HPV)
Abstract
:1. Introduction
1.1. A Group of Contextual Factors
1.2. A Group of Factors Connected with Individual Perception
1.3. A Group of Factors Directly Related to Specific Vaccines
2. Materials and Methods
3. Results
3.1. General Characteristics of the Study Group
3.2. Attitude of Surveyed Parents toward Mandatory Vaccinations
3.3. Beliefs about Immunization
3.4. Parents’ Knowledge and Attitudes vs. Timeliness of Mandatory Vaccinations
3.5. Parents’ Knowledge and Attitudes vs. HPV Vaccination of Children Compared to Mandatory Vaccines
3.6. Attitudes toward Vaccinating Oneself against HPV
3.7. Survey Respondents’ Approach to Vaccination against COVID 19
4. Discussion
Limitations
5. Conclusions
- (1)
- Knowledge of the possibility of vaccinating adults against HPV was not widespread, including among respondents with a pro-vaccination attitude. Awareness campaigns should emphasize the possibility of HPV vaccination for adults as well, especially since they do not only have a preventive effect, but also have a potentially therapeutic role.
- (2)
- Factors positively influencing vaccination against HPV were respondents’ agreement with statements emphasizing vaccine safety and vaccine efficacy, and younger parental age. Most important for the positive decision to vaccinate a child was the awareness that the HPV vaccine protects against cancer; information about the human papillomavirus infection and its carcinogenic effects should be more widely publicized, together with the safety data of HPV vaccines.
- (3)
- Factors negatively influencing vaccination against HPV were parents’ agreement with statements presenting concerns about vaccination, anti-vaccine myths, and the parents’ older age. The most significant influence on the negative decision to immunize was the respondent’s compliance with the opinion that HPV vaccines can affect the child’s sexual activity.
- (4)
- The timeliness of mandatory immunization in children was associated, as with HPV vaccination, with beliefs about the safety and efficacy of vaccination. Concerns or belief in anti-vaccine myths, especially related to beliefs about the side effects of vaccination, had a negative impact on the timely vaccination of children according to the vaccination schedule. The greater availability of information on adverse vaccine reactions—both reported by medical professionals and patients themselves—could increase confidence in the data on this topic. Fear of vaccine side effects is one of the most significant determinants holding parents back from immunization, including against HPV.
- (5)
- It is important to increase the competence of medical personnel in communicating information about vaccination and its safety, as well as their ability to talk to fearful and/or skeptical parents. It should be emphasized, however, that the fight against vaccination misinformation must also take place on social media, with use of modern methods, as the Internet is one of the main sources of information for many parents.
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variable | |
---|---|
Female | 217 (86.8%) |
Age (years) | |
18–25 | 7 (2.8%) |
26–35 | 43 (17.1%) |
36–45 | 124 (49.4%) |
45–60 | 76 (30.3%) |
Education | |
Primary education | 4 (1.6%) |
Secondary education | 37 (14.8%) |
Higher education Bachelor’s degree | 19 (7.6%) |
Higher education level 2 or 3 | 190 (76%) |
Number of children | |
1 | 91 (37.8%) |
2 | 117 (48.1%) |
3 | 28 (11.6%) |
4 | 4 (1.7%) |
Statements * | OR | 95% CI | p-Value |
---|---|---|---|
I | 1.98 | 1.48–2.65 | >0.001 ** |
II | 1.60 | 1.31–1.96 | >0.001 ** |
III | 1.10 | 0.86–1.41 | 0.433 |
IV | 0.89 | 0.71–1.12 | 0.329 |
V | 0.90 | 0.73–1.10 | 0.310 |
VI | 0.72 | 0.59–0.87 | 0.001 ** |
VII | 0.73 | 0.60–0.89 | 0.002 ** |
VIII | 0.73 | 0.57–0.92 | 0.007 ** |
IX | 0.71 | 0.53–0.96 | 0.024 ** |
X | 1.35 | 1.08–1.68 | 0.008 ** |
XI | 0.65 | 0.52–0.81 | >0.001 ** |
XII | 1.42 | 1.14–1.77 | 0.002 ** |
XIII | 0.96 | 0.78–1.19 | 0.709 |
XIV | 1.84 | 1.41–2.41 | >0.001 ** |
XV | 0.55 | 0.43–0.72 | >0.001 ** |
Sex (male) | 3.01 | 0.69–13.20 | 0.144 |
Parents’ age | 1.22 | 0.75–1.98 | 0.422 |
Education | 1.43 | 0.97–2.10 | 0.069 |
Medical education | 0.47 | 0.16–1.41 | 0.180 |
Statements * | OR | 95% CI | p-Value |
---|---|---|---|
I | 1.67 | 1.22–2.28 | 0.001 ** |
XIV | 1.56 | 1.15–2.11 | 0.004 ** |
Statements * | OR | 95% CI | p-Value |
---|---|---|---|
I | 1.33 | 1.04–1.71 | 0.024 ** |
II | 1.37 | 1.14–1.66 | 0.001 ** |
III | 0.95 | 0.80–1.13 | 0.577 |
IV | 0.83 | 0.70–0.99 | 0.039 ** |
V | 0.99 | 0.85–1.14 | 0.847 |
VI | 0.78 | 0.67–0.91 | 0.002 ** |
VII | 0.81 | 0.69–0.95 | 0.009 ** |
VIII | 0.70 | 0.56–0.88 | 0.002 |
IX | 0.45 | 0.30–0.67 | >0.001 ** |
X | 1.39 | 1.13–1.70 | 0.002 ** |
XI | 0.72 | 0.59–0.89 | 0.002 ** |
XII | 1.26 | 1.03–1.54 | 0.022 ** |
XIII | 0.94 | 0.80–1.10 | 0.424 |
XIV | 1.28 | 1.03–1.60 | 0.027 ** |
XV | 0.89 | 0.74–1.07 | 0.213 |
Statements * | OR | 95% CI | p-Value |
---|---|---|---|
IX | 0.48 | 0.32–0.73 | 0.001 ** |
X | 1.26 | 1.02–1.57 | 0.031 ** |
Parents’ age | 0.63 | 0.42–0.95 | 0.028 ** |
Statement | 1. I am Vaccinated against HPV 2. No But I Consider to Vaccinate 3. No and I Do Not Plan to Vaccinate | p-Value 1 vs. 2 1 vs. 3 2 vs. 3 |
---|---|---|
I—Immunizations are safe | 2 vs. 3 p = 0.004 | |
II—Vaccinations should be mandatory | 2 vs. 3 p < 0.001 | |
VI—Knowledge about how vaccines work is too low | 1 vs. 2 p = 0.014 2 vs. 3 p < 0.001 | |
VII—Pregnant women should not be vaccinated with any vaccines | 2 vs. 3 p = 0.001 | |
VIII—Some vaccinations can alter the human genome | 2 vs. 3 p = 0.021 | |
IX—Vaccinating girls against HPV affects their sexual activity | 2 vs. 3 p = 0.010 | |
X—HPV vaccination protects against some cancers | 2 vs. 3 p = 0.029 | |
XI—Some vaccines cause autism | 2 vs. 3 p = 0.004 | |
XII—Vaccination is very effective in protecting against infectious diseases | 1 vs. 2 p = 0.004 2 vs. 3 p=0.022 | |
XIV—Vaccination effectively protects against remote effects of infectious diseases | 2 vs. 3 p = 0.005 | |
XV—Vaccinations can overtax a child’s immune system | 2 vs. 3 p = 0.023 |
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Zastawna, B.; Milewska, A.; Załuska, R.; Kozłowski, R.; Zastawna, M.; Marczak, M. Analysis of Parents’ Attitudes and Knowledge toward Immunization and How These Factors Influence Their Decisions to Vaccinate Their Children against Human Papilloma Virus (HPV). Medicina 2023, 59, 1755. https://doi.org/10.3390/medicina59101755
Zastawna B, Milewska A, Załuska R, Kozłowski R, Zastawna M, Marczak M. Analysis of Parents’ Attitudes and Knowledge toward Immunization and How These Factors Influence Their Decisions to Vaccinate Their Children against Human Papilloma Virus (HPV). Medicina. 2023; 59(10):1755. https://doi.org/10.3390/medicina59101755
Chicago/Turabian StyleZastawna, Beata, Anna Milewska, Roman Załuska, Remigiusz Kozłowski, Martyna Zastawna, and Michał Marczak. 2023. "Analysis of Parents’ Attitudes and Knowledge toward Immunization and How These Factors Influence Their Decisions to Vaccinate Their Children against Human Papilloma Virus (HPV)" Medicina 59, no. 10: 1755. https://doi.org/10.3390/medicina59101755