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Exploring Human Papillomavirus Vaccination Refusal Among Ethnic Minorities in England: A Comparative Qualitative Study.

Exploring Human Papillomavirus Vaccination Refusal Among Ethnic Minorities in England: A Comparative Qualitative Study.
Author Information (click to view)

Forster AS, Rockliffe L, Marlow LA, Bedford H, McBride E, Waller J,


Forster AS, Rockliffe L, Marlow LA, Bedford H, McBride E, Waller J, (click to view)

Forster AS, Rockliffe L, Marlow LA, Bedford H, McBride E, Waller J,

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Psycho-oncology 2017 02 23() doi 10.1002/pon.4405
Abstract
OBJECTIVES
In England, uptake of human papillomavirus (HPV) vaccination to prevent HPV-related cancer is lower among girls from ethnic minority backgrounds. We aimed to explore the factors that prevented ethnic minority parents from vaccinating, compared to White British non-vaccinating parents and vaccinating ethnic minority parents.

METHODS
Interviews with 33 parents (n = 14 ethnic minority non-vaccinating, n = 10 White British non-vaccinating, n = 9 ethnic minority vaccinating) explored parents’ reasons for giving or withholding consent for HPV vaccination. Data were analysed using Framework Analysis.

RESULTS
Concerns about the vaccine were raised by all non-vaccinating ethnic minority parents, and they wanted information to address these concerns. External and internal influences affected parents’ decisions, as well as parents’ perceptions that HPV could be prevented using means other than vaccination. Reasons were not always exclusive to non-vaccinating ethnic minority parents, although some were, including a preference for abstinence from sex before marriage. Only ethnic minority parents wanted information provided via workshops.

CONCLUSIONS
Ethnic differences in HPV vaccination uptake may be partly explained by concerns that were only reported by parents from some ethnic groups. Interventions to improve uptake may need to tackle difficult topics like abstinence from sex before marriage, and use a targeted format.

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