Parental Knowledge Attitudes and Behaviours towards Human Papillomavirus Vaccination for Their Children: A Systematic Review from 2001 to 2011

摘要

Objectives. A systematic review of parental surveys about HPV and/or child HPV vaccination to understand parental knowledge, attitudes, and behaviour before and after FDA approval of the quadrivalent HPV vaccine and the bivalent HPV vaccine. Search Strategy. Searches were conducted using electronic databases limited to published studies between 2001 and 2011. Findings. The percentage of parents who heard about HPV rose over time (from 60% in 2005 to 93% in 2009), as did their appreciation for the HPV infection and cervical cancer link (from 70% in 2003 to 91% in 2011). During the FDA approval, there was a stronger vaccine awarenessbut it has waned. The same pattern is seen withparents whose children received the HPV vaccine(peak at 84% in 2010 and now 36% in2011) or the intention to vaccinate (peak at80% in 2008 and now 41% in 2011).Conclusions. Parents had safetyconcerns and wanted more information theirphysician from to recommend and to confidently HPVvaccinate their children.