parent-son decision-making about human papillomavirus vaccination a qualitative analysisparent-son决策关于人类乳头瘤病毒疫苗接种的定性分析.pdf

Alexander et al. BMC Pediatrics 2012, 12:192 /1471-2431/12/192 RESEARCH ARTICLE Open Access Parent-son decision-making about human papillomavirus vaccination: a qualitative analysis 1,2,3* 2,3 2,3 1 1 Andreia B Alexander , Nathan W Stupiansky , Mary A Ott , Debby Herbenick , Michael Reece and Gregory D Zimet2,3 Abstract Background: Licensed for use in males in 2009, Human Papillomavirus (HPV) vaccination rates in adolescent males are extremely low. Literature on HPV vaccination focuses on females, adult males, or parents of adolescent males, without including adolescent males or the dynamics of the parent-son interaction that may influence vaccine decision-making. The purpose of this paper is to examine the decision-making process of parent-son dyads when deciding whether or not to get vaccinated against HPV. Methods: Twenty-one adolescent males (ages 13– 17), with no previous HPV vaccination, and their parents/ guardians were recruited from adolescent primary care clinics serving low to middle income families in a large Midwestern city. Dyad members participated in separate semi-structured interviews assessing the relative role of the parent and son in the decision regarding HPV vaccination. Interviews were recorded, transcribed, and coded using inductive content analysis. Results: Parents and sons focused on protection as a reason for vaccination; parents felt a need to protect their child, while sons wanted to protect their own health. Parents and sons commonly misinterpreted the information about the vaccine. Sons were concerned about an injection in the penis, while some parents and sons thought the vaccine would protect them against other sexually transmitted infections inc