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Parents and school HPV uptake

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In BC’s free school HPV program, about 65% of surveyed parents reported first-dose receipt—lower than concurrent hepatitis B and meningitis C consent rates.

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A population-based evaluation of a publicly funded, school-based HPV vaccine program in British Columbia, Canada: parental factors associated with HPV vaccine receipt

Ogilvie G, Anderson M, Marra F, et al. · PLoS medicine · 2010

doi.org/10.1371/journal.pmed.1000270Read the full paper ↗177 citationscc by

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Parents and school HPV uptake

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2,025 of 4,031 eligible parents completed the survey (50.2%).

Of the remaining 4,031 eligible to complete the survey, 2,025 parents agreed to complete the survey (50.2%).

65.1% reported daughters received first HPV dose.

Respondents were representative of the population distribution of grade 6 girls in health authorities in the province, and 1,318 (65.1%; 95% CI 63.1–67.1) of parents in the survey reported that their daughters had received the first dose of the HPV vaccine.
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What they did

Researchers telephoned a random sample of parents of grade-6 girls eligible for publicly funded school HPV vaccination and analyzed factors associated with vaccine receipt.

What they found

2,025 parents responded (50.2%); 65.1% reported HPV dose 1 vs ~88% hepatitis B and ~86% meningitis C consent in the same program, showing residual hesitancy despite free access.

The limits

What it doesn't show

Self-reported receipt may misclassify doses, and two health areas lacking the registry were excluded.

Key terms

HPV vaccine
Vaccine preventing human papillomavirus infection linked to cervical cancer.
School-based program
Public health nurses offering vaccines in schools with parental consent.
Gardasil
HPV vaccine used in BC’s 2008 grade 6/9 program.
Vaccine hesitancy
Delay or refusal despite availability of vaccination services.
iPHIS
Provincial immunization registry used for sampling.
Parental consent
Parent decision authorizing or declining school vaccination.

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Design?

Common questions

Who was surveyed?

Parents of grade 6 girls in British Columbia eligible for HPV vaccine.

HPV first-dose report rate?

65.1% (95% CI 63.1–67.1).

How did other school vaccines compare?

Hepatitis B ~88.4% and meningitis C ~86.5% consent.

Was cost a barrier?

Program was publicly funded/free; hesitancy persisted anyway.

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