Research Article

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

Table 1

Included studies (by research question and focus).

First authorPublication dateYear survey distributed Where study completedNumber of parentsPercent of mothersResearch question (purpose or intent)Knowledge focus Behaviour focus Attitude focus

Allen20102007 USA451Not specifiedDetermine factors influencing parental decisions regarding HPV vaccination in young girlsYesYesYes
Askelson20102010 USA217100%To investigate the influences of mothers' intentions to vaccinate their 9- to 15-year old daughters against HPVYesNoYes
Barnack20102006 USA10076%Examined potential predictors of parents' willingness to vaccinate their children for HPV and physicians' intentions to encourage parents to vaccinate their childrenNoNoYes
Bernat20092007 USA150472.50%Assess support for the HPV vaccine among a representative sample of parents across MinnesotaYesNoYes
Brabin20062005 GB/EU317Not specifiedAssess perceptions and attitudes to HPV vaccination as determinants of acceptance of HPV policies among a representative sample of parents of young adolescents living in ManchesterYesNoYes
Breitkopf20092007 Asia13982.7%Examine parents' perceptions of the role of mothers, fathers, and daughters in the decision to have the daughter receive the HPV vaccine; also examined perceived concordance between spouses and between parents and their daughters with regard to vaccine acceptanceYesNoYes
Brewer20112007 USA65094%(1) Characterize HPV vaccine initiation by a racially diverse sample of adolescent girls from both rural and urban areas with elevated rates of cervical cancer; (2) identify reasons for low HPV vaccine initiation rates using a longitudinal study designYesYesYes
Brown20102008 USA307100%(a) Hypothesize that consumers would have clear preferences over several features of HPV vaccines, favouring cervical cancer protection above all other features; (b) postulate that the estimated value of consumer benefits would exceed the current retail prices of HPV vaccines given the positive and increasing demand for HPV vaccines; (c) hypothesize that total uptake of HPV vaccines would increase when a 2nd vaccine was added to the USYesNoYes
Cates20102008 USA69680.6%Examined characteristics of parents, their adolescent daughters, and households as potential correlates of HPV vaccine awareness and information sources; associations of information sources with HPV vaccine initiationYesYesNo
Chan20072006 Asia170100%Studied the utility of an information pamphlet on HPV vaccine in improving acceptance of HPV vaccination for their daughters among the study subjectsYesNoYes
Chow20102008 Asia1617100%Determine attitudes and knowledge levels around cervical cancer and HPV vaccination amongst both physicians and mothers in AsiaYesYesYes
Constantine20062006 USA52273%(1) Levels of parental acceptance of HPV vaccination for adolescent and preadolescent daughters; (2) potential race/ethnicity and other subgroup disparities in acceptance rates; (3) parents' reasons for acceptance or nonacceptanceNoNoYes
Dahlstrom20092007 GB/EU1394658%Examine Swedish parents' perceptions and concerns about HPV vaccination, their willingness to vaccinate their children against HPV when the vaccine is free or not and correlates of acceptability of the new HPV vaccineYesNoYes
Davis20042003 USA50689%Ascertain parental perception and knowledge regarding HPV and to determine predictors of parental acceptance of a prophylactic HPV vaccine for their 10- to 15-year-old adolescentsYesNoYes
de Visser20082008 GB/EU353Not specifiedIdentify correlates of parents' anticipated uptake of HPV vaccination for their sons and daughtersYesNoYes
Dempsey20052007 USA41184%To measure parental acceptability of HPV vaccines—to look at the effects of HPV information on the parental acceptance of HPV vaccinationYesNoYes
Dempsey20092005 USA52100%To compare the reasons why mothers do or do not have their adolescent daughters vaccinated against HPVYesYesYes
Dinh20072005 Asia181100%Describe general attitudes toward vaccination and toward an HPV vaccine, in particular, among female caregivers of young women, also investigated potential cultural factors that may influence HPV vaccination uptakeYesNoYes
Dursun P.20092007 Turkey (multiple cities) 1427100% To measure the basal knowledge Turkish women have about HPV and their acceptance of the HPV vaccine for themselves and their children, using a national sample of Turkish womenYesNoYes
Fang20102007 USA138352.30% To report on acceptability of the HPV vaccine among a national sample of adults with female children in the household and to investigate health behaviour correlates of vaccine acceptabilityYesNoYes
Ferris20102008 USA32587%Determine factors that influence parental acceptance of a mandatory HPV vaccination programYesYesYes
Gerend20092008 USA8295%Examined parents' knowledge and beliefs about HPV vaccination, as well as correlates of HPV vaccine uptake and intentions to vaccinate a daughter/son in the futureYesYesYes
Gillespie20112011 USA8186% To evaluate HPV vaccine acceptance among parents and guardians of children aged 0–10 yearsYesNoYes
Gottlieb20092007 USA88993%Assess HPV vaccine uptake by adolescent girls, their parents' intentions for them to be vaccinated, and potential barriers to their vaccination in an area with elevated cervical cancer ratesYesYesYes
Guerry20112007 USA50986%To determine vaccine uptake among adolescent girls, parents' intentions to vaccinate their daughters and barriers and facilitators of vaccination in a population at elevated risk for cervical cancerYesYesYes
Hausdorf20072004 NZ/AU2165Not specifiedParents' willingness to vaccinate their children against HPV and impact of potential barriers to vaccinationYesNoYes
Horn20092008 USA32588.60%Determine parents' opinions about HPV vaccine mandates to more effectively implement a universal HPV-vaccination programYesYesYes
Hughes20092007 USA88994%Examine whether HPV and HPV vaccine awareness, knowledge, and use of information sources differ by caregivers' sex, race, age, education, income, and rural/urban residence; chose to examine variables associated with cervical cancer disease burdenYesYesNo
Ilter20102009 GB/EU131100%To examine Muslim Turkish women's knowledge about cervical cancer screening (Pap smear) test, HPV, HPV vaccine, and their attitude toward vaccination to themselves and their daughtersNoNoYes
Kahn20092007 USA7207100% To examine mothers’ intention to vaccinate their daughters and themselves against HPV and to determine which demographic, behavioural, and attitudinal factors were associated with intention to vaccinate daughtersNoNoYes
Kang20102009 Asia667100%To examine the attitudes, intentions, and perceived barriers to HPV vaccination among Korean high school girls and their mothersYesNoYes
Lenselink20072007 GB/EU35691%Assess whether Dutch parents agree to vaccinate their children against HPV infections, which factors influence their decisions and to study their knowledge about HPV, cervical cancer and HPV vaccinationYesNoYes
Marlow20082006 GB/EU296100%Willingness to have their daughters vaccinatedNoNoYes
Marlow20072007 GB/EU684100% To examine the association between general vaccine attitudes, trust in doctors and the government, past experience with vaccination, and acceptance of HPV vaccinationNoNoYes
Marlow20092006 GB/EU332100% To examine the prevalence and predictors of the belief that HPV vaccination will result in “risk compensation,” that is, will increase risky sexual behaviourYesNoYes
Marshall20072006 NZ/AU601Not specifiedAssess community (adult and parental) attitudes in both men and women to the introduction of HPV vaccines in metropolitan and rural South AustraliaNoNoYes
Mortensen20102010 GB/EU45073%Assess parental attitudes towards male HPV vaccination in terms of their acceptance, refusal, or doubts, and who they relied on for informationNoYesYes
Ogilvie20102009 Canada202584.90%Assess the level of uptake of the first dose of the HPV vaccine and to determine the factors associated with receipt of the HPV vaccineYesYesYes
Ogilvie20082007 Canada208373.50%Ascertain parental intentions to vaccinate their sons against HPV in Canada and to determine factors that predict parental intention to vaccinate their sons against HPVYesNoYes
Pelucchi20102008 GB/EU233152.60%Provide basic data necessary for the development of adequate training programs for health professionalsYesNoYes
Podolsky20092009 USA308100%Comparing two populations to gain insight into the potential impact of differences such as vaccine availability, media attention, attitudes about vaccines in general, and knowledge about HPV and vaccine acceptabilityYesNoYes
Rand20112008 USA382100%Factors influencing acceptance of vaccine: perceived susceptibility to HPV; benefits of vaccination, safety concerns; parents satisfaction with communication of vaccineYesYesYes
Reiter20102008 USA61783%Assessing vaccine initiation for HPVNoYesYes
Reiter20102010 USA406100%Acceptability after FDA approval for sonsYesNoYes
Reiter20092007 USA88994%Identify parent beliefs associated with HPV vaccine initiation; determine if associations differed by race and urban/rural statusNoYesYes
Reiter20112011 USA647Not specifiedAssess correlates of uptake of 3 vaccines (tetanus booster, meningococcal, and HPV vaccines) recommended for adolescent femalesNoYesNo
Rose20102008 NZ/AU76994.3%To describe parents' preferences on where their daughters receive the HPV vaccine, at what age, and their information needsNoNoYes
Rosenthal20082007 USA15389%Examine relationships of demographics, parenting, and vaccine attitudes with the acceptance of HPV vaccine or to the intent to vaccinate in the next 12 monthsNoYesYes
Toffolon-Weiss20082007 USA8080%To describe Alaska native-parents knowledge of and attitudes towards cervical cancer, HPV, and HPV vaccineYesNoNo
Tozzi20092007 GB/EU807100%(1) Assess parents' knowledge about HPV and HPV vaccination and their willingness to have their daughters immunized; (2) to investigate the roles of the different medical specialists in the immunization strategy as perceived by parentsYesNoYes
Woodhall20072005 GB/EU72770%To examine acceptance of HPV vaccination by adolescents and their parentsYesNoYes
Yeganeh20102008 USA95100%Examine factors associated with parental consent for HPV vaccination one year after vaccine implementation as well as parental support for an HPV vaccine mandate for middle-school-age childrenYesYesYes
Ziarnowski20092007 USA88994%Examined the role of anticipated regret in caregivers' HPV vaccination decisions as well as potential antecedents of anticipated regretNoYesYes