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. 2016 Sep;25(9):1317-25.
doi: 10.1158/1055-9965.EPI-15-1159. Epub 2016 Aug 19.

Parents' Support for School-Entry Requirements for Human Papillomavirus Vaccination: A National Study

William A Calo  1 , Melissa B Gilkey  2 , Parth D Shah  3 , Jennifer L Moss  4 , Noel T Brewer  5
Affiliations

Parents' Support for School-Entry Requirements for Human Papillomavirus Vaccination: A National Study

William A Calo et al. Cancer Epidemiol Biomarkers Prev. 2016 Sep.

Abstract

Background: The number of states proposing school-entry requirements for human papillomavirus (HPV) vaccination has increased over the last decade. However, data are currently limited regarding parents' support of such laws. We sought to obtain the first national estimates of parents' support of HPV vaccination school-entry requirements.

Methods: A national sample of 1,501 parents of 11- to 17-year-old children completed a web-based survey between November 2014 and January 2015. Analyses used multivariable logistic regression to assess correlates of support for school-entry requirements for HPV vaccination.

Results: Overall, 21% of parents agreed that laws requiring HPV vaccination for school attendance "are a good idea," and 54% disagreed. If school-entry requirements included opt-out provisions, agreement increased to 57%, and only 21% disagreed. Parents more often agreed with requirements without opt-out provisions if they were Hispanic [OR = 1.53; 95% confidence interval (CI), 1.05-2.22], believed HPV vaccine was as or more important than other adolescent vaccines (OR = 2.76; 95% CI, 1.98-3.83), or believed HPV vaccine was effective for preventing cervical cancer (OR = 2.55; 95% CI, 1.93-3.37). Parents less often agreed if they resided in Midwest states or believed that HPV vaccine was being pushed to make money for drug companies (both P < 0.05).

Conclusion: Opt-out provisions almost tripled parents' support for HPV vaccine school-entry requirements. Our findings suggest that race/ethnicity, attitudes about HPV vaccine, and region of residence may influence support for requirements without opt-out provisions.

Impact: Opt-out provisions greatly increase parent support of school-entry requirements for HPV vaccination but may make them ineffective. Cancer Epidemiol Biomarkers Prev; 25(9); 1317-25. ©2016 AACR.

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Conflict of interest statement

of Potential Conflicts of Interest: The other authors of this paper have no financial disclosures or potential conflicts of interest to report.

Figures

Figure 1
Figure 1
Agreement with school-entry requirements for HPV vaccine.
Figure 2
Figure 2
Parental support for school-entry requirement laws with and without opt-out provisions. NOTE: Black bars show the proportion of parents agreeing that HPV vaccine requirements “are a good idea,” when opt-out provisions were not mentioned in the statement, and white bars show the additional proportion of parents agreeing that “these laws are okay only if parents can opt out if they want to.”
See this image and copyright information in PMC

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