A semi-qualitative study of attitudes to vaccinating adolescents against human papillomavirus without parental consent

Brabin, Loretta; Roberts, Stephen A.; Kitchener, Henry C.
January 2007
BMC Public Health;2007, Vol. 7 Issue 1, p20
Academic Journal
Background: The first vaccine to prevent human papillomavirus (HPV) and cervical cancer has been licensed, and in future, vaccination may be routinely offered to 10-14 year old girls. HPV is a sexually transmitted virus and some parents may refuse consent for vaccination. Under-16s in the UK have a right to confidential sexual health care without parental consent. We investigated parents' views on making available HPV vaccination to adolescent minors at sexual health clinics without parental consent. Methods: This was a semi-qualitative analysis of views of parents of 11-12 year old school children collected as part of a population-based survey of parental attitudes to HPV vaccination in Manchester. Parents were firstly asked if they agreed that a well-informed child should be able to request vaccination at a sexual health clinic without parental consent, and secondly, to provide a reason for this answer. Ethical perspectives on adolescent autonomy provided the framework for descriptive analysis. Results: 307 parents answered the question, and of these, 244 (80%) explained their views. Parents with views consistent with support for adolescent autonomy (n = 99) wanted to encourage responsible behaviour, protect children from ill-informed or bigoted parents, and respected confidentiality and individual rights. In contrast, 97 parents insisted on being involved in decision-making. They emphasised adult responsibility for a child's health and guidance, erosion of parental rights, and respect for cultural and moral values. Other parents (n = 48) wanted clearer legal definitions governing parental rights and responsibilities or hoped for joint decision-making. Parents resistant to adolescent autonomy would be less likely to consent to future HPV vaccination, (67%) than parents supporting this principle (89%; p < 0.001). Conclusion: In the UK, the principle of adolescent autonomy is recognised and logically should include the right to HPV vaccination, but this may concern parents who would otherwise approve vaccination.


Related Articles

  • Postlicensure Safety Surveillance for Quadrivalent Human Papillomavirus Recombinant Vaccine. Slade, Barbara A.; Leidel, Laura; Vellozzi, Claudia; Woo, Emily Jane; Wei Hua; Sutherland, Andrea; Izurieta, Hector S.; Ball, Robert; Miller, Nancy; Braun, M. Miles; Markowitz, Lauri E.; Iskander, John // JAMA: Journal of the American Medical Association;8/19/2009, Vol. 302 Issue 7, p750 

    The article focuses on a study which summarized data from the U.S. Vaccine Adverse Event Reporting System (VAERS) following receipt of recombinant human papillomavirus vaccine (qHPV). The qHPV reports received by VAERS from June 1, 2006 to December 31, 2008 were analyzed. A total of 12,424...

  • Appendix 2: Model NRA Lot Release Certificate for recombinant human papillomavirus virus-like particle vaccines.  // WHO Technical Report Series;2016, Issue 999, p232 

    An appendix is presented of model NRA Lot Release Certificate for recombinant human papillomavirus virus-like particle vaccines from the World Health Organization Expert Committee on Biological Standardization.

  • Human papillomavirus vaccine risk and reality. MacDonald, Noni; Stanbrook, Matthew B.; Hébert, Paul C. // CMAJ: Canadian Medical Association Journal;9/9/2008, Vol. 179 Issue 6, p503 

    The authors reflect on the lack of participation of students in school-based human papillomavirus (HPV) vaccine programs in Ontario. They point out that only about 50% of students in the province decided to have the HPV vaccine. They stress that one reason for the reluctance to receive the...

  • Potential impact of a nonavalent HPV vaccine on the occurrence of HPV-related diseases in France. Riethmuller, Didier; Jacquard, Anne-Carole; St Guily, Jean Lacau; Aubin, François; Carcopino, Xavier; Pradat, Pierre; Dahlab, André; Prétet, Jean-Luc // BMC Public Health;2015, Vol. 15 Issue 1, p1 

    Background: Human Papillomavirus (HPV) infection is known to be associated with a number of conditions including cervical, vaginal, vulvar, penile, anal neoplasias and cancers, oropharynx cancers and genitals warts (GW). Two prophylactic vaccines are currently available: a bivalent vaccine...

  • COMPARING HPV VACCINES.  // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;10/22/2011, Vol. 343 Issue 7828, p809 

    No abstract available.

  • Comment: Health care provider challenges for reaching Hispanic immigrants with HPV vaccination in rural Georgia. Somsri Wiwanitkit; Viroj Wiwanitkit // Rural & Remote Health;Apr-Jun2012, Vol. 12 Issue 2, p1 

    A letter to the editor is presented in response to the article "Health Care Provider Challenges for Reaching Hispanic Immigrants With HPV Vaccination in Rural Georgia" by J. S. Luque et al.

  • US committee recommends HPV vaccine for boys. Roehr, Bob // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;11/5/2011, Vol. 343 Issue 7830, p927 

    The article reports on a U.S. committee, which recommended mandatory quadrivalent vaccination to all boys in the U.S. against human papillomavirus (HPV) infection.

  • Planned Parenthood Receives Anonymous Donation for HPV Vaccine.  // La Prensa San Diego;2/26/2010, Vol. 34 Issue 8, p5 

    The article reports on the 300,000 dollars worth of gift given to the Planned Parenthood of San Diego & Riverside Counties in California to provide 19-26-year old women with the human papilloma virus (HPV) vaccine Gardasil.

  • Addressing Health Inequalities in the Delivery of the Human Papillomavirus Vaccination Programme: Examining the Role of the School Nurse. Boyce, Tammy; Holmes, Alison; Fielding, Richard // PLoS ONE;Sep2012, Vol. 7 Issue 9, Special section p1 

    Background: HPV immunisation of adolescent girls is expected to have a significant impact in the reduction of cervical cancer. UK The HPV immunisation programme is primarily delivered by school nurses. We examine the role of school nurses in delivering the HPV immunisation programme and their...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics