A content analysis of HPV vaccination messages available online |
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| Institution: | 1. Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA 17033, USA;2. Penn State Cancer Institute, Hershey, PA 17033, USA;3. Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA;4. Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA;1. National Reference Laboratory, Surveillance Laboratory, Swaziland;2. Raleigh Fitkin Memorable Hospital, Swaziland;3. Mbabane Government Hospital, Swaziland;4. Ministry of Health, Expanded Programme for Immunization, Swaziland;5. Swaziland Health Laboratory Services, Swaziland;6. World Health Organization Country Office, Swaziland;7. Centres for Disease Control and Prevention, USA;8. World Health Organization IST ESA, Harare, Zimbabwe;9. World Health Organization Regional Office for Africa, Brazzaville, Congo;1. Emory University, School of Medicine, 1760 Haygood Road, Atlanta, GA 30322, United States;2. Emory University, Rollins School of Public Health, 1518 Clifton Rd, Atlanta, GA 30322, United States;3. U.S. Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, 1600 Clifton Rd. Atlanta, GA 30333, United States;4. Oak Ridge Institute for Science and Education (ORISE), PO Box 117 (MS-36), Oak Ridge, TN 37831-0117, United States;5. Northrop Grumman, 2800 Century Pkwy NE, Chamblee, GA 30345, United States;1. Community and Health Research Unit, University of Lincoln, Lincoln School of Health and Social Care, Faculty of Health and Social Sciences, Brayford Campus, Lincoln LN6 7TS, United Kingdom;2. Department of Medical Statistics, University of Nottingham, Division of Primary Care, School of Community Health Sciences, Floor 13, Tower Building, Nottingham NG7 2RD, United Kingdom;3. Community and Health Research Unit, University of Lincoln & Lincolnshire Community Health Services NHS Trust, Lincoln School of Health and Social Care, Faculty of Health and Social Sciences, Brayford Campus, Lincoln LN6 7TS, United Kingdom;1. Epidemic Intelligence Service, CDC, United States;2. Influenza Division, National Center for Immunization and Respiratory Diseases, CDC, United States;3. Kaiser Permanente Washington Health Research Institute, United States;4. University of Michigan and Henry Ford Health System, United States;5. Marshfield Clinic Research Institute, United States;6. Baylor Scott and White Health, Texas A&M University Health Science Center College of Medicine, United States;7. University of Pittsburgh Schools of the Health Sciences and UPMC, United States;1. Laboratório de Diagnóstico Laboratorial e Microbiologia Clínica. Universidade Federal de São João del-Rei (UFSJ), Campus Centro-Oeste Dona Lindu, Divinópolis, Minas Gerais, Brazil;2. Departamento de Produtos Farmacêuticos, Faculdade de Farmácia. Universidade Federal de Minas Gerais (UFMG), Campus Pampulha, Belo Horizonte, Minas Gerais, Brazil |
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| Abstract: | Parents have varied HPV vaccine communication needs, which presents a challenge for healthcare providers. To improve communication resources for providers, we sought to characterize HPV vaccination messages available in existing educational materials. In fall 2016, we searched PubMed, educational material clearinghouses, and Google for English language HPV vaccination messages. We extracted messages that a provider might use when raising the topic of HPV vaccination, answering common questions, and motivating vaccination. Two reviewers independently coded each message. The search identified 267 unique messages about HPV vaccination. Messages generally were long (mean no. of words = 44, standard deviation SD] = 33) and required a high level of education to read (mean reading grade level = 10, SD = 3). Only 32% of messages were shorter than 25 words, and 12% had a readability at or below grade 6. Most frequent were messages to address common parent questions or concerns (62%); the most common topics were diseases prevented by HPV vaccine (18%) and safety and side effects (16%). Many messages included information about cancer prevention (26%) and same-day vaccination (13%). Few messages (6%) used a presumptive style to recommend HPV vaccination. In conclusion, available messages about HPV vaccination were markedly varied. We identified few messages that were both brief (to facilitate providers memorizing them) and accessible (to facilitate parents understanding them). Future research should identify which messages lead to HPV vaccine uptake. |
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| Keywords: | HPV vaccination Provider recommendation Cancer prevention Health communication |
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