Advertisement

HPV vaccination in Japan: can educational intervention promote a father’s intention to encourage his daughter’s vaccination?

  • Ai Miyoshi
  • Tsuyoshi TakiuchiEmail author
  • Tadashi Kimura
Original Article

Abstract

Background

HPV vaccines are well known to prevent several devastating HPV-associated cancers—when administered before sexual activity begins. We have previously found that mothers in Japan play an important role in a young girl’s vaccination decision-making, and that educational intervention with the mothers positively changed their attitude towards the HPV vaccine. The role of fathers is still unclear. We report here similar effects can be achieved by an educational intervention with the fathers.

Method

We conducted an online survey of 1648 Japanese fathers as having 13–18 year-old daughters. In this group, 1450 fathers had HPV-unvaccinated daughters. Roughly half, 721, were supplied an educational sheet concerning cervical cancer, which included information regarding the safety and efficacy of the HPV vaccine, the other 729 did not receive the sheet. Afterwards, a self-administered questionnaire obtained information from both groups of fathers. We evaluated their attitudes and intentions to inoculate their daughters and willingness to be associated with the vaccination decision-making process.

Results

Paternal education with an information sheet was associated with an increased odds ratio for changing the father’s attitude in a positive direction, but it was not associated with improving the father’s intention to their have their daughters inoculated, nor the father’s willingness to be associated with the decision-making process.

Conclusion

While educational intervention can promote a father’s positive attitude towards HPV vaccination, it is ineffective at promoting a positive intention to follow through to inoculate their daughters or improving their willingness to assist in the decision-making process.

Keywords

HPV vaccination Educational intervention with the fathers Father’s attitude Father’s intention 

Notes

Acknowledgements

We would like to thank Dr. G. S. Buzard for his constructive critique and editing of our manuscript.

Funding

This study was supported by a research fund (VT#55166) from MSD.

Compliance with ethical standards

Conflict of interest

No author has any conflict of interest.

References

  1. 1.
    CDC (2018) How many cancers are linked with HPV each year? [Internet]. https://www.cdc.gov/cancer/hpv/statistics/cases.htm. Accessed 15 Aug 2018
  2. 2.
    WHO (2017) Safety update of HPV vaccines. WHO [Internet]. https://www.who.int/vaccine_safety/committee/topics/hpv/June_2017/en/. Accessed 16 Nov 2017
  3. 3.
    Lehtinen M, Paavonen J, Wheeler CM et al (2012) Overall efficacy of HPV-16/18 AS04-adjuvanted vaccine against grade 3 or greater cervical intraepithelial neoplasia: 4-year end-of-study analysis of the randomised, double-blind PATRICIA trial. Lancet Oncol 13:89–99CrossRefGoogle Scholar
  4. 4.
    Paavonen J, Naud P, Salmerón J et al (2009) Efficacy of human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine against cervical infection and precancer caused by oncogenic HPV types (PATRICIA): final analysis of a double-blind, randomised study in young women. Lancet 374:301–314CrossRefGoogle Scholar
  5. 5.
    Ueda Y, Enomoto T, Sekine M et al (2015) Japan's failure to vaccinate girls against human papillomavirus. Am J Obstet Gynecol 212:405–406CrossRefGoogle Scholar
  6. 6.
    Yagi A, Ueda Y, Egawa-takata T et al (2016) Development of an efficient strategy to improve HPV immunization coverage in Japan. BMC Public Health 16:1013CrossRefGoogle Scholar
  7. 7.
    Berenson AB, Laz TH, Hirth JM et al (2014) Effect of the decision-making process in the family on HPV vaccination rates among adolescents 9–17 years of age. Hum Vaccin Immunother 10:1807–1811CrossRefGoogle Scholar
  8. 8.
    Shindo et al (2018) (submitted) Google Scholar
  9. 9.
    Daily More: sexual experience in Japan (Japanese). https://more.hpplus.jp/odekake/o-news/24748/1/. Accessed 30 Sept 2019
  10. 10.
    Marie PD, Koen VH, Karin H et al (2009) Long-term presistence of anti-HPV-16 and-18 antibodies induced by vaccination with the AS04-adjuvanted cervical cancer vaccine: Modeling of sustained antibody responses. Gynecol Oncol 115:51–56CrossRefGoogle Scholar
  11. 11.
    Sekine M, Kudo R, Adachi S et al (2016) Japanese crisis of HPV vaccination. Int J Pathol Clin Res 2:039CrossRefGoogle Scholar

Copyright information

© Japan Society of Clinical Oncology 2019

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyOsaka University Graduate School of MedicineSuitaJapan

Personalised recommendations