Evidence map›Paper›PMID 26053866›Full record

SynthesisPloS one2015

Understanding Public Perceptions of the HPV Vaccination Based on Online Comments to Canadian News Articles.

Yael Feinberg, Jennifer A Pereira, Susan Quach, Jeffrey C Kwong, Natasha S Crowcroft, Sarah E Wilson, Maryse Guay, Yang Lei, Shelley L Deeks, Public Health Agency of Canada/Canadian Institutes of Health Research Influenza Research Network (PCIRN) Program Delivery and Evaluation Group

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Online public response to emergency department diagnostic error report: A qualitative study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  7. Exploring the role of the oncology nurse in cervical cancer screening programs during times of transition.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025
    Article
  8. Quadrivalent human papillomavirus vaccination in girls and the risk of autoimmune disorders: the Ontario Grade 8 HPV Vaccine Cohort Study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018
    Article
  9. Knowledge on the HPV vaccine among university students.Revista do Instituto de Medicina Tropical de Sao Paulo · 2018
    Article
  10. Article
  11. Stigmatic and Sympathetic Attitudes Toward Cancer Patients Who Smoke: A Qualitative Analysis of an Online Discussion Board Forum.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016
    Article
  12. Article
  13. Article
  14. Human papilloma virus (HPV) vaccination: Questions and answers.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Yael FeinbergPublic Health Ontario, Toronto, Canada.
Jennifer A PereiraPublic Health Ontario, Toronto, Canada.
Susan QuachPublic Health Ontario, Toronto, Canada.
Jeffrey C KwongPublic Health Ontario, Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada; Institute for Clinical Evaluative Sciences, Toronto, Canada; Department of Family and Community Medicine, University of Toronto, Toronto, Canada; University Health Network, Toronto, Canada.
Natasha S CrowcroftPublic Health Ontario, Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada; Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.
Sarah E WilsonPublic Health Ontario, Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Maryse GuayDépartement des sciences de la santé communautaire, Université de Sherbrooke, Longueuil, Canada; Institut national de santé publique du Québec, Longueuil, Canada; Centre de recherche de l'Hôpital Charles LeMoyne, Longueuil, Canada.
Yang LeiPublic Health Ontario, Toronto, Canada.
Shelley L DeeksPublic Health Ontario, Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Public Health Agency of Canada/Canadian Institutes of Health Research Influenza Research Network (PCIRN) Program Delivery and Evaluation Group
Public Health Ontario · CAUniversity of Toronto · CAUniversité de Sherbrooke · CA

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundGiven the variation in human papillomavirus (HPV) vaccine coverage across Canada, and debate regarding delivery of HPV vaccines in Catholic schools, we studied online comments on Canadian news websites to understand public perceptions of HPV and HPV vaccine.

methodsWe searched English- and French-language Canadian news websites for 2012 articles that contained the terms "HPV" or "human papillomavirus." Articles about HPV vaccinations that contained at least one comment were included. Two researchers independently coded comments, analyzing them for emerging themes.

resultsWe identified 3073 comments from 1198 individuals in response to 71 news articles; 630 (52.6%) individuals expressed positive sentiments about HPV vaccination (2.5 comments/individual), 404 (33.7%) were negative (3.0 comments/individual), 34 (2.8%) were mixed (1.5 comments/individual) and 130 (10.8%) were neutral (1.6 comments/individual). Vaccine-supportive commenters believed the vaccine is safe and effective. Common themes in negative comments included concerns regarding HPV vaccine safety and efficacy, distrust of pharmaceutical companies and government, and belief that school-age children are too young for HPV vaccine. Many comments focused on whether the Catholic Church has the right to inform health policy for students, and discussion often evolved into debates regarding HPV and sexual behaviour. We noted that many individuals doubted the credibility of vaccine safety information.

conclusionThe majority of commenters do not appear to be against HPV vaccination, but public health messaging that focuses on both the vaccine's safety profile, and its use as a means to prevent cancer rather than sexually transmitted HPV infection may facilitate its acceptance.

Indexed as

Health Knowledge, Attitudes, PracticeInternetPapillomavirus VaccinesPublic OpinionVaccinationCanadaHumansQualitative ResearchSurveys and QuestionnairesPapillomavirus Vaccines

Identifiers

PMID26053866
PMCPMC4460033
OpenAlexW584184033

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.