ArticleBMC public health2017
To vaccinate or not to vaccinate? Perspectives on HPV vaccination among girls, boys, and parents in the Netherlands: a Q-methodological study.
Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- Factors that influence caregivers' and adolescents' views and practices regarding human papillomavirus (HPV) vaccination for adolescents: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2025Pooled it
- Trial
- Views on HPV-vaccination held by parents of Turkish and Moroccan origin in the Netherlands: an exploratory study using Q-methodology.BMC public health · 2026Article
- A Community-Based Intervention in Middle Schools in Spain to Improve HPV Vaccination Acceptance: A "Pill of Knowledge" Approach.Vaccines · 2025Article
- Human papillomavirus (HPV) vaccine clinical trials: A cross-sectional analysis of clinical trials registries.Human vaccines & immunotherapeutics · 2025Article
- Using the Q-method to explore pregnant and breastfeeding women's perceptions of antibiotic use in Mahajanga, Northwest Madagascar.BMC public health · 2025Article
- Perspectives of physicians on risk factors for patient aggression and violence against physicians in Chinese hospitals: a Q-methodology study.Human resources for health · 2025Article
- Human papillomavirus (HPV) trials: A cross-sectional analysis of clinical trials registries.Human vaccines & immunotherapeutics · 2024Article
- Factors associated with HPV vaccine acceptance and hesitancy in Africa: a systematic review protocol.BMJ open · 2024Article
- From awareness to action: Unveiling knowledge, attitudes and testing strategies to enhance human papillomavirus vaccination uptake in Jordan.Journal of virus eradication · 2024Article
- Knowledge, attitudes, and practices towards Human Papilloma Virus and uptake of HPV vaccine: A protocol for a systematic review.PloS one · 2024Article
- How Scientists View Vaccine Hesitancy.Vaccines · 2023Article
- American Singles' Attitudes Toward Future Romantic/Sexual Partners' COVID-19 Vaccination Status: Evidence for both Vigilance and Indifference in a National Sample.Sexuality & culture · 2023Article
- Article
- Parental Justifications for Not Vaccinating Children or Adolescents against Human Papillomavirus (HPV).Vaccines · 2023Article
- Digital Health Interventions to Improve Adolescent HPV Vaccination: A Systematic Review.Vaccines · 2023Review
- The Relationship between Information Dissemination Channels, Health Belief, and COVID-19 Vaccination Intention: Evidence from China.Journal of environmental and public health · 2023Article
- Examining the effects of psychological reactance on COVID-19 vaccine acceptance: Comparison of two countries.Journal of global health · 2022Article
- Psychological aspects of COVID-19 vaccine in Indian population. Are we still hesitant?Journal of family medicine and primary care · 2022Review
- A qualitative study of parental associations and beliefs regarding the HPV vaccination for Dutch boys.BMC public health · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the introduction of Human papillomavirus (HPV) vaccination in national immunization programs (NIPs), vaccination rates in most countries remain relatively low. An understanding of the reasons underlying decisions about whether to vaccinate is essential in order to promote wider spread of HPV vaccination. This is particularly important in relation to policies seeking to address shortfalls in current HPV campaigns. The aim of this study was to explore prevailing perspectives concerning HPV vaccination among girls, boys, and parents, and so to identify potential determinants of HPV vaccination decisions in these groups.
methodPerspectives were explored using Q-methodology. Forty-seven girls, 39 boys, and 107 parents in the Netherlands were asked to rank a comprehensive set of 35 statements, assembled based on the health belief model (HBM), according to their agreement with them. By-person factor analysis was used to identify common patterns in these rankings, which were interpreted as perspectives on HPV vaccination. These perspectives were further interpreted and described using data collected with interviews and open-ended questions.
resultsThe analysis revealed four perspectives: "prevention is better than cure," "fear of unknown side effects," "lack of information and awareness," and "my body, my choice." The first two perspectives and corresponding determinants of HPV vaccination decisions were coherent and distinct; the third and fourth perspectives were more ambiguous and, to some extent, incoherent, involving doubt and lack of awareness and information (perspective 3), and overconfidence (perspective 4).
conclusionsGiven the aim of publically funded vaccination programs to minimize the spread of HPV infection and HPV-related disease and the concerns about current uptake levels, our results indicate that focus should be placed on increasing awareness and knowledge, in particular among those in a modifiable phase.
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Registered trials
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.