Evidence map›Paper›PMID 33172415›Full record

ArticleBMC public health2020

Young women's autonomy and information needs in the schools-based HPV vaccination programme: a qualitative study.

Harriet Fisher, Karen Evans, Jo Ferrie, Julie Yates, Marion Roderick, Suzanne Audrey

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

Harriet FisherPopulation Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK. Harriet.Fisher@bristol.ac.uk.ORCID http://orcid.org/0000-0002-5639-0955
Karen EvansHead of School Nursing and Specialist Nursing Services, Sirona Health & Care, Bristol, South Gloucestershire, UK.
Jo FerrieScreening and Immunisations South West, Public Health England, Bristol, UK.
Julie YatesScreening and Immunisations South West, Public Health England, Bristol, UK.
Marion RoderickDepartment of Paediatric Immunology & Infectious Diseases, University Hospitals Bristol and Weston NHS Trust, Bristol, UK.
Suzanne AudreyPopulation Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
Public Health England · GBUniversity of Bristol · GBGloucestershire Health and Care NHS Foundation Trust · GBUniversity Hospitals Bristol and Weston NHS Foundation Trust

Funding

Department of Health PB-PG-0416-20013Research for Patient Benefit Programme PB-PG-0416-20013Wellcome Trust
6 · The paper itself

Abstract

backgroundUntil 2019, the English schools-based human papillomavirus (HPV) vaccination programme was offered to young women (but not young men) aged 12 to 13 years to reduce HPV-related morbidity and mortality. The aim of this study is to explore the extent to which young women were able to exercise autonomy within the HPV vaccination programme. We consider the perspectives of young women, parents and professionals and how this was influenced by the content and form of information provided.

methodsRecruitment was facilitated through a healthcare organisation, schools and community organisations in a local authority in the south-west of England. Researcher observations of HPV vaccination sessions were carried out in three schools. Semi-structured interviews took place with 53 participants (young women, parents of adolescent children, school staff and immunisation nurses) during the 2017/18 and 2018/19 programme years. Interviews were recorded digitally and transcribed verbatim. Thematic analysis was undertaken, assisted by NVivo software.

resultsYoung women's active participation and independence within the HPV vaccination programme was constrained by the setting of vaccination and the primacy of parental consent procedures. The authoritarian school structure influenced the degree to which young women were able to actively participate in decisions about the HPV vaccination programme. Young women exercised some power, either to avoid or receive the vaccine, by intercepting parental consent forms and procedures. Reliance on leaflets to communicate information led to unmet information needs for young women and their families. Communication may be improved by healthcare professional advocacy, accessible formats of information, and delivery of educational sessions.

conclusionsStrategies to improve communication about the HPV vaccine may increase young people's autonomy in consent procedures, clarify young people's rights and responsibilities in relation to their health care services, and result in higher uptake of the HPV vaccination programme.

trial registrationISRCTN 49086105 ; Date of registration: 12 January 2018; Prospectively registered.

Indexed as

Papillomavirus InfectionsPapillomavirus VaccinesUterine Cervical NeoplasmsAdolescentChildEnglandFemaleHumansMalePatient Acceptance of Health CareSchoolsVaccinationPapillomavirus VaccinesAutonomyCommunicationInformation needsVaccinationYoung people

Identifiers

PMID33172415
PMCPMC7654043
OpenAlexW3102500434

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.