HPV immunisation: A review of parent and stakeholder attitudes on school-based programmes

Abstract

Aim: The purpose of this integrative review is to examine the benefits of school-based human papillomavirus (HPV) vaccination programmes in improving overall vaccine education and adherence among the recommended age groups. Methods: The review explores qualitative and quantitative research published between 2010 and 2019 on benefits and barriers to HPV school-based vaccination programmes and stakeholder attitudes influencing implementation in school settings. Results: A literature review was performed from a United States perspective among ten articles revealing five themes; vaccine knowledge deficit, parental and patient hesitancy, lack of provider recommendation, vaccine safety and side effect and association with increasing sexual activity. Conclusions: HPV-associated cancers and complications are considered a public health issue. However, stakeholder attitudes on school-based HPV vaccination programmes have shown a significant gap in clinical and vaccine knowledge. Moving forward, a multi-level approach through provider training and age-based recommendations among stakeholders is key in overcoming stigmas and barriers to improve vaccination education and uptake rates.