Barriers to vaccination - parents' attitudes towards HPV vaccination

Background. Although HPV vaccination substantially reduces the risk of HPV-related cancer, vaccination coverage in Germany is still too low among girls and boys aged 9 to 14 years. To increase HPV vaccination coverage, it is essential to assess the attitudes of parents or guardians of children of recommended vaccination age. Methods. A representative cross-sectional survey of parents or guardians of children aged 9 to 15 years was conducted (31 May-19 July 2023). Of particular interest were the attitudes of those parents who had not (yet) had their child vaccinated against HPV (primary target group). A combined telephone and online survey was conducted in which a total of 1439 parents were interviewed, including 1000 parents of unvaccinated children. Results. A portion of the parents is still undecided about the HPV vaccination or tend to be reluctant to have their child vaccinated against HPV (21% and 8%, respectively). 5% are opposed to the vaccination, 23% feel rather or very poorly informed about the HPV vaccination, and 22% feel neither well nor poorly informed. By far the most trusted source of information on HPV vaccination are doctors (85%). The most frequently cited reasons against HPV vaccination are a lack of public education (59%), no perceived need for vaccination at this time (46%), fear of possible side effects (40%), and the statement that the child should decide for themselves about vaccination later (39%). Discussion. The suitability of communication measures for HPV vaccination should be continuously reviewed and adjusted if necessary. Doctors are highly trusted and should be supported in providing information on HPV vaccination through materials and specific training.