Ohio Appalachia Public Health Department Personnel: Human Papillomavirus (HPV) Vaccine Availability, and Acceptance and Concerns Among Parents of Male and Female Adolescents

Public health departments (n = 48) serving the 32 counties of Ohio Appalachia were contacted to determine human papillomavirus
(HPV) vaccine availability and to assess patient and parental attitudes, perceived barriers, and decisional differences about
vaccination for male and female adolescents. Nurses or nursing supervisors in 46 of 48 health departments agreed to participate
with 45 (97.8 %) reporting that HPV vaccines were available for males and females. HPV vaccination barriers reported most
frequently were lack of knowledge about the vaccines, concerns about potential side effects, the newness of the HPV vaccines,
and parents believing their children were not sexually active or were too young to receive an HPV vaccine. Provider reports
of the primary differences in the acceptability of an HPV vaccine among parents of males compared to the parents of females
were lack of awareness that an HPV vaccine was available for males, not understanding why the vaccine should be given to males,
and fear of vaccination increasing sexual promiscuity among female adolescents. Half of the health departments (n = 24) reported
that parents of females were more receptive toward HPV vaccination, 16 health departments reported no difference in acceptability
based on gender of the child, and 5 health departments reported that parents of males were more receptive. This study suggests
that there are different informational needs of males and females and parents of male and female children when making an informed
decision about HPV vaccination. Findings highlight content to include in strategies to increase HPV vaccination rates among
Appalachia Ohio residents.