Attitudes Toward HPV Vaccination in Sweden: A Survey Study

Maria Wemrell · Lena Gunnarsson

35 citations0/0 files storedFrontiers in Public Health

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Vaccine Coverage and Hesitancy Cervical Cancer and HPV Research Women's cancer prevention and management

Abstract

Background While HPV vaccination uptake in Sweden is quite high, at around 80%, vaccine hesitancy remains an issue in countries throughout Europe. The latter can be related to a contemporary context of increased contestation of expert knowledge and of a large share of information on health-related issues including vaccination today being sought via the internet. Still, there is a paucity of recent research on attitudes toward the HPV vaccine in a larger sample of the population in Sweden. This survey study assesses such attitudes and any correlations between vaccine hesitancy and sociodemographic characteristics, trust in healthcare and other societal institutions, and evaluation of the reliability of different sources of information. Methods The validated survey questionnaire was distributed to adult women in Sweden (n = 2,000), via a nationally representative web panel. The response rate was 37%. Aside from descriptive statistics, associations between vaccine hesitancy and sociodemographic and other variables were computed using logistic regressions and expressed as odds ratios (ORs) with 95% confidence intervals (95% CIs). Results Our results show a positive attitude toward HPV vaccination overall. Still, some degree of HPV vaccine hesitancy was indicated by 33.8% of the respondents, and more pronounced hesitancy by 7.6%. Regarding vaccination in general, a very positive attitude was indicated by 55%. HPV vaccine hesitancy was associated with low education and low income and strongly associated with a lack of confidence in healthcare and other societal institutions. It was also correlated with a self-assessed lack of access to, and ability to assess the origin, quality and reliability of, information about the HPV vaccine. Conclusion Efforts to provide transparent information about HPV vaccination should be combined with healthcare providers being open to discuss vaccine concerns with patients and avoiding practices that do not promote trust.

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References

2006Using thematic analysis in psychology 1984The Health Belief Model: A Decade Later 2014Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature, 2007–2012 2019Systematic Literature Review on the Spread of Health-related Misinformation on Social Media 2014Effective Messages in Vaccine Promotion: A Randomized Trial 2014Healthcare information on YouTube: A systematic review 2006Public Engagement as a Means of Restoring Public Trust in Science – Hitting the Notes, but Missing the Music?2011Addressing the vaccine confidence gap

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