Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Int J Clin Oncol. 2020 Apr;25(4):746-754. doi: 10.1007/s10147-019-01575-y. Epub 2019 Nov 12.
HPV vaccines are well known to prevent several devastating HPV-associated cancers-when administered before sexual activity begins. We have previously found that mothers in Japan play an important role in a young girl's vaccination decision-making, and that educational intervention with the mothers positively changed their attitude towards the HPV vaccine. The role of fathers is still unclear. We report here similar effects can be achieved by an educational intervention with the fathers.
We conducted an online survey of 1648 Japanese fathers as having 13-18 year-old daughters. In this group, 1450 fathers had HPV-unvaccinated daughters. Roughly half, 721, were supplied an educational sheet concerning cervical cancer, which included information regarding the safety and efficacy of the HPV vaccine, the other 729 did not receive the sheet. Afterwards, a self-administered questionnaire obtained information from both groups of fathers. We evaluated their attitudes and intentions to inoculate their daughters and willingness to be associated with the vaccination decision-making process.
Paternal education with an information sheet was associated with an increased odds ratio for changing the father's attitude in a positive direction, but it was not associated with improving the father's intention to their have their daughters inoculated, nor the father's willingness to be associated with the decision-making process.
While educational intervention can promote a father's positive attitude towards HPV vaccination, it is ineffective at promoting a positive intention to follow through to inoculate their daughters or improving their willingness to assist in the decision-making process.
HPV 疫苗在预防几种 HPV 相关癌症方面效果显著，而这些癌症通常发生在性行为开始之前。我们曾发现，在日本，母亲在少女接种疫苗的决策中起着重要作用，对母亲进行教育干预会改变她们对 HPV 疫苗的态度。然而，父亲的作用仍不清楚。我们在此报告，对父亲进行教育干预也可以达到类似的效果。
我们对 1648 名有 13-18 岁女儿的日本父亲进行了在线调查。在这个群体中，有 1450 名父亲的女儿未接种 HPV 疫苗。大约一半，即 721 名父亲，收到了一份有关宫颈癌的教育资料，其中包括 HPV 疫苗的安全性和有效性信息，而另外 729 名父亲则没有收到该资料。之后，两组父亲都填写了一份自我管理问卷，以获取他们的态度和意愿等信息。我们评估了他们为女儿接种疫苗的态度和意愿，以及是否愿意参与疫苗接种决策过程。
父亲接受教育资料与父亲的态度向积极方向转变的可能性增加有关，但与提高父亲为女儿接种疫苗的意愿或提高父亲参与决策过程的意愿无关。
虽然教育干预可以促进父亲对 HPV 疫苗接种的积极态度，但它并不能促进他们积极地为女儿接种疫苗，也不能提高他们协助决策的意愿。
