Effect of information awareness on attitudes toward human papillomavirus vaccination intentions in Japan

Background: The Human Papillomavirus (HPV) vaccination rate among Japanese high school girls remains critically low, reflecting ongoing public apprehension and misinformation. This study explores the relationship between information presentation and attitudes toward HPV vaccination in Japan. Methods...

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Main Authors: Takayuki Takahashi, Takahiro Kinoshita, Daisuke Shigemi, Yousuke Imanishi, Masahiko Sakamoto, Megumi Ichimiya, Makiko Mitsunami, Mihyon Song, Kanako Inaba
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Vaccine: X
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590136224001724
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author Takayuki Takahashi
Takahiro Kinoshita
Daisuke Shigemi
Yousuke Imanishi
Masahiko Sakamoto
Megumi Ichimiya
Makiko Mitsunami
Mihyon Song
Kanako Inaba
author_facet Takayuki Takahashi
Takahiro Kinoshita
Daisuke Shigemi
Yousuke Imanishi
Masahiko Sakamoto
Megumi Ichimiya
Makiko Mitsunami
Mihyon Song
Kanako Inaba
author_sort Takayuki Takahashi
collection DOAJ
description Background: The Human Papillomavirus (HPV) vaccination rate among Japanese high school girls remains critically low, reflecting ongoing public apprehension and misinformation. This study explores the relationship between information presentation and attitudes toward HPV vaccination in Japan. Methods: We conducted a web-based survey of female high school students aged 15 to 16 and mothers of daughters of similar age across Japan. The first screening questionnaire investigated the vaccine uptake among eligible students. The detailed questions assessing awareness of HPV vaccination information, including vaccine eligibility and its cost, effectiveness, lifetime prevalence of HPV infection, and vaccine safety, were asked to the respondents. After presenting each piece of information, we investigated how the information influenced the vaccination attitudes of unvaccinated students and mothers of unvaccinated girls. Results: Data collection occurred from August 20 to August 24, 2021. Of 473 students, 68 (14.4 %) had already been vaccinated before the study. Over half of the 245 participating students were aware of vaccine eligibility and cost (68.7 %) and effectiveness (63.6 %), but fewer understood lifetime prevalence (28.7 %) and safety (45.3 %). In contrast, awareness of the same questions in 245 mothers was higher than that in the students: 90.2 %, 92.5 %, 55.4 %, and 61.1 %, respectively. Among unvaccinated students and mothers of unvaccinated girls, the intention to get vaccinated increased the most after being informed about the lifetime risks of HPV infection; 50.5 % of students and 38.8 % of mothers showed a positive attitude toward the HPV vaccination. Conclusions: Bridging the awareness gap between students and mothers is crucial for improving HPV vaccination rates. The findings underscore the potential of specific, targeted information to influence vaccination intentions, particularly regarding the HPV infection rate.
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spelling doaj-art-c29f00e7c75f403fa347730324853ffc2025-08-20T03:13:59ZengElsevierVaccine: X2590-13622025-01-012210059910.1016/j.jvacx.2024.100599Effect of information awareness on attitudes toward human papillomavirus vaccination intentions in JapanTakayuki Takahashi0Takahiro Kinoshita1Daisuke Shigemi2Yousuke Imanishi3Masahiko Sakamoto4Megumi Ichimiya5Makiko Mitsunami6Mihyon Song7Kanako Inaba8Department of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, Japan; Minpapi Association, Tokyo, Japan; Corresponding author at: Department of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, Japan.Minpapi Association, Tokyo, JapanMinpapi Association, Tokyo, JapanMinpapi Association, Tokyo, JapanMinpapi Association, Tokyo, Japan; Department of Pediatrics, Saku Central Hospital, Nagano, JapanMinpapi Association, Tokyo, Japan; Department of Prevention and Community Health, George Washington University, Washington, DC, USAMinpapi Association, Tokyo, Japan; Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, USAMinpapi Association, Tokyo, Japan; Marunouchi no Mori Ladies Clinic, Tokyo, JapanMinpapi Association, Tokyo, Japan; Department of Obstetrics and Gynecology, Kanto Central Hospital, Tokyo, JapanBackground: The Human Papillomavirus (HPV) vaccination rate among Japanese high school girls remains critically low, reflecting ongoing public apprehension and misinformation. This study explores the relationship between information presentation and attitudes toward HPV vaccination in Japan. Methods: We conducted a web-based survey of female high school students aged 15 to 16 and mothers of daughters of similar age across Japan. The first screening questionnaire investigated the vaccine uptake among eligible students. The detailed questions assessing awareness of HPV vaccination information, including vaccine eligibility and its cost, effectiveness, lifetime prevalence of HPV infection, and vaccine safety, were asked to the respondents. After presenting each piece of information, we investigated how the information influenced the vaccination attitudes of unvaccinated students and mothers of unvaccinated girls. Results: Data collection occurred from August 20 to August 24, 2021. Of 473 students, 68 (14.4 %) had already been vaccinated before the study. Over half of the 245 participating students were aware of vaccine eligibility and cost (68.7 %) and effectiveness (63.6 %), but fewer understood lifetime prevalence (28.7 %) and safety (45.3 %). In contrast, awareness of the same questions in 245 mothers was higher than that in the students: 90.2 %, 92.5 %, 55.4 %, and 61.1 %, respectively. Among unvaccinated students and mothers of unvaccinated girls, the intention to get vaccinated increased the most after being informed about the lifetime risks of HPV infection; 50.5 % of students and 38.8 % of mothers showed a positive attitude toward the HPV vaccination. Conclusions: Bridging the awareness gap between students and mothers is crucial for improving HPV vaccination rates. The findings underscore the potential of specific, targeted information to influence vaccination intentions, particularly regarding the HPV infection rate.http://www.sciencedirect.com/science/article/pii/S2590136224001724Cervical cancerHuman papillomavirusHPV vaccinationPerception
spellingShingle Takayuki Takahashi
Takahiro Kinoshita
Daisuke Shigemi
Yousuke Imanishi
Masahiko Sakamoto
Megumi Ichimiya
Makiko Mitsunami
Mihyon Song
Kanako Inaba
Effect of information awareness on attitudes toward human papillomavirus vaccination intentions in Japan
Vaccine: X
Cervical cancer
Human papillomavirus
HPV vaccination
Perception
title Effect of information awareness on attitudes toward human papillomavirus vaccination intentions in Japan
title_full Effect of information awareness on attitudes toward human papillomavirus vaccination intentions in Japan
title_fullStr Effect of information awareness on attitudes toward human papillomavirus vaccination intentions in Japan
title_full_unstemmed Effect of information awareness on attitudes toward human papillomavirus vaccination intentions in Japan
title_short Effect of information awareness on attitudes toward human papillomavirus vaccination intentions in Japan
title_sort effect of information awareness on attitudes toward human papillomavirus vaccination intentions in japan
topic Cervical cancer
Human papillomavirus
HPV vaccination
Perception
url http://www.sciencedirect.com/science/article/pii/S2590136224001724
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