Title:The Views of Young Women on HPV Vaccine Communication in Four European Countries
VOLUME: 13 ISSUE: 5
Author(s):Dafina Petrova, Carol Gray Brunton, Moritz Jaeger, Anita Lenneis, Rocio Munoz, Rocio Garcia-Retamero and Irina Todorova
Affiliation:Centro de Investigación Mente, Cerebro y Comportamiento, Universidad de Granada, Campus Universitario de Cartuja s/n, 18071 Granada, Spain.
Keywords:Cross-cultural, human papilloma virus, qualitative, risk communication, sexually-transmitted disease, sexuallytransmitted
infection, vaccination.
Abstract:The Human Papilloma Virus (HPV) is the most common sexually transmitted infection
(STI) and can cause cervical cancer. Two vaccines are available to protect against the most common
strands of the virus. Vaccination programs differ across Europe but most neglect young adults, who are
the group with the highest risk of contracting STIs. Our aim was to explore the views of young women
from four European countries-Scotland, Spain, Serbia, and Bulgaria - about the HPV vaccine
communication strategy. These countries are characterized by different cervical cancer prevalence and
vaccine implementation policies. We conducted focus group discussions with young women (aged 18-26) with various
vaccination histories in a purposive sample. We subjected the data to thematic analysis with the purpose of identifying
themes related to communication about the HPV vaccine. We recorded the information sources mentioned by participants.
Participants discussed numerous sources of vaccine-related information. They approached information critically rather
than naively and questioned the sources’ trustworthiness and motives. Participants desired transparent information about
the risks of the virus and the risks and benefits of the vaccine. These risks and benefits were individualized in view of
personal and external factors. Particular aspects of the vaccine and the way information was communicated resulted in
feelings of uncertainty. There were notable cross-cultural differences in experiences with HPV vaccine communication.
Our results suggest that transparent risk communication about the HPV vaccine is valued by young women. In addition,
both individual and culturally-dependent factors influenced experiences with, and preference for information.
