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Hpv immunization reluctance

Sydney Z. Spiesel, PhD MD Yale University School of Medicine. Hpv immunization reluctance. warts. cervical cancer incidence. prevention of HPV transmission. abstinence condom use immunization. HPV vaccines. HPV viruses and virus-like particles. HPV viruses . HPV virus-like particles.

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Hpv immunization reluctance

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  1. Sydney Z. Spiesel, PhD MD Yale University School of Medicine Hpv immunization reluctance

  2. warts

  3. cervical cancer incidence

  4. prevention of HPV transmission • abstinence • condom use • immunization

  5. HPV vaccines

  6. HPV viruses and virus-like particles HPV viruses HPV virus-like particles

  7. Main cancer-causing HPV strains

  8. HPV vaccine requirements • contain at least HPV 16 and 18 VLPs (cancer) • may also contain HPV 6 and 8 (genital warts) • administered as 3 shots over 6 months • must be given before exposure for effectiveness … not effective if given after exposure to vaccine strains of HPV • for that reason, especially important to be started early in adolescence

  9. adolescent vaccination rates

  10. parental reluctance

  11. reasons for not immunizing

  12. underlying issues • mistrust of authority and data • especially medical authority • reliance on Internet • Times New Roman effect • (note that this list is in Times New Roman) • ostensible issues … • not needed (vaccine worthless; never at risk) • too young • questionable safety or side-effects • promotes sexual activity

  13. the facts about HPV vaccination • immunization can prevent many cancers • incredibly effective if given early • boys as well as girls are at risk • the vaccines are very safe • fear-mongering is very common • especially on the internet • many postings completely false

  14. practitioner non-advocating issues • need for time-consuming explanations • dislike of raising issues around sexuality • fear of parent reaction • personal disapproval …“It's almost an assault on their innocence to be talking about those things when they do not even know what I'm talking about” -- David Castellan, a Lewisburg, Pa., pediatrician.

  15. unconscious issues in HPV shots • how can it be that my young teen – almost a baby – will soon/someday be having sex? • if I agree to HPV immunization will it be taken as tacit approval of sex? • will taking the vaccine decrease the perception of danger in sex and encourage experimentation? • will taking the vaccine damage my child’s innocence?

  16. innocence • a time of … • “simplicity” • “wonder” • “openness” • “a magic time” • “free of ….” • “corruption” • “lying” • “cheating” • asexual “tranquility and serenity”

  17. issues I address with parents … • need for early administration • HPV vaccine largely ineffective after exposure • HPV as a cause of cancer • cervical • oropharyngeal • HPV vaccine is well-tested, safe, effective • valuable for both boys and girls • importance of skepticism toward what one hears or reads (especially on the internet)

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