Adolescent-Parent Dyad Descriptions of the Decision to Start the HPV Vaccine Series

Jane Chang, Lisa S. Ipp, Ariel M. de Roche, Marina Catallozzi, Carmen Radecki Breitkopf, Susan L. Rosenthal

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Study Objective: To examine how adolescent-parent dyads describe decision-making regarding initiation of the human papillomavirus (HPV) vaccine series, specifically who they viewed as making the final decision. Design: Semistructured interviews with adolescent-parent dyads were audio-recorded and transcribed. Responses to the question: “How did you make a decision about whether or not to receive the HPV vaccine series?” were content-coded for each individual member of the dyad. Setting: Adolescent medicine clinics of 2 large urban medical centers and through snowball sampling. Participants: Adolescents 14-17 years of age and a parent (N = 262). Qualitative analyses were conducted for those who agreed that they were offered and started the HPV vaccine series (n = 109). Interventions: None. Main Outcome Measures: Descriptions of the decision-making included 1 person (adolescent or parent) making the decision or joint decision-making by the adolescent and parent together. Results: More than half of the dyads did not agree on who made the decision to start the vaccine. Most adolescents and parents described a similar account about when they were offered the HPV vaccine, although the interpretation of the event in terms of the decision-maker might have differed. More than half of adolescents and parents individually mentioned the health care provider in their description of the HPV vaccine decision-making process even though they were not queried about the role of the provider. Conclusion: Understanding the range of descriptions of these dyads is helpful to guide interventions to promote vaccine uptake in a manner that balances provider expertise, adolescent autonomy, and parental involvement.

Original languageEnglish (US)
Pages (from-to)28-32
Number of pages5
JournalJournal of Pediatric and Adolescent Gynecology
Issue number1
StatePublished - Feb 2018


  • Adolescents
  • Decision-making
  • HPV vaccination
  • Parent-adolescent communication

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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