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Risk Factors Affect Parents’ Attitudes About STD Vaccinations

H. Sandra Chevalier-Batik · July 10, 2006 ·

My Opinion About The Following Study Abstract

This 2003 study, funded by a grant from the National Institute of Allergy and Infectious Diseases, was one of several studies that “tested the waters” concerning parental attitudes about STD vaccine programs. If I were a cynical sort, I’d believe that if the results were more favorable to a full-out STD vaccination program, it would have been more widely circulated

What I found most interesting about this 2003 study was what it did not convey. I’d like more demographic information about the 278 parents surveyed. What was the primary purpose of the clinical visit?  Were the minors concerned already sexually active? Did the children referred to in the survey have the “Parental Safe-Sex Talk”, been exposed to formal sex education in school, or simply “flying blind”?

Is the information gathered from 278 people from one geographic location and possibly from one economic strata a valid sampling from which to draw a realistic conclusion? No matter where one stands on the issue of STD vaccination, good science requires a wider, and more clearly defined study.

The bottom line from at least this limited sampling is one I can’t really disagree with:

“Parents expressed little difference in their willingness to accept a vaccine whether it was for an STD or an infection that is not sexually transmitted.

However, parents showed a preference in the scenarios for vaccines:

  • that prevented a potentially fatal infection,
  • were 90 percent effective,
  • provided protection for an infection that could not be avoided through behavioral modification.

The most surprising result was that parents did not distinguish between STD and non-STD vaccines, but were equally favorable in their assessments regardless of the sexual transmissibility of the infection,”

The Study Summary

The Archives of Pediatrics and Adolescent Medicine, in their February issue, reported on a study was funded by a grant from the National Institute of Allergy and Infectious Diseases and conducted by researchers from the Indiana University School of Medicine.

Analysis of 278 parental views on childhood vaccination for sexually transmitted diseases (STDs), discovered the severity of possible infection and the effectiveness of a vaccine weighed heavily in the decision-making process for parents.

In an ongoing series of studies, lead author Gregory Zimet, professor of pediatrics and clinical psychology, and his colleagues are evaluating parental attitudes toward adolescent vaccination for STDs in anticipation of availability of vaccines that are currently in various stages of development.

“Health professionals have expressed concern that many parents will be resistant for a variety of reasons to vaccinating children or adolescents for sexually transmitted diseases,” said Zimet. “Our research is proactive, and we hope to provide physicians with an understanding of the issues parents may have about STD vaccines by the time they are on the market.”

The participants, who were parents or guardians accompanying a child between the ages of 12 and 17 years to a pediatric clinic visit, completed a survey to test their reaction to nine hypothetical vaccine scenarios. Variables included the mode of transmission (sexually transmitted or not sexually transmitted); severity of infection (curable with antibiotics, chronic and incurable, or usually fatal); vaccine effectiveness (50 percent, 70 percent or 90 percent); and availability of behavioral methods for prevention (yes or no).

The scenarios mixed the variables to present a clear picture of preferences and concerns about STD vaccination.

Parents expressed little difference in their willingness to accept a vaccine whether it was for an STD or an infection that is not sexually transmitted.

However, parents showed a preference in the scenarios for vaccines:

  • that prevented a potentially fatal infection,
  • were 90 percent effective,
  • provided protection for an infection that could not be avoided through behavioral modification.

“The most surprising result was that parents did not distinguish between STD and non-STD vaccines, but were equally favorable in their assessments regardless of the sexual transmissibility of the infection,” said Zimet.

The results are relatively consistent with preliminary research indicating that most parents are focused on protecting their children’s health and not as concerned with the source of infection, he said.

Only 6 percent of the parents expressed an aversion toward STD vaccines in general. Zimet said future studies will focus more specifically on this group of parents to better understand the source of their reluctance.

Study Source:

Indiana University

http://www.indiana.edu

400 E. 7th Street.

Bloomington, IN 47405

Phone: (812) 855-6494

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Filed Under: HPV Infection, STD Infection Tagged With: HPV Infection, STD Infection, STD Vaccination

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