Many parents made statements about their perceived level of knowl

Many parents made statements about their perceived level of knowledge after talking with the interviewers. “I didn’t realise how ill-informed I am. You just sign off on all these forms…” (E, P5). Other parents asserted that following the interview they would research more information on their own. This is the first study to examine knowledge and understanding of HPV and HPV vaccination among adolescent girls and their parents

who have recently been involved in mass school-based HPV vaccination. Adolescents in particular had limited understanding about HPV and HPV vaccination and wanted this information. These findings have important implications for future cervical cancer prevention and safer sex behaviours among vaccinated adolescents and young women. Adolescents were not provided information tailored to their age PARP inhibitor group; information was only directed to parents, who are required by law to provide consent. Our data indicates that only requiring consent from parents, and only providing information to parents, contributed to adolescent knowledge gaps, though parental knowledge was also low. This raises questions for policy development regarding provision of age-appropriate information

and consent for adolescents in school-based immunisation programs. Statutory law in NSW recognises young adolescents’ ability to provide informed consent to medical treatment if competent [17], and although the ERK signaling pathway inhibitor law also provides for the parent to consent for their adolescent, obtaining informed consent from both parties is strongly recommended in clinical settings [18]. Although other school-based vaccination programs face the same information delivery challenges, Casein kinase 1 the difference is that a lack of understanding about HPV vaccination may directly impact future health behaviours. It is crucial that adolescents understand the continued need for utilizing protection during sexual activity and for participating in cervical screening

in the future; our data indicates that adolescent understandings at the time of vaccination were unlikely to promote these behaviours. The findings about girls’ and parents’ confusion about age and target groups for HPV vaccination are consistent with past research on vaccine acceptability [19] and [20]. Our findings reflect a misconception that may arise from concerns about promiscuity or denial about sexual lives of adolescents. It has been reported that South Australian parents’ main concerns relate to side effects [21]. Most research in international populations has reported low levels of concerns about adolescent sexual activity [22], [23], [24], [25] and [26], but other qualitative work reports strong levels of concern [27]. It is possible that qualitative research has greater sensitivity to detect all the subtleties of sexual-related concerns.

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