Factors which influence decision making about HPV vaccination: A study of Malaysian mothers

Abstract

Background: The objective of this study was to examine the structural, cultural and psychosocial factors which influence decision making in relation to HPV vaccination among Malaysian mothers. Methods: Four focus group discussions involving a total of 25 mothers were conducted. The three main Malaysian ethnic groups were represented (Malay, Chinese and Indian) as were mothers of daughters who had and had not been vaccinated. Data was transcribed and translated and analyzed using NVivo. Findings: Results revealed that mothers actively seek additional information about vaccination and that they are the primary decision makers (fathers and daughters themselves are rarely consulted). A major theme which emerged was questioning of the age at which to vaccinate and possible long term side-effects. Free provision of the vaccination in public schools was important. Discussion: While the majority of mothers actively seek information about HPV vaccination and consent for their daughters to be vaccinated through the schools programme they have concerns about this. Providing an otherwise expensive vaccination free through the schools causes many mothers to override their concerns.