Exploring mother-daughter communication and social media influence on HPV vaccine refusal for daughters aged 9-17 years in a cross-sectional survey of 11,728 mothers in China

Zian LIN, Siyu CHEN, Lixian SU, Hongbiao CHEN, Yuan Josephine FANG, Xue LIANG, Kwok Fung CHAN, Jianan CHEN, Biyun LUO, Chuanan WU, Zixin WANG

Research output: Contribution to journalArticlespeer-review

Abstract

This study investigated the influences of mother-daughter communication and social media on mothers’ HPV vaccine refusal for their daughters aged 9–17. A cross-sectional online survey among 11,728 mothers of girls aged 9–17 in Shenzhen, China was implemented between July and October 2023. Multi-level logistic regression models were fitted. Among 11,728 participants, 43.2% refused to have their daughters receive an HPV vaccination. In multivariate analysis, more openness in the mother-daughter communication (AOR: 0.99, 95%CI: 0.98, 0.99), perceived more positive outcomes of mother-daughter communication (AOR: 0.77, 95%CI: 0.75, 0.79), higher frequency of exposure to testimonials about daughters’ HPV vaccination (AOR: 0.81, 95%CI: 0.78, 0.85) and information encouraging parents to vaccinate their daughters against HPV on social media (AOR: 0.76, 95%CI: 0.73, 0.79), and thoughtful consideration of the veracity of the information specific to HPV vaccines (AOR: 0.80, 95%CI: 0.77, 0.83) were associated with lower vaccine refusal. Mothers who were not the main decision-makers of daughters’ HPV vaccination (AOR: 1.28 to 1.46), negative outcome expectancies of mother-daughter communication (AOR: 1.06, 95%CI: 1.04, 1.08), and mothers’ HPV vaccine refusal (AOR: 2.81, 95%CI: 2.58, 3.06) were associated with higher vaccine refusal for their daughters. The level of mothers’ HPV vaccine refusal for their daughters was high in China. Openness and outcome expectancies of mother-daughter communication and information exposure on social media were considered key determinants of HPV vaccine refusal for daughters. Future HPV vaccination programs should consider these interpersonal factors. Copyright © 2024 The Author(s). Published with license by Taylor & Francis Group, LLC.

Original languageEnglish
Article number2333111
JournalHuman Vaccines and Immunotherapeutics
Volume20
Issue number1
Early online dateMar 2024
DOIs
Publication statusPublished - 2024

Citation

Lin, Z., Chen, S., Su, L., Chen, H., Fang, Y., Liang, X., Chan, K. F., Chen, J., Luo, B., Wu, C., & Wang, Z. (2024). Exploring mother-daughter communication and social media influence on HPV vaccine refusal for daughters aged 9-17 years in a cross-sectional survey of 11,728 mothers in China. Human Vaccines & Immunotherapeutics, 20(1), Article 2333111. https://doi.org/10.1080/21645515.2024.2333111

Keywords

  • HPV vaccine refusal
  • Mothers of girls
  • Mother-daughter communication
  • Social media influence
  • China

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