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Cultural reflections on the Scottish HPV vaccination programme

Carnegie, E; Whittaker, A; Gray Brunton, C; Hanif, N; Harding, S; Hilton, S; Hogg, R; Kennedy, C; Pollock, K; Pow, J

Authors

A Whittaker

S Harding

S Hilton

R Hogg

C Kennedy

K Pollock



Abstract

Background
The Scottish HPV vaccination programme serves young women aged 11 to 18 years and reports consistently high uptake rates, yet these figures may conceal levels of understanding and antecedents to decision-making. Evidence from other European countries indicates that ethnicity may influence decision-making regarding vaccination. The aim of the study was to identify understandings and explanations for HPV-related health behaviours within differing cultural contexts by examining accounts of young people from Black, Asian and Minority Ethnic (BAME) communities.
Methods
A critical qualitative exploratory study utilising Foucauldian discursive analysis was conducted. Seven focus groups and four paired interviews were conducted with 40 young people aged 16-26, from BAME communities: South Asian/Black African/Arab, Muslim/Sikh/Christian. Stimulus material was utilised to explore understandings of HPV, experiences of vaccine programme, views on universal vaccination.
Results
Contrasting attitudes and perceptions across ethnicity and gender were observed: openness of Black African participants to information and partnership working; barriers to intergenerational dialogue expressed by Asian men; intracultural and intercultural opportunities for information-sharing proposed by Asian women. Participants identified solutions for sensitising formative public health interventions - how they are to be delivered and in which contexts including a flexible approach to offering information and the vaccine.
Conclusions
Public health strategies should consider including: a staged and tailored approach to information-giving throughout school and beyond; extending the age of vaccination and including boys being offered the vaccine at a culturally acceptable stage and age; developing neutral and destigmatised messages in partnership with communities/elders; employing multi-media information campaigns for young men and women.

Citation

Carnegie, E., Whittaker, A., Gray Brunton, C., Hanif, N., Harding, S., Hilton, S., Hogg, R., Kennedy, C., Pollock, K., & Pow, J. (2016, November). Cultural reflections on the Scottish HPV vaccination programme. Presented at 9th European Public Health Conference All for Health, Vienna, Austria

Presentation Conference Type Conference Paper (published)
Conference Name 9th European Public Health Conference All for Health
Start Date Nov 9, 2016
End Date Nov 12, 2016
Online Publication Date Nov 2, 2016
Publication Date Nov 18, 2016
Deposit Date Nov 21, 2016
Publicly Available Date Nov 21, 2016
Journal European Journal of Public Health
Print ISSN 1101-1262
Electronic ISSN 1464-360X
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
Volume 26
Issue 1 supp 1
DOI https://doi.org/10.1093/eurpub/ckw169.049
Keywords HPV vaccinne, teenage health behaviours,
Public URL http://researchrepository.napier.ac.uk/Output/428600
Contract Date Nov 21, 2016

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