Definition, Exemplar Quotes, and Prevalence of Each Type of Parental HPV Vaccine Hesitancy During the Visit (n = 37 Visits With Parental Hesitancy)
| Type of Parental Hesitancya . | Definition . | Example Quotes . | Prevalence of Hesitancy Type (Not Mutually Exclusive), n (%) . | Prevalence of First Hesitancy (Mutually Exclusive), n (%) . |
|---|---|---|---|---|
| Question | Question or statement that functions as a question on the basis of phrasing or tone of voice | “So it’s supposed to help prevent cancer, cervical cancer?” | 16 (43) | 7 (19) |
| “But now about this one, it’s new?” | ||||
| “Do we have to come back every month to come get it?” | ||||
| “What are the chances of it causing any reaction- allergic reaction?” | ||||
| “Cómo es que se transmite el papiloma en los hombres?” (“How is papilloma transmitted in men?”) | ||||
| “¿Y no hay ningún riesgo ya después?” (“And there isn’t any risk afterward?”) | ||||
| Assertive response | Disagreeing, interrupting, making a request, stating a preference, making a decision, or introducing the topic of HPV vaccine | “So we need to think about that” | 27 (73) | 21 (57) |
| “It is not a worry; it is just more like I just want to wait” | ||||
| “Want to do a little reading” | ||||
| “Ahorita todavía no lo miro que es necesario para él” (“Right now I still don’t see it as necessary for him”) | ||||
| “No, yo pienso que es muy pequeño todavía” (“No, I think he’s still too little”) | ||||
| Expression of concern | Fear, worry, clearly negative statement, or question; use linguistic markers (eg, tone of voice), not subjective interpretations of communication | “I’m just scared of it” | 12 (32) | 8 (22) |
| “I understand your reason, but I mean wow, I don’t know” | ||||
| “I think so — at first I wasn’t sure because she’s a girl and I just don’t want to think about that” | ||||
| “Yo tenía — tengo dudas — es bueno o no es bueno y si tiene reacción a futuro” (“I had – I have doubts – is it good or is not good and if it has a reaction in the future”) | ||||
| Other | Hesitancy not expressed as question, assertive response, or expression of concern | “It is relatively new” | 7 (19) | 1 (3) |
| “So I’m on the fence — like I was telling her I was on the fence” | ||||
| “I don’t really know too much about it” |
| Type of Parental Hesitancya . | Definition . | Example Quotes . | Prevalence of Hesitancy Type (Not Mutually Exclusive), n (%) . | Prevalence of First Hesitancy (Mutually Exclusive), n (%) . |
|---|---|---|---|---|
| Question | Question or statement that functions as a question on the basis of phrasing or tone of voice | “So it’s supposed to help prevent cancer, cervical cancer?” | 16 (43) | 7 (19) |
| “But now about this one, it’s new?” | ||||
| “Do we have to come back every month to come get it?” | ||||
| “What are the chances of it causing any reaction- allergic reaction?” | ||||
| “Cómo es que se transmite el papiloma en los hombres?” (“How is papilloma transmitted in men?”) | ||||
| “¿Y no hay ningún riesgo ya después?” (“And there isn’t any risk afterward?”) | ||||
| Assertive response | Disagreeing, interrupting, making a request, stating a preference, making a decision, or introducing the topic of HPV vaccine | “So we need to think about that” | 27 (73) | 21 (57) |
| “It is not a worry; it is just more like I just want to wait” | ||||
| “Want to do a little reading” | ||||
| “Ahorita todavía no lo miro que es necesario para él” (“Right now I still don’t see it as necessary for him”) | ||||
| “No, yo pienso que es muy pequeño todavía” (“No, I think he’s still too little”) | ||||
| Expression of concern | Fear, worry, clearly negative statement, or question; use linguistic markers (eg, tone of voice), not subjective interpretations of communication | “I’m just scared of it” | 12 (32) | 8 (22) |
| “I understand your reason, but I mean wow, I don’t know” | ||||
| “I think so — at first I wasn’t sure because she’s a girl and I just don’t want to think about that” | ||||
| “Yo tenía — tengo dudas — es bueno o no es bueno y si tiene reacción a futuro” (“I had – I have doubts – is it good or is not good and if it has a reaction in the future”) | ||||
| Other | Hesitancy not expressed as question, assertive response, or expression of concern | “It is relatively new” | 7 (19) | 1 (3) |
| “So I’m on the fence — like I was telling her I was on the fence” | ||||
| “I don’t really know too much about it” |
Hesitancy is defined as expressing resistance or indecision about the vaccine, communicating a desire to delay vaccination, or providing reasons why they may not want to vaccinate.