Influential factors for adhesion to the vaccine against human papillomavirus: an integrative review




Papillomavirus; Vaccines; Decision Making; Adolescents.


Objective: To analyze the factors influencing adherence to the Human Papillomavirus vaccine in schoolchildren. Methodology: Integrative Literature Review (RIL) took place from February to April 2018. The integrative review was carried out at the Virtual Health Library (VHL), which includes the Latin American and Caribbean Literature on Health Sciences (LILACS), IBECS, Medical Literature Analysis and Retrieval System Online (MEDLINE), Cochrane Library and Scientific Electronic Library Online (SciELO). After reading and applying the criteria, 22 articles were selected for full analysis. Results: As for the factors influencing adherence to the HPV vaccine, these were divided into two groups: positive and negative factors. Within each group, the most discussed aspects in the studies were chosen, enabling them to be grouped for a better understanding, listed in three groups: knowledge, attitudes and perceptions of parents/guardians; Sociocultural factors and health education. Conclusion: The studies bring several influencers in the decision-making process, both positive and negative in relation to the acceptance of the vaccine. The factors described here are of great relevance, because through their knowledge, health professionals will be able to establish an active role in the development of strategies aimed at greater adherence to the vaccination campaign against the Human Papillomavirus (HPV).


Alexander, A. B., Stupiansky, N. W., Ott, M. A., Herbenick, D., Reece, M., & Zimet, G. D. (2012). Parent-son decision-making about human papillomavirus vaccination: A qualitative analysis. BMC Pediatrics, 12(1), 192.

Almeida, G. C. P. de, & Caveião, C. (2014). Vacina profilática para o Papiloma vírus humano: Desafios para saúde pública. Revista Saúde e Desenvolvimento, 5(3), 71–90.

Borsatto, A. Z., Vidal, M. L. B., & Rocha, R. C. N. P. (2011). Vacina contra o HPV e a Prevenção do Câncer do Colo do Útero: Subsídios para a Prática. Revista Brasileira de Cancerologia, 57(1), 67–74.

Brasil. Ministério da Saúde (2014). Secretaria de Vigilância em Saúde Departamento de Vigilância de Doenças Transmissíveis. Guia prático HPV Perguntas e Respostas. Brasília: Coordenação Geral do Programa Nacional de Imunizações.

Berenson, A. B., Laz, T. H., Hirth, J. M., McGrath, C. J., & Rahman, M. (2014). Effect of the decision-making process in the family on HPV vaccination rates among adolescents 9–17 years of age. Human Vaccines & Immunotherapeutics, 10(7), 1807–1811.

Casciotti, D. M., Smith, K. C., Andon, L., Vernick, J., Tsui, A., & Klassen, A. C. (2014). Print news coverage of school-based human papillomavirus vaccine mandates. The Journal of School Health, 84(2), 71–81.

Centers for Disease Control and Prevention (CDC). (2013). National and state vaccination coverage among adolescents aged 13-17 years—United States, 2012. MMWR. Morbidity and Mortality Weekly Report, 62(34), 685–693.

Chao, C., Velicer, C., Slezak, J. M., & Jacobsen, S. J. (2010). Correlates for human papillomavirus vaccination of adolescent girls and young women in a managed care organization. American Journal of Epidemiology, 171(3), 357–367.

Chiang, E. D. D. O., Baker, M. L., Figueroa-Downing, D., Baggio, M. L., Villa, L., Eluf Neto, J., & Evans, D. P. (2015). “Those who love, vaccinate”: Parental perceptions of hpv vaccination. Journal of Human Growth and Development, 25(3), 341.

Fernandez, A. C., Amoyal, N. R., Paiva, A. L., & Prochaska, J. O. (2016). Motivation for hpv vaccination among young adult men: Validation of ttm decisional balance and self-efficacy constructs. American Journal of Health Promotion: AJHP, 30(3), 163–171.

Forster, A. S., McBride, K. A., Davies, C., Stoney, T., Marshall, H., McGeechan, K., & Skinner, S. R. (2017). Development and validation of measures to evaluate adolescents’ knowledge about human papillomavirus (Hpv), involvement in HPV vaccine decision-making, self-efficacy to receive the vaccine and fear and anxiety. Public Health, 147, 77–83.

Fu, L. Y., Bonhomme, L.-A., Cooper, S. C., Joseph, J. G., & Zimet, G. D. (2014). Educational interventions to increase HPV vaccination acceptance: A systematic review. Vaccine, 32(17), 1901–1920.

Giuliano, A. R., Lu, B., Nielson, C. M., Flores, R., Papenfuss, M. R., Lee, J., & Harris, R. B. (2008). Age‐specific prevalence, incidence, and duration of human papillomavirus infections in a cohort of 290 us men. The Journal of Infectious Diseases, 198(6), 827–835.

Hughes, J., Cates, J. R., Liddon, N., Smith, J. S., Gottlieb, S. L., & Brewer, N. T. (2009). Disparities in how parents are learning about the human papillomavirus vaccine. Cancer Epidemiology, Biomarkers & Prevention: A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology, 18(2), 363–372.

Katz, M. L., Kam, J. A., Krieger, J. L., & Roberto, A. J. (2012). Predicting human papillomavirus vaccine intentions of college-aged males: An examination of parents’ and son’s perceptions. Journal of American College Health, 60(6), 449–459.

Keelan, J., Pavri, V., Balakrishnan, R., & Wilson, K. (2010). An analysis of the Human Papilloma Virus vaccine debate on MySpace blogs. Vaccine, 28(6), 1535–1540.

Kornfeld, J., Byrne, M. M., Vanderpool, R., Shin, S., & Kobetz, E. (2013). Hpv knowledge and vaccine acceptability among hispanic fathers. The journal of primary prevention, 34(0), 59–69.

Landor, A., Simons, L. G., Simons, R. L., Brody, G. H., & Gibbons, F. X. (2011). The role of religiosity in the relationship between parents, peers, and adolescent risky sexual behavior. Journal of Youth and Adolescence, 40(3), 296–309.

Lavras, C. (2011). Atenção primária à saúde e a organização de redes regionais de atenção à saúde no Brasil. Saúde e Sociedade, 20, 867–874.

Lechuga, J., Swain, G., & Weinhardt, L. S. (2012). Perceived need of a parental decision aid for the HPV vaccine: Content and format preferences. Health Promotion Practice, 13(2), 214–221.

Martins, A.C.N., Martins, A.C.S., & Ferraz L.M.(2010). Papel do enfermeiro na prevenção de infecção por HPV em adolescentes e jovens. Convibra,

Mendes, K. D. S., Silveira, R. C. de C. P., & Galvão, C. M. (2008). Revisão integrativa: Método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto - Enfermagem, 17, 758–764.

McRee, A.-L., Reiter, P. L., & Brewer, N. T. (2012). Parents’ Internet use for information about HPV vaccine. Vaccine, 30(25), 3757–3762.

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group. (2010). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. International Journal of Surgery (London, England), 8(5), 336–341.

Oldach, B. R., & Katz, M. L. (2012). Ohio Appalachia public health department personnel: Human papillomavirus (Hpv) vaccine availability, and acceptance and concerns among parents of male and female adolescents. Journal of community health, 37(6), 1157–1163.

Poole, D. N., Tracy, J. K., Levitz, L., Rochas, M., Sangare, K., Yekta, S., & De Groot, A. S. (2013). A cross-sectional study to assess HPV knowledge and HPV vaccine acceptability in Mali. PloS One, 8(2), e56402.

Reiter, P. L., Brewer, N. T., & Smith, J. S. (2010). Human papillomavirus knowledge and vaccine acceptability among a national sample of heterosexual men. Sexually Transmitted Infections, 86(3), 241–246.

Rodrigues, A. F., & Sousa, J. A. (2015). Papilomavírus humano: Prevenção e diagnóstico. Revista de Epidemiologia e Controle de Infecção, 5(4), 197–202.

Savas, L. S., Fernández, M. E., Jobe, D., & Carmack, C. C. (2012). Human papillomavirus vaccine: 2-1-1 helplines and minority parent decision-making. American Journal of Preventive Medicine, 43(6 Suppl 5), S490-496.

Sobralske, M. (2006). Machismo sustains health and illness beliefs of Mexican American men. Journal of the American Academy of Nurse Practitioners, 18(8), 348–350.

Skinner, S. R., Davies, C., Cooper, S., Stoney, T., Marshall, H., Jones, J., & McGeechan, K. (2015). study protocol: A cluster randomised controlled evaluation of education, decisional support and logistical strategies in school-based human papillomavirus (Hpv) vaccination of adolescents. BMC Public Health, 15(1), 896.

Sussman, A. L., Helitzer, D., Bennett, A., Solares, A., Lanoue, M., & Getrich, C. M. (2015). Catching up with the hpv vaccine: Challenges and opportunities in primary care. Annals of Family Medicine, 13(4), 354–360.

Tisi, G., Salinaro, F., Apostoli, P., Bassani, R., Bellicini, A., Groppi, L., & Pecorelli, S. (2013). HPV vaccination acceptability in young boys. Annali Dell’Istituto Superiore Di Sanità, 49, 286–291.

Thomas, T., Blumling, A., & Delaney, A. (2015). The influence of religiosity and spirituality on rural parents’ health decision making and human papillomavirus vaccine choices. ANS. Advances in Nursing Science, 38(4), E1–E12.

Thomas, T. L., Stephens, D. P., Johnson-Mallard, V., & Higgins, M. (2016). Young hispanic men and human papillomavirus vaccination choices. Journal of transcultural nursing : official journal of the Transcultural Nursing Society / Transcultural Nursing Society, 27(2), 103–108.

Thomas, T. L., Strickland, O. L., DiClemente, R., Higgins, M., & Haber, M. (2012). Rural african american parents’ knowledge and decisions about human papillomavirus vaccination. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau, 44(4), 358–367.

Tozzi, A. E., Buonuomo, P. S., Ciofi degli Atti, M. L., Carloni, E., Meloni, M., & Gamba, F. (2010). Comparison of quality of internet pages on human papillomavirus immunization in Italian and in English. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 46(1), 83–89.

Ursi, E. S. (2005). Prevenção de lesões de pele no perioperatório: Revisão integrativa da literatura (Text, Universidade de São Paulo). Universidade de São Paulo.

Vermandere, H., Naanyu, V., Mabeya, H., Broeck, D. V., Michielsen, K., & Degomme, O. (2014). Determinants of acceptance and subsequent uptake of the hpv vaccine in a cohort in eldoret, kenya. PLOS ONE, 9(10), e109353.

Wong, L. P. (2011). Knowledge and attitudes about HPV infection, HPV vaccination, and cervical cancer among rural southeast Asian women. International Journal of Behavioral Medicine, 18(2), 105–111.

Zardo, G. P., Farah, F. P., Mendes, F. G., Franco, C. A. G. dos S., Molina, G. V. M., Melo, G. N. de, & Kusma, S. Z. (2014). Vacina como agente de imunização contra o HPV. Ciência & Saúde Coletiva, 19, 3799–3808.



How to Cite

ROMEU, W. R. O. G. .; GOMES, E. B. .; SAMPAIO, L. A. .; CARNEIRO, Y. V. A. .; BELTRÃO, I. C. S. L. de .; CRUZ, R. de S. B. L. C. .; OLIVEIRA, D. R. de . Influential factors for adhesion to the vaccine against human papillomavirus: an integrative review. Research, Society and Development, [S. l.], v. 11, n. 2, p. e26411225590, 2022. DOI: 10.33448/rsd-v11i2.25590. Disponível em: Acesso em: 25 jul. 2024.



Health Sciences