Human Papillomavirus Clinical Trial
Official title:
Human Papillomavirus (HPV) Vaccination Among Survivors of Childhood Cancer
This study will focus on the primary objectives:
- To estimate the prevalence of HPV vaccination among a large cohort of childhood cancer
survivors and an acquaintance control group.
- To describe the difference in HPV vaccination rate and HPV vaccination intent among
preadolescent/adolescent females surviving childhood cancer and an acquaintance control
group.
This study will also focus on the secondary objectives:
- To examine sociodemographic, medical, and psychological differences between those who
have/have not initiated HPV vaccination and between those who do/do not intend to get
vaccinated in the future.
- To assess the general predictive influence of sociodemographic, medical, and
psychological variables on HPV vaccination and intent among mothers with
preadolescent/adolescent daughters.
Effective vaccination is now available to prevent human papillomavirus (HPV), the most
common sexually transmitted infection and the cause of cervical cancer, the second most
common cancer among women worldwide. HPV vaccine uptake is particularly important for
females surviving childhood cancer, many of whom are at high risk for HPV complications due
to the direct and indirect effects of cancer treatment. Thus, Version 3.0 of the Children's
Oncology Group Long-Term Follow-Up Guidelines for Survivors of Childhood, Adolescent and
Young Adult Cancer has recently recommended HPV vaccination for all eligible females
surviving childhood cancer. Because this vaccine was only FDA approved in 2006, little is
known about the complexity of vaccination uptake among those surviving cancer, and how the
factors influencing vaccination decision-making differ among families with and without a
history of pediatric cancer.
The purpose of this exploratory study is to estimate the prevalence of HPV vaccination and
to assess predictors of HPV vaccination (and intent) among 9-26 year old females who have
survived childhood cancer, while making comparisons to healthy acquaintance controls. In a
cross-sectional design, those surviving childhood cancer (and acquaintance controls) will be
asked to complete a questionnaire which queries sociodemographic, medical, and psychological
variables which may relate to HPV vaccination or intent. Current vaccination rates will be
examined and factors which associate with HPV vaccination (and intent) will be identified.
Findings of the present study will inform recruitment strategies for future studies
examining the immunogenicity, safety, tolerability, and behavioral outcomes of HPV
vaccination among females surviving childhood cancer. More immediately, this work will
further our understanding of familial decision-making regarding HPV vaccination among female
survivors of childhood cancer and will determine whether vaccination recruitment models
developed for healthy adolescents and young adults generalize to the pediatric cancer
population.
;
Observational Model: Case Control, Time Perspective: Cross-Sectional
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