HPV vaccinations in males; Knowledge, attitudes, and practices of physicians on human papilloma virus vaccinations for their sons

Physicians’ attitudes on HPV vaccination for their sons



HPV vaccine, immunization, male, physician, cancer


Background/Aim: The Human Papilloma Virus (HPV) infection is the most common sexually transmitted disease and has been shown to cause cancer. Both sexes have a lifetime risk of at least 50% of exposure to HPV. Male HPV vaccinations can yield advantages for both the individual and community, including reduced transmission of HPV and protection of male and female health. The approval of vaccinations is mainly influenced by parental perspectives on this matter. It is essential to examine the subject in terms of physicians, who have the highest knowledge about HPV in society. This cross-sectional study aims to investigate physicians' attitudes and knowledge about vaccinating their male children against the human papillomavirus.

Methods: A total of 1670 physicians were included in this study. Working as a physician and having a son were determined as inclusion criteria. A digital questionnaire was given to the physicians participating in the study. The answers to the survey questions were rated on a 4-point Likert scale (agree, do not know, disagree, strongly disagree). The responses were compared with the variables, and statistical analysis was performed.

Results: Of the physicians participating in the study, 34.4% were male and 65.6% were female. A small percentage of the physicians (6.2%) reported that they would vaccinate their boys against HPV, and 59.9% of them indicated that they would not but they would consider it. The physicians’ who were most likely to vaccinate their sons worked in the fields of radiology (97.3%), orthopedics (80%), and gynecology (78.8%). It was determined that the physicians who said they would never have their sons vaccinated against HPV were most frequently specialists in anesthesiology and reanimation, infectious diseases, and clinical microbiology.

Conclusions: This study determined that physicians in some specialties hesitated to give the HPV vaccine to their sons. The HPV vaccine is crucial for boys, and it is essential to point out the significance of providing seminars to physicians, particularly in developing nations like Turkey, regarding this issue and its consequences.


Download data is not yet available.

Author Biography

Betül Dağoğlu Hark, Department of Biostatistics and Medical Informatics, Faculty of Medicine, Fırat University Elazıg, Turkey

Department of Biostatistics and Medical Informatics, Faculty of Medicine, Fırat University Elazıg, Turkey.



Einstein MH, Goldberg GL. Human papillomavirus and cervical neoplasia. Cancer Invest. 2002;20(7-8):1080-5. DOI: https://doi.org/10.1081/CNV-120005927

Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394–424. DOI: https://doi.org/10.3322/caac.21492

Du J, Nordfors C, Ahrlund-Richter A, Sobkowiak M, Romanitan M, Näsman A, et al. Prevalence of oral human papillomavirus infection among youth, Sweden. Emerg Infect Dis. 2012;18(9):1468-71. DOI: https://doi.org/10.3201/eid1809.111731

Hanley SJ, Yoshioka E, Ito Y, Kishi R. HPV vaccination crisis in Japan. Lancet. 2015;385(9987):61152-7. DOI: https://doi.org/10.1016/S0140-6736(15)61152-7

Schuler CL, Hanley CJ, Coyne-Beasley T. Misconception: Human papillomavirus vaccine and infertility. Clin Pediatr (Phila). 2014;53(2):158-65. DOI: https://doi.org/10.1177/0009922813504026

Suppli CH, Hansen ND, Rasmussen M, Valentiner-Branth P, Krause TG, Mølbak K. Decline in HPV-vaccination uptake in Denmark - The association between HPV-related media coverage and HPV-vaccination. BMC Public Health. 2018;18(1):1360-8. DOI: https://doi.org/10.1186/s12889-018-6268-x

Bruni L, Saura-Lázaro A, Montoliu A, Brotons M, Alemany L, Diallo MS, et al. HPV vaccination introduction worldwide and WHO and UNICEF estimates of national HPV immunization coverage 2010–2019. Prev Med (Baltim). 2021;144:1-12. DOI: https://doi.org/10.1016/j.ypmed.2020.106399

Näsman A, Du J, Dalianis T. A global epidemic increase of an HPV-induced tonsil and tongue base cancer - potential benefit from a pan-gender use of HPV vaccine. J Intern Med. 2020;287(2):134-52. DOI: https://doi.org/10.1111/joim.13010

Drolet M, Bénard É, Pérez N, Brisson M; HPV Vaccination Impact Study Group. Population-level impact and herd effects following the introduction of human papillomavirus vaccination programmes: updated systematic review and meta-analysis. Lancet. 2019;394(10197):497-509. DOI: https://doi.org/10.1016/S0140-6736(19)30298-3

Gilca V, Boulianne N, Dubé E, Sauvageau C, Ouakki M. Attitudes of nurses toward current and proposed vaccines for public programs: a questionnaire survey. Int J Nurs Stud. 2009;46(9):1219-35. DOI: https://doi.org/10.1016/j.ijnurstu.2009.02.013

Zimet GD, Mays RM, Fortenberry JD. Vaccines against sexually transmitted infections: promise and problems of the magic bullets for prevention and control. Sex Transm Dis. 2000;27(1):49-52. DOI: https://doi.org/10.1097/00007435-200001000-00010

Shabbir M, Barod R, Hegarty PK, Minhas S. Primary prevention and vaccination for penile cancer. Ther Adv Urol. 2013;5(3):161-9. DOI: https://doi.org/10.1177/1756287212465456

Mete B, Utuk FA, Demirhindi H, Inaltekin A, Tanır F, Kara E, Nazlıcan E. Human papillomavirus vaccine administration among women in the Eastern Mediterranean region of Turkey: prevalence and barriers. Eur Rev Med Pharmacol Sci. 2023;27(8):3526–33.

Beyazgül B, Cindoğlu Ç, Koruk İ. The relationship of stress, self-efficacy and sociodemographic factors among physicians during the COVID-19 pandemic. J Surg Med. 2023;7(6):369–74. DOI: https://doi.org/10.28982/josam.7379

Davis K, Dickman ED, Ferris D, Dias JK. Human papillomavirus vaccine acceptability among parents of 10- to 15-year-old adolescents. J Low Genit Tract Dis. 2004;8(3):188-94. DOI: https://doi.org/10.1097/00128360-200407000-00005

Stokley S, Curtis CR, Jeyarajah J, Harrington T, Gee J, Markowitz L. Human Papillomavirus Vaccination Coverage Among Adolescent Girls, 2007–2012, and Postlicensure Vaccine Safety Monitoring, 2006–2013 — United States. Morb Mortal Wkly Rep. 2013;62(29):591–5.

Kahn JA, Zimet GD, Bernstein DI, Riedesel JM, Lan D, Huang B, et al. Pediatricians' intention to administer human papillomavirus vaccine: the role of practice characteristics, knowledge, and attitudes. J Adolesc Health. 2005;37(6):502-10. DOI: https://doi.org/10.1016/j.jadohealth.2005.07.014

Daley MF, Liddon N, Crane LA, Beaty BL, Barrow J, Babbel C, et al. A national survey of pediatrician knowledge and attitudes regarding human papillomavirus vaccination. Pediatrics. 2006;118(6):2280-9. DOI: https://doi.org/10.1542/peds.2006-1946

Esposito S, Bosis S, Pelucchi C, Begliatti E, Rognoni A, Bellasio M, et al. Pediatrician knowledge and attitudes regarding human papillomavirus disease and its prevention. Vaccine. 2007;25(35):6437-46. DOI: https://doi.org/10.1016/j.vaccine.2007.06.053

Taşar S, Bal Yüksel E, Sağcan D, Karadağ Öncel E, Kara Aksay A, Yılmaz Çiftdoğan D. Knowledge and Attitudes of Pediatricians to The Human Papilloma Virus Vaccines. Forbes J Med. 2021;2(1):19-24. DOI: https://doi.org/10.5222/forbes.2021.69875

Duval B, Gilca V, McNeil S, Dobson S, Money D, Gemmill IM, et al. Vaccination against human papillomavirus: a baseline survey of Canadian clinicians' knowledge, attitudes and beliefs. Vaccine. 2007;25(45):7841-7. DOI: https://doi.org/10.1016/j.vaccine.2007.08.041

Riedesel JM, Rosenthal SL, Zimet GD, Bernstein DI, Huang B, Lan D, et al. Attitudes about human papillomavirus vaccine among family physicians. J Pediatr Adolesc Gynecol. 2005;18(6):391-8. DOI: https://doi.org/10.1016/j.jpag.2005.09.004

Kartal M. What do primary care physicians know about cervical cancer and HPV vaccine? Turkiye Aile Hekim Derg. 2011;15(1):1-6. DOI: https://doi.org/10.2399/tahd.11.001

Güner PD, Gözükara KH. Factors influencing decision - Making for HPV vaccination of female doctors for their children. Ankara Med J. 2019;18(3):539-49. DOI: https://doi.org/10.17098/amj.624511

Revanlı RA, Yüceer C, Şenol E, Azap A, Erbay A, Alp-Çavuş S, et al. Aile hekimlerinin İnsan papilloma virusu ve zona aşıları hakkındaki bilgi düzeyleri ve tutumlarının araştırılması. Klimik Derg. 2016;29(1):15-20. DOI: https://doi.org/10.5152/kd.2016.04

Tan J, Farrell L, Allen DG. The attitudes of Australian gynaecologists to HPV vaccination: an ASCCP survey. Aust N Z J Obstet Gynaecol. 2010;50(5):472-7. DOI: https://doi.org/10.1111/j.1479-828X.2010.01205.x

Topcu S, Ulukol B, Emuler DS, Topcu HO, Peker GC, Dokmeci F, et al. Physicians’ awareness and approaches to human papillomavirus infection and vaccination. Cukurova Med J. 2018;43(2):326-31. DOI: https://doi.org/10.17826/cumj.341676






Research Article

How to Cite

Seyfettinoglu S, Dağoğlu Hark B. HPV vaccinations in males; Knowledge, attitudes, and practices of physicians on human papilloma virus vaccinations for their sons : Physicians’ attitudes on HPV vaccination for their sons. J Surg Med [Internet]. 2023 Aug. 3 [cited 2023 Sep. 25];7(8):441-5. Available from: https://jsurgmed.com/article/view/7858