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Table 1 Idealized ranking of the 35 statements

From: To vaccinate or not to vaccinate? Perspectives on HPV vaccination among girls, boys, and parents in the Netherlands: a Q-methodological study

Statement

Perspective

I

II

III

IV

Self-efficacy

 1

You yourself can do something about your health by getting vaccinated against HPV

+3**

-2

+1**

−1

Cues to action

 2

I find advice from my GP about HPV vaccination important

+2

0**

+3*

+3

 3

Good information can be found about the benefits and drawbacks of HPV vaccination

+1

−2**

−1**

+2

 4

Information about HPV vaccination often only deals with the benefits or only with the drawbacks

0

+2

0

+1

 5

I am well familiar with HPV and the diseases you can get as a consequence of HPV

0

−1**

−3**

0

 6

It is clear to me what HPV vaccination protects against

+1

+1

−4**

+1

 7

My decision to get vaccinated depends on the experiences of other people I know

−1**

0

−1

−1

 8

I talk with others about the benefits and drawbacks of getting vaccinated against HPV

0

+2**

−2**

0

 9

If you can prevent diseases by getting vaccinated, this is a good idea

+4*

+1

+4*

+2

 10

I worry about the side effects of HPV vaccination on the long term

0

+4**

+1

0

 11

If you don’t get vaccinated and get a disease as a consequence of HPV, you will regret

+2

0

+2

0

 12

If you get vaccinated against HPV and get serious side effects, you will regret

0**

+3**

+1

+2

Perceived susceptibility

 13

I worry about the diseases you can get if you get infected with HPV

+1*

−1**

+1*

−2**

 14

The chance of HPV infection seems small to me

−1**

+1

0*

+1

 15

I don't see vaccination against HPV as important

−4**

−1

−2**

−2

 16

Vaccination against HPV is only important when you become sexually active

−2

−2

−1

−3**

Perceived severity

 17

HPV is not important enough to get vaccinated against

−3**

−1**

−2

−2

 18

The diseases you can get due to HPV infection are serious

+3**

+2

0**

+3

Perceived benefits

 19

HPV infection is a bigger problem for girls than it is for boys

0

0

0

−1

 20

Getting vaccinated against HPV has more drawbacks than benefits

−1**

+1*

0**

0*

 21

Getting vaccinated is something you do to protect both yourself and others against infection and diseases as a consequence of HPV

+4**

+1**

+3**

+2**

 22

Because you can infect each other with HPV both girls and boys must get themselves vaccinated

+2

0

+2

0

Perceived barriers

 23

I am against vaccination in general

−4

−3

−3

−3

 24

Deciding to get vaccinated or not is difficult for children

+2**

+3

+2

+1**

 25

I have enough information to decide on vaccination yes or no

0**

−1**

−4**

+3**

 26

Fear of the needle stick plays a role in the choice of getting vaccinated against HPV

−2**

−4**

−1

−1

 27

The possible side effects of HPV vaccination on the long term are not clear to me

+1**

+4**

+4**

0**

 28

I find advice from the government about vaccination against HPV important

+3**

0*

+2**

−2**

 29

The companies that produce HPV vaccines try to persuade you to get yourself vaccinated

−1

+3**

0

+1**

 30

The choice of getting yourself vaccinated against HPV should be made by the parent(s) and child together

+1**

+2**

+3**

+4**

 31

A child should decide for herself or himself on getting vaccinated against HPV

−3**

−2**

0**

+4**

 32

I find HPV vaccination a tricky topic because it has to do with sexual activity

−2**

−3

−1**

−3

Social influences

 33

I would like to know the opinion of others in my close circle (family, friends or classmates) before I decide on getting vaccinated

−1**

0

+1**

−3

 34

My decision about HPV vaccination is influenced by my religion or culture

−3

−3

−3

−4**

 35

If you get yourself vaccinated against HPV others will think that you are sexually active

−2*

−4

−2*

−4

  1. *p < .05, **p < 0.01 vs. all other factors