Although almost all of the girls were aware that Jade Goody had died from cancer many were unaware that she had had cervical cancer and few made any link to the HPV vaccination programme. It was common for the girls to mention having read the information leaflets about the HPV vaccination, but many reported that their mothers had been most instrumental in making the decision about whether HPV vaccination was in their best interest. Typically girls referred to the HPV vaccine as the ‘cancer jab’ but struggled to provide more specific detail about what the vaccine protects against. Girls within two groups knew that it protected against some form of cancer but were not sure precisely

which cancers (FG S3, FG E4) Discussion in one group showed that they understood that the vaccine would Trametinib mouse not provide complete protection from all carcinogenic Abiraterone supplier strains of HPV (FG E6), whilst another group believed the opposite to be true: “I think it protects you against all the types which cause cervical cancer” (FG S11: Kelly 17). Girls in another group thought that the vaccine would stop them dying from but not getting cervical cancer. “I think the vaccine, doesn’t prevent you from having cervical cancer. But it can, it stops you from

getting it bad. You might not get the full dose of cancer, but you still get a small dose” (FG E2: Tess 13). Most girls had no idea how long the vaccine would provide protection against HPV, and one girl questioned whether the vaccine “might be a complete waste of time” (FG S7: Lily 15) given that it only protects against two HPV strains out of a huge number of possible strains. However, about a third of the girls did understand that the vaccine protected until against the most carcinogenic strains. When girls were asked about how they thought the vaccine

worked and what the vaccine contained discussions tended to be short, full of pauses and tentative guesses. Few of the girls appeared to have given any thought to this prior to being asked in these group discussions. Among the few groups that did try to respond to this question there was a misunderstanding that the vaccine contained cancer cells. For example: Esther: And do you know the injection is a bit of the cervical cancer? Despite such fears about the possibility of a live virus or live cancer cells being used in the vaccine, in general the safety of the vaccine was not a primary concern and there was little discussion of any long-term side-effects from the vaccine. There was also evidence of high levels of trust in the Government and immunisation experts that this vaccine must be good for their future health (otherwise it would not have been introduced). As Rose (FG 16) stated: “I think the people in charge, like Government’s health people have decided the jag is in our interest so I feel there’s no reason not to get it”.