Improvement of Parent’s awareness, knowledge, perception, and acceptability of human papillomavirus vaccination after a structured-educational intervention

Abstract Background Regardless of the disease burden of human papillomavirus (HPV), the vaccine has not been included in the Indonesia National Immunization Program. Since 2017 there was a demonstration program of the HPV vaccination in Yogyakarta Province. This vaccine was given free to female primary school students in the 5th and 6th grades (11–13 years old). This study aimed to assess whether a structured-educational intervention focus on HPV increases the parental awareness, knowledge, and perceptions toward HPV and the vaccine acceptability. Methods We conducted a pre-post structured-educational intervention study from July to August 2017 before the implementation of the HPV vaccination demonstration program, in Kulon Progo District, Yogyakarta Province, Indonesia. Parents of female primary school students grades 5th and 6th were selected using a school-based proportional random sampling. A pediatric resident provided a structured-educational intervention, which consists of the burden and risk of HPV disease, as well as the benefit and safety of the vaccine. Parents were required to complete validated self-administered questionnaires before and after the structured-educational intervention. Results A total of 506 parents participated. Before receiving the structured-educational intervention, parents’ awareness of HPV infection and the vaccines were low. Only 49.2% of parents had heard HPV infection, and 48.8% had heard about the vaccine. After the structured-educational intervention, there were significant improvements in parent’s awareness, knowledge, and perceptions of HPV infection, cervical cancer, and HPV vaccination (all p < 0.001). HPV vaccine’s acceptability increased from 74.3 to 87.4% (p < 0.001). There was a significant correlation between increasing HPV vaccine acceptability with the improvement of awareness, knowledge, and perception toward HPV infection, cervical cancer and HPV vaccination (r = 0.32 to 0.53, p < 0.001). After the structured-educational intervention, better knowledge and positive perceptions of HPV vaccination were predictive of HPV vaccine’s acceptability with OR 1.90 (95%CI:1.40–2.57) and OR 1.31(95%CI,1.05–1.63), respectively. Conclusions A structured-educational intervention may improve parental awareness, knowledge, and perceptions toward HPV and the acceptability of the vaccine. Further study, a randomized control trial with longer follow-up are needed to evaluate the long-term and actual effectiveness of improving parents’ knowledge, perceptions and HPV vaccine acceptability.

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Improvement of Parent’s Awareness, Knowledge, Perception, and Acceptability of HPV Vaccination After a Structured-educational Intervention

10.21203/rs.3.rs-30161/v5 ◽

2020 ◽

Author(s):

Mei Neni Sitaresmi ◽

Nisrina Maulida Rozanti ◽

Lamria Besty Simangunsong ◽

Abdul Wahab

Keyword(s):

Educational Intervention ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Hpv Infection ◽

Primary School Students ◽

School Students ◽

Demonstration Program ◽

Vaccine Acceptability ◽

Parental Awareness ◽

Hpv Vaccine Acceptability

Abstract Background: Regardless of the disease burden of human papillomavirus (HPV), the vaccine has not been included in the Indonesia National Immunization Program. Since 2017 there was a demonstration program of the HPV vaccination in Yogyakarta Province. This vaccine was given free to female primary school students in the 5 th and 6 th grades (11-13 years old). This study aimed to assess whether a structured-educational intervention focus on HPV increases the parental awareness, knowledge, and perceptions toward HPV and the vaccine acceptability. Methods: We conducted a pre-post structured-educational intervention study from July to August 2017 before the implementation of the HPV vaccination demonstration program, in Kulon Progo District, Yogyakarta Province, Indonesia. Parents of female primary school students grades 5 th and 6 th were selected using a school-based proportional random sampling. A pediatric resident provided a structured-educational intervention, which consists of the burden and risk of HPV disease, as well as the benefit and safety of the vaccine. Parents were required to complete validated self-administered questionnaires before and after the structured-educational intervention. Results: A total of 506 parents participated. Before receiving the structured-educational intervention, parents' awareness of HPV infection and the vaccines were low. Only 49.2% of parents had heard HPV infection, and 48.8% had heard about the vaccine. After the structured-educational intervention, there were significant improvements in parent’s awareness, knowledge, and perceptions of HPV infection, cervical cancer, and HPV vaccination (all p <0.001). HPV vaccine's acceptability increased from 74.3% to 87.4% ( p <0.001). There was a significant correlation between increasing HPV vaccine acceptability with the improvement of awareness, knowledge, and perception toward HPV infection, cervical cancer and HPV vaccination (r=0.32 to 0.53, p <0.001). After the structured-educational intervention, better knowledge and positive perceptions of HPV vaccination were predictive of HPV vaccine's acceptability with OR 1.90 (95%CI:1.40-2.57) and OR 1.31(95%CI:1.05-1.63), respectively. Conclusions: A structured-educational intervention may improve parental awareness, knowledge, and perceptions toward HPV and the acceptability of the vaccine. Further study, a randomized control trial with longer follow-up are needed to evaluate the long-term and actual effectiveness of improving parents’ knowledge, perceptions and HPV vaccine acceptability .

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Improvement of Parent’s Awareness, Knowledge, Perception, and Acceptability of HPV Vaccination After a Structured-educational Intervention

10.21203/rs.3.rs-30161/v4 ◽

2020 ◽

Author(s):

Mei Neni Sitaresmi ◽

Nisrina Maulida Rozanti ◽

Lamria Besty Simangunsong ◽

Abdul Wahab

Keyword(s):

Educational Intervention ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Hpv Infection ◽

Primary School Students ◽

School Students ◽

Demonstration Program ◽

Vaccine Acceptability ◽

Parental Awareness ◽

Hpv Vaccine Acceptability

Abstract Background: Regardless of the disease burden of human papillomavirus (HPV), the vaccine has not been included in the Indonesia National Immunization Program. Since 2017 there was a demonstration program of the HPV vaccination in Yogyakarta Province. This vaccine was given free to female primary school students in the 5th and 6th grades (11-13 years old). This study aimed to assess whether a structured-educational intervention focus on HPV increases the parental awareness, knowledge, and perceptions toward HPV and the vaccine acceptability.Methods: We conducted a pre-post structured-educational intervention study from July to August 2017 before the implementation of the HPV vaccination demonstration program, in Kulon Progo District, Yogyakarta Province, Indonesia. Parents of female primary school students grades 5th and 6th were selected using a school-based proportional random sampling. A pediatric resident provided a structured-educational intervention, which consists of the burden and risk of HPV disease, as well as the benefit and safety of the vaccine. Parents were required to complete validated self-administered questionnaires before and after the structured-educational intervention. Results: A total of 506 parents participated. Before receiving the structured-educational intervention, parents' awareness of HPV infection and the vaccines were low. Only 49.2% of parents had heard HPV infection, and 48.8% had heard about the vaccine. After the structured-educational intervention, there were significant improvements in parent’s awareness, knowledge, and perceptions of HPV infection, cervical cancer, and HPV vaccination (all p<0.001). HPV vaccine's acceptability increased from 74.3% to 87.4% (p<0.001). There was a significant correlation between increasing HPV vaccine acceptability with the improvement of awareness, knowledge, and perception toward HPV infection, cervical cancer and HPV vaccination (r=0.32 to 0.53, p<0.001). After the structured-educational intervention, better knowledge and positive perceptions of HPV vaccination were predictive of HPV vaccine's acceptability with OR 1.90 (95%CI:1.40-2.57) and OR 1.31(95%CI:1.05-1.63), respectively. Conclusions: A structured-educational intervention may improve parental awareness, knowledge, and perceptions toward HPV and the acceptability of the vaccine. Further study, a randomized control trial with longer follow-up are needed to evaluate the long-term and actual effectiveness of improving parents’ knowledge, perceptions and HPV vaccine acceptability.

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Improvement of Parent’s Awareness, Knowledge, Perception, and Acceptability of Human Papillomavirus Vaccination After a Structured-educational Intervention

10.21203/rs.3.rs-30161/v3 ◽

2020 ◽

Author(s):

Mei Neni Sitaresmi ◽

Nisrina Maulida Rozanti ◽

Lamria Besty ◽

Abdul Wahab

Keyword(s):

Educational Intervention ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Hpv Infection ◽

Primary School Students ◽

School Students ◽

Demonstration Program ◽

Vaccine Acceptability ◽

Parental Awareness ◽

Hpv Vaccine Acceptability

Abstract Background: Regardless of the disease burden of human papillomavirus(HPV), the vaccine has not been included in the Indonesia National Immunization Program. Since 2017 there was a demonstration program of the HPV vaccination in Yogyakarta Province. This vaccine was given free to female primary school students in the 5th and 6th grades (11-13 years old). This study aimed to assess whether a structured-educational intervention focus on HPV increases the parental awareness, knowledge, and perceptions toward HPV and the vaccine acceptability.Methods: We conducted a pre-post structured-educational intervention study from July to August 2017 before the implementation of the HPV vaccination demonstration program, in Kulon Progo District, Yogyakarta Province, Indonesia. Parents of female primary school students grades 5th and 6th were selected using a school-based proportional random sampling. A pediatric resident provided a structured-educational intervention, which consists of the burden and risk of HPV disease, as well as the benefit and safety of the vaccine. Parents were required to complete validated self-administered questionnaires before and after the structured-educational intervention. Results: A total of 506 parents participated. Before receiving the structured-educational intervention, parents' awareness of HPV infection and the vaccines were low. Only 49.2% of parents had heard HPV infection, and 48.8% had heard about the vaccine. After the structured-educational intervention, there were significant improvements in parent’s awareness, knowledge, and perceptions of HPV infection, cervical cancer, and HPV vaccination (all p<0.001). HPV vaccine's acceptability increased from 74.3% to 87.4% (p<0.001). There was a significant correlation between increasing HPV vaccine acceptability with the improvement of awareness, knowledge, and perception toward HPV infection, cervical cancer and HPV vaccination (r=0.32 to 0.53, p<0.001). After the structured-educational intervention, better knowledge and positive perceptions of HPV vaccination were predictive of HPV vaccine's acceptability with OR 1.90 (95%CI:1.40-2.57) and OR 1.31(95%CI:1.05-1.63), respectively.Conclusions: A structured-educational intervention may improve parental awareness, knowledge, and perceptions toward HPV and the acceptability of the vaccine. Further study, a randomized control trial with longer follow-up are needed to evaluate the long-term and actual effectiveness of improving parents’ knowledge, perceptions and HPV vaccine acceptability.

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Improvement of Parent’s Awareness, Knowledge, Perception, and Acceptability of HPV Vaccination After a Structured-educational Intervention

10.21203/rs.3.rs-30161/v2 ◽

2020 ◽

Author(s):

Mei Neni Sitaresmi ◽

Nisrina Maulida Rozanti ◽

Lamria Besty ◽

Abdul Wahab

Keyword(s):

Cervical Cancer ◽

Primary School ◽

Educational Intervention ◽

Hpv Vaccination ◽

Hpv Infection ◽

Primary School Students ◽

School Students ◽

Demonstration Program ◽

Vaccine Acceptability ◽

Parental Awareness

Abstract Background: Regardless of the disease burden of HumanPapilloma Virus (HPV), the vaccine has not been included in the Indonesia National Immunization Program. Since 2017 there was a demonstration program of the HPV vaccination in Yogyakarta Province. This vaccine was given free to female primary school students in the 5 th and 6 th grades (11-13 years old). This study aimed to assess whether a structured-educational intervention focus on HPV increases the parental awareness, knowledge, and perceptions toward HPV and the vaccine acceptability. Methods: We conducted a pre-post structured-educational intervention study from July to August 2017 before the implementation of the HPV vaccination demonstration program, in Kulon Progo District, Yogyakarta Province, Indonesia. Parents of female primary school students grades 5 th and 6 th were selected using a school-based proportional random sampling. A pediatric resident provided a structured-educational intervention, which consists of the burden and risk of HPV disease, as well as the benefit and safety of the vaccine. Parents were required to complete validated self-administered questionnaires before and after the structured-educational intervention. Results: A total of 506 parents participated. Before receiving the structured-educational intervention, parents' awareness of HPV infection and the vaccines were low. Only 49.2% of parents had heard HPV infection, and 48.8% had heard about the vaccine. After the structured-educational intervention, there were significant improvements in parent’s awareness, knowledge, and perceptions of HPV infection, cervical cancer, and HPV vaccination (all p <0.001). HPV vaccine's acceptability increased from 74.3% to 87.4% ( p <0.001). There was a significant correlation between increasing HPV vaccine acceptability with the improvement of awareness, knowledge, and perception toward HPV infection, cervical cancer and HPV vaccination (r=0.32 to 0.53, p <0.001). After the structured-educational intervention, better knowledge and positive perceptions of HPV vaccination were predictive of HPV vaccine's acceptability with OR 1.90 (95%CI:1.40-2.57) and OR 1.31(95%CI:1.05-1.63), respectively. Conclusions: A structured-educational intervention is effective in improving parental awareness, knowledge, and perceptions toward HPV as well as the acceptability of the vaccine. The structured-educational intervention designed for parents have important implications for improving vaccine acceptability.

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Improvement of Parent’s Awareness, Knowledge, Perception, and Acceptability of HPV Vaccination After an Educational Intervention

10.21203/rs.3.rs-30161/v1 ◽

2020 ◽

Author(s):

Mei Neni Sitaresmi ◽

Nisrina Maulida Rozanti ◽

Abdul Wahab

Keyword(s):

Cervical Cancer ◽

Elementary School Students ◽

Educational Intervention ◽

Hpv Vaccine ◽

Intervention Program ◽

Hpv Vaccination ◽

Hpv Infection ◽

School Students ◽

Demonstration Program ◽

Parental Awareness

Abstract Background Regardless of the disease burden of Human Papilloma Virus (HPV), the vaccine has not been included in the Indonesia National Immunization Program. Since 2017 there was a demonstration program of the HPV vaccination in Yogyakarta Province. This vaccine was given to female elementary school students in 5th and 6th grades. This study aimed to assess whether an educational intervention about the risks of HPV and the vaccine increases the parental awareness, knowledge, and perceptions toward HPV and the vaccine acceptability. Methods We conducted a pre-post educational intervention study in July 2017 before the implementation of the HPV vaccination demonstration program, in Kulon Progo District, Yogyakarta Province. Parents of female elementary school students grades 5th and 6th were selected using a school-based proportional random sampling. A pediatric resident provided a structured-educational intervention program. Parents were required to complete validated self-administered questionnaires before and after the intervention program. Results A total of 506 parents participated. Before the educational intervention program, parents' awareness of HPV infection and the vaccines were low. Only 49.2% of parents had heard HPV infection, and 48.8% had never heard about the vaccine. After the educational intervention, there were significant improvements in parent’s awareness, knowledge, and perceptions of HPV infection, cervical cancer, and HPV vaccination (all p < 0.001). HPV vaccine's acceptability increased from 74.3–87.4% (p < 0.001). There was a significant correlation between increasing HPV vaccine acceptability with the improvement of awareness, knowledge, and perception toward HPV infection, cervical cancer and HPV vaccination (r = 0.32 to 0.53, p < 0.001). After the educational intervention, better knowledge and positive perceptions of HPV vaccination were predictive of HPV vaccine's acceptability with OR 1.90 (95%CI:1.40–2.57) and OR 1.31(95%CI:1.05–1.63), respectively. Conclusions A structured educational intervention program conducted by qualified health providers is effective in improving parental awareness, knowledge, and perceptions toward HPV as well as the acceptability of the vaccine. There was a significant correlation between improving the parental knowledge and perceptions of HPV vaccine with increasing acceptability of the HPV vaccine.

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Introduction of HPV vaccination in Kenya

Afrika Focus ◽

10.21825/af.v29i2.4851 ◽

2016 ◽

Vol 29 (2) ◽

Author(s):

Heleen Vermandere

Keyword(s):

Cervical Cancer ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Organizational Factors ◽

Personal Control ◽

Vaccine Uptake ◽

Vaccine Hesitancy ◽

Open Communication ◽

Vaccine Acceptability ◽

Hpv Vaccine Acceptability

HPV vaccination prevents cervical cancer, the fourth most common cancer among women worldwide. Measured HPV vaccine acceptability is often high but does it also lead to high uptake? Methodology: A cohort was set up assessing HPV vaccine acceptability and other health behav- iour constructs before, and vaccine uptake after an HPV vaccination programme in Eldoret, Kenya. Focus groups shed light on the motivation for vaccine uptake or refusal. Results: Acceptability was high but was no strong predictor of uptake, and neither were the constructs of the Health Belief Model. Lack of information and fear of side effects were major barriers. Feeling uncomfortable to discuss cervical cancer hampered open communication. Discussion: Distrust towards new vaccines and the health system blocked translation from willingness-to-vaccinate to actual uptake, as did organizational factors such as poor promotion. Conclusion: Future research should include broader concepts such as vaccine hesitancy and factors beyond personal control in order to predict vaccine uptake. Key words: HPV vaccination, acceptability, uptake, longitudinal study, Kenya

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Barriers to Cervical Cancer Screening and Prevention in Young Korean Immigrant Women: Implications for Intervention Development

Journal of Transcultural Nursing ◽

10.1177/1043659616649670 ◽

2016 ◽

Vol 28 (4) ◽

pp. 353-362 ◽

Cited By ~ 16

Author(s):

Hee Yun Lee ◽

Mi Hwa Lee

Keyword(s):

Cervical Cancer ◽

Hpv Vaccine ◽

Cancer Education ◽

Immigrant Women ◽

Hpv Vaccination ◽

Pap Test ◽

Korean Immigrant ◽

Vaccine Acceptability ◽

Korean Immigrant Women ◽

Hpv Vaccine Acceptability

This study aimed to identify major barriers to Papanicolaou (Pap) test uptake and human papillomavirus (HPV) vaccine acceptability. Three focus groups with 16 young Korean immigrant women residing in a community in the Midwest were conducted. Braun and Clarke’s six phases of thematic analysis were used to develop themes. Three major themes emerged as barriers: (a) limited knowledge about cervical cancer and preventive behaviors, (b) culture-specific barriers, and (c) low accessibility to health care services. These themes were multifactorial and interrelated barriers to Pap test uptake and HPV vaccine acceptability among young Korean immigrant women. These findings indicate that culturally tailored cervical cancer education is needed to promote Pap test uptake and HPV vaccination in this underserved population.

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Introduction of HPV vaccination in Kenya

Afrika Focus ◽

10.1163/2031356x-02902010 ◽

2016 ◽

Vol 29 (2) ◽

pp. 117-121

Author(s):

Heleen Vermandere

Keyword(s):

Cervical Cancer ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Organizational Factors ◽

Personal Control ◽

Vaccine Uptake ◽

Vaccine Hesitancy ◽

Open Communication ◽

Vaccine Acceptability ◽

Hpv Vaccine Acceptability

Introduction: HPV vaccination prevents cervical cancer, the fourth most common cancer among women worldwide. Measured HPV vaccine acceptability is often high but does it also lead to high uptake? Methodology: A cohort was set up assessing HPV vaccine acceptability and other health behaviour constructs before, and vaccine uptake after an HPV vaccination programme in Eldoret, Kenya. Focus groups shed light on the motivation for vaccine uptake or refusal. Results: Acceptability was high but was no strong predictor of uptake, and neither were the constructs of the Health Belief Model. Lack of information and fear of side effects were major barriers. Feeling uncomfortable to discuss cervical cancer hampered open communication. Discussion: Distrust towards new vaccines and the health system blocked translation from willingness- to-vaccinate to actual uptake, as did organizational factors such as poor promotion. Conclusion: Future research should include broader concepts such as vaccine hesitancy and factors beyond personal control in order to predict vaccine uptake.

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Vaccinating young adults against human papillomavirus: the importance of understanding health decision-making and behaviour

Sexual Health ◽

10.1071/sh07005 ◽

2007 ◽

Vol 4 (2) ◽

pp. 129 ◽

Cited By ~ 4

Author(s):

S. Rachel Skinner ◽

Melissa Kang ◽

Susan L. Rosenthal

Keyword(s):

Human Papillomavirus ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Initial Study ◽

Quadrivalent Vaccine ◽

Age Group ◽

Vaccine Acceptability ◽

Health Decision Making ◽

Health Decision ◽

Hpv Vaccine Acceptability

Vaccination of young teenage females against human papillomavirus (HPV) with a newly licenced quadrivalent vaccine designed to prevent cervical cancer and genital warts has recently been recommended by the Australian government and will be implemented through schools from April 2007. In addition, a fully funded ‘catch-up’ vaccination program for young women up to age 26 years has been approved for a 2-year period, from July 2007. As general practitioners (GPs) will be the main immunisation providers for this age group, in order to achieve high vaccination coverage and maximal impact on disease, it will be critical for GPs to be opportunistic in recommending this vaccine. An initial study of young Australians’ attitudes towards HPV vaccination and hypothetical acceptance of the vaccine was published in this journal. We draw on this study and data published elsewhere to discuss issues of HPV vaccine acceptability, and the likely challenges of a mass vaccination initiative in this age group in Australia. We suggest specific strategies to support GPs, and highlight areas for further research in HPV vaccine acceptability.

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HPV VACCINATION: INCREASING PARENTAL AWARENESS ON PREVENTING CANCER IN THEIR CHILDREN

Journal of Student Research ◽

10.47611/jsr.vi.708 ◽

2019 ◽

Author(s):

Adeola Areo ◽

Kia Crawford ◽

Chichy Nwachukwu

Keyword(s):

Hpv Vaccine ◽

Hpv Vaccination ◽

Anal Intercourse ◽

The United States ◽

Genital Warts ◽

Hpv Infection ◽

Parental Awareness ◽

Routine Administration ◽

Catch Up ◽

Almost All

HPV is responsible for almost all cervical, anal, oropharynx, penile, vaginal cancers and 90% of genital warts (Rahman, Laz, McGrath, & Berenson, 2014). HPV infection often occurs shortly after initiation of sexual activity. In one study of college-aged women, the cumulative incidence of any HPV infection at 1 year after sexual intercourse was 28.5%, and increased to almost 50% by 3 years (Wang & Palefsky, 2015). HPV is usually transmitted through vaginal or anal intercourse, but it can occur through oral-genital or genital-genital contact as well (Wang & Palefsky, 2015). Currently in the United States, there are three vaccines approved for the prevention of HPV. The Advisory Committee for Immunization Practices (ACIP) recommends routine administration of HPV vaccine at ages 11 and 12 for girls and boys, with catch-up vaccinations through age 26 for females and age 21 for males.

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