Knowledge and acceptance of HPV vaccination and its associated factors among parents of daughters in Addis Ababa, Ethiopia: a community-based cross-sectional study

Abstract Background Cervical cancer is one of the most diagnosed and deadly cancers in women globally. Though vaccination is an effective way to reduce cervical cancer, people’s knowledge and acceptance of the vaccination remains a challenge in low and middle-income countries. Therefore, the aim of this study was to assess the level of knowledge and acceptance of Human Papilloma Virus (HPV) vaccination and its associated factors among parents of daughters in Addis Ababa, Ethiopia. Methods A community-based cross-sectional study was conducted among parents or guardians whose daughters are in the age group of 9–17 years and residing in Akaki-Kalty sub-city in Addis Ababa. A multistage sampling technique was used to select the study participants (n = 430). Face-to-face interview was conducted by using a structured questionnaire. Factors associated with the acceptance of HPV vaccination was identified by multivariable binary logistic regression and expressed by adjusted odds ratio (aOR), and respective 95% confidence interval. Results Complete response was obtained from 422 (98.1%) of the participants and their mean age was 39.0 years (SD ± 9.9). Out of the study participants, 41.7% and 72.0% had poor knowledge on cervical cancer and HPV, respectively. More than a quarter (27.0%) of the participants has never heard about HPV vaccine. One-third (36.5%) of the participants had negative attitude towards the HPV vaccine. Overall, 94.3% of the study participants were willing to vaccinate their daughters for HPV. Vaccine acceptability was associated with higher monthly income (aOR = 2.48, 95% CI 1.08–6.34), good knowledge on HPV (aOR = 2.32, 95% CI 1.56–4.87) and the vaccine (aOR = 2.24, 95% CI 1.12–8.60), and positive attitude towards the vaccine (aOR = 5.03, 95% CI 1.63—9.56). Conclusions The overall HPV vaccine acceptance was high. However, two out of five and one-thirds of the parents had poor knowledge on cervical cancer and negative attitude towards the HPV vaccine, respectively. Higher monthly income, good knowledge on HPV and the vaccine, and positive attitude towards the vaccine were associated with acceptance of HPV vaccination. To ensure sustainable acceptance of HPV vaccination, it is crucial to increase the community awareness in a sustainable manner.

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Perbandingan Pengetahuan dan Sikap tentang Imunisasi Vaksin HPV pada Remaja Putri Kelas X MAN dengan Remaja Putri Kelas X SMA N 5 Kota Batam

Jurnal Surya Medika ◽

10.33084/jsm.v6i2.2132 ◽

2021 ◽

Vol 6 (2) ◽

pp. 146-154

Author(s):

Indah Mastikana

Keyword(s):

Cervical Cancer ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Negative Attitude ◽

Sampling Technique ◽

Cervical Cancer Prevention ◽

Educational Process ◽

Good Knowledge ◽

Cross Sectional ◽

Positive Attitudes

Prevention of dysplasia or pre-cancer is prevention before the arrival of cervical cancer is by Vaccine Immunization. The cervical cancer prevention program using HPV vaccination should have been obtained and known to young women in the educational process both at school and campus as well as through print and electronic media. The research design is descriptive-analytic with a cross-sectional approach. The sampling technique used nonprobability techniques with a sample size of 86 adolescents from each of the two schools. The result showed that of the 86 girls in SMA N 5 Batam City who had good knowledge, were 56 students (65.1%), only 26 students (30.2%) and less 4 students (4.7%) and that out of 86 girls in class X SMA N 5 Batam, as many as 78 students had positive attitudes (90.7%) and 8 student negative (9.3%) while the result of research at MAN Batam showed that from 86 girls who had good knowledge of 42 students (48.8%), quite 38 students (44.2%) and less than 6 students (7.0%) and of the 86 teenage girls of class X MAN Batam, 48 students had a positive attitude (55.8%) and 38 students (44.2%) negative attitude toward HPV Vaccine Immunization. The conclusion from the research results is that there is a majority of knowledge of adolescents SMAN 5 and MAN Batam have good knowledge and positive attitudes and there are significant differences in knowledge and there are no significant differences in attitude about HPV vaccine immunization.

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Sociodemographic determinants of knowledge and attitude in the primary prevention of cervical cancer among University Tunku Abdul Rahman (UTAR) students in Malaysia: preliminary study of HPV vaccination

BMC Public Health ◽

10.1186/s12889-019-7764-3 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Maiza Tusimin ◽

Chek Lo Yee ◽

Nur Zarifah Syahmi Abdul Razak ◽

Mohamad Izwan Zainol ◽

Halimatus Sakdiah Minhat ◽

...

Keyword(s):

Cervical Cancer ◽

Hpv Vaccine ◽

Positive Attitude ◽

Hpv Vaccination ◽

Negative Attitude ◽

Good Knowledge ◽

Cross Sectional ◽

Sociodemographic Determinants ◽

Level Of Knowledge ◽

Knowledge And Attitude

Abstract Background Cervical cancer is the third most common cancer affecting women around the world in which the Human Papillomavirus (HPV) is the one of the recognized causative agent affecting women health. In response to this health issue, the Malaysian government had officially implemented the HPV immunisation programme for secondary schoolchildren in 2010 at the age of 13 years old and above. The purpose of this study is to investigate the sociodemographic determinants of knowledge and attitude among students of Universiti Tunku Abdul Rahman (UTAR) towards the HPV vaccination programme. Methods A cross-sectional study was conducted using self-administered questionnaires, recruiting 374 UTAR’s students as the respondents by using convenience sampling method. Respondents were categorized as having good/poor level of knowledge and positive/negative attitude towards HPV vaccination. Results Over half of the respondents were females (64.5%) and the majority were aged 20 years old and below (55.8%). Generally, 54.7% of the total respondents had a high level of knowledge towards HPV vaccine while 57.5% of the total respondents showed a negative attitude towards HPV vaccine. Female respondents aged 20 years old and below showed good knowledge (56.4%) and a more positive attitude (55.8%) towards HPV vaccine. Students from the Faculty of Medicine and Health Sciences (FMHS) exhibited higher knowledge (67.3%) and positive attitude (62.4%) as compared to the Faculty of Accountancy and Management (FAM) which showed only 32.7% of knowledge and 37.6% of positive attitude towards the HPV vaccination. Conclusion The majority of UTAR students possess good knowledge regarding HPV vaccination. Nonetheless, they demonstrated a negative attitude towards HPV vaccination, depicting the necessity to impart and further intensify the sense of health awareness among all students, especially among male students. The judicious use of social media apart from the conventional mass media should be an advantage as to enhance the practice of HPV vaccination among them and thereafter minimize the health and economic burdens of cervical cancer.

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Knowledge and practices towards cervical cancer prevention and HPV vaccination among MBBS graduates

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20211266 ◽

2021 ◽

Vol 8 (4) ◽

pp. 1980

Author(s):

Kanika Bansal ◽

Ravish Ranjan ◽

Meena Rajput ◽

Shiba .

Keyword(s):

Cervical Cancer ◽

Cancer Prevention ◽

Hpv Vaccination ◽

Cross Sectional Study ◽

Cervical Cancer Prevention ◽

Early Marriage ◽

Cross Sectional ◽

Multiple Sexual Partners ◽

Common Cancer ◽

Study Participants

Background: Cervical cancer is the fourth most common cancer in women worldwide and second most common cancer in Indian women. Three vaccines against HPV have been approved by WHO. As preventing cancer with the help of a vaccine is a new concept, awareness and education will have important implications in its implementation. This study was done with objective to assess the knowledge and practices of cervical cancer prevention and HPV vaccination among MBBS graduates.Methods: It was descriptive, cross-sectional study conducted in Intern hostel, Pt B D Sharma PGIMS, Rohtak on 211 MBBS graduates, who were completing their internship in December 2018. A pretested, structured, self-administered questionnaire was used as study tool.Results: 73.27%, 76.24% and 97.03% answered correctly that smoking, early marriage and multiple sexual partners are risk factors of cervical cancer, respectively whereas 96.04% study participants were aware that cervical cancer is a preventable disease and 93.07% participants were aware that a vaccine is available for it in India. 60.40% felt that insufficient information was biggest obstacle in HPV vaccination. 44.55% study participants had recommended HPV vaccination to patients whereas only 8.9% had been vaccinated themselves. Female study participants were found to be practicing HPV vaccination significantly more than their male counterparts.Conclusions: A good percentage of MBBS graduates had knowledge about various aspects of HPV, however knowledge may not translate into practice. So, Continued education and reinforcement of knowledge is the need of the hour.

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Kosovo women’s knowledge and awareness of human papillomavirus (HPV) infection, HPV vaccination, and its relation to cervical cancer

10.21203/rs.3.rs-404796/v1 ◽

2021 ◽

Author(s):

Pranvera Zejnullahu Raçi ◽

Fitim Raçi ◽

Teuta Hadri

Keyword(s):

Cervical Cancer ◽

Human Papillomavirus ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Hpv Infection ◽

Cross Sectional Study ◽

Cross Sectional ◽

Level Of Knowledge ◽

Women's Knowledge ◽

Women’S Knowledge

Abstract Background The objective of this study, the first of its kind in Kosovo, is to determine the level of Kosovo women’s knowledge and awareness of HPV infection, HPV vaccination, and its relation to cervical cancer. Methods This cross-sectional study was conducted from July to October 2018 at the Clinic of Obstetrics and Gynecology at the Hospital and University Clinical Service of Kosovo. Results Out of 800 questionnaires distributed, 645 were completed and returned (80.6%). Only 0.5% of women were vaccinated against HPV. The majority of respondents (66.4%) had no previous knowledge of HPV (human papillomavirus). Only 27.6% of respondents were aware that HPV is responsible for cervical cancer. About two-thirds (70.1%) of respondents had never heard of the HPV vaccine, and only 24% knew that the HPV vaccine can prevent cervical cancer. Conclusion The level of vaccination against HPV and the level of knowledge and awareness of HPV infection is extremely low. Higher education, younger age, and living in an urban area were favorable factors and correlated with awareness of HPV infection, vaccination against it, and its relation to cervical cancer. Based on this study, there is an immediate need for developing an educational program on HPV infection and the importance of HPV vaccination as a preventative measure against developing cervical cancer.

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Kosovo women’s knowledge and awareness of human papillomavirus (HPV) infection, HPV vaccination, and its relation to cervical cancer

BMC Women s Health ◽

10.1186/s12905-021-01496-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Pranvera Zejnullahu Raçi ◽

Fitim Raçi ◽

Teuta Hadri

Keyword(s):

Cervical Cancer ◽

Human Papillomavirus ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Hpv Infection ◽

Cross Sectional Study ◽

Cross Sectional ◽

Level Of Knowledge ◽

Women's Knowledge ◽

Women’S Knowledge

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KAP study on cervical cancer and human papillomavirus vaccine acceptability among adolescent girls of Eastern UP: a cross sectional study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20211533 ◽

2021 ◽

Vol 10 (5) ◽

pp. 2031

Author(s):

Seema Kumari ◽

Aradhana Singh ◽

Renu Sangal ◽

Neela R. Sharma

Keyword(s):

Cervical Cancer ◽

Human Papillomavirus ◽

Adolescent Girls ◽

Hpv Vaccine ◽

Positive Attitude ◽

Hpv Vaccination ◽

Tertiary Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

Background: Human papillomavirus (HPV) is the most common sexually transmitted infection and is a causal factor for cervical cancer in virtually 100% cases. Despite the availability of highly effective vaccine against HPV, the burden of this dreaded disease remains high in our country. The aim of this study was to study the knowledge, attitude and practices on cervical cancer and HPV vaccine among adolescent girls of Eastern UP and to study the factors influencing knowledge, attitude and practices towards HPV vaccination among adolescent girls of this region.Methods: This was a questionnaire based cross-sectional study. Purposive sampling was used. Sample consisted of adolescent girls attending Gynecological OPD of a tertiary care center of Eastern UP, for a period of one year and the sample size was 384.Results: The results showed that, only 8.07% participants had heard of HPV infection and 2.08% participants had HPV vaccine knowledge. 35.95% participants agreed that their parents would pay for vaccine and 79.17% participants agreed for vaccination, if it would be free of cost. In total, most of the participants in the sample were found to have a positive attitude towards the vaccine.Conclusions: Although the knowledge and awareness of cervical cancer and its prevention through HPV vaccination, was poor among adolescent girls of Eastern UP region, it was encouraging to find, that most of them had a positive attitude towards HPV vaccination. It was also concluded, that the acceptability would increase, if the Government includes HPV vaccination in the National Immunization Program. If the cost constraint is dealt with, this completely preventable disease could be controlled in our country.

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Cervical cancer screening and prevention: how aware is the Indian woman?

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20185102 ◽

2018 ◽

Vol 8 (1) ◽

pp. 59

Author(s):

Trapti M. Saxena ◽

Aditi J. Upadhye ◽

Jayshree J. Upadhye

Keyword(s):

Cervical Cancer ◽

Hpv Vaccine ◽

Pap Smear ◽

Early Stage ◽

Hpv Vaccination ◽

Pap Test ◽

Cost Effective ◽

Cross Sectional Study ◽

Cross Sectional ◽

Indian Women

Background: Carcinoma of the cervix is the second most common cancer in women worldwide. It is the commonest cancer among Indian women. Awareness regarding cervical cancer and its prevention is quite low amongst Indian women. The Pap test is a simple and cost-effective technique for early diagnosis of cervical cancer.Methods: It was a cross sectional study conducted in the months of September and October 2018. We included 200 women between 30 and 60 years of age.Results: In present study, out of 200 respondents, 160 (80%) respondents got married after 21 years of age while 40 (20%) respondents got married below 21 years of age. 148 (74%) respondents had 2 children, 30 (15%) respondents had one child while 22 (11%) respondents had 3 children. 166 (83%) had heard about cervical cancer, 24 (12%) knew that cervical cancer can be cured if detected in early stage while only 10 (5%) knew that it can be prevented. 54 (27%) respondents knew that pap smear test should be done as screening test to detect cervical cancer in early stage while 22 (11%) respondents knew about HPV vaccine as preventive measure.Conclusions: In present study, though women have heard about cervical cancer, proper knowledge was very less. Also, awareness about HPV vaccine and Pap smear was less. There is need for proper information and facilities for pap smear and HPV vaccination.

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Nurses’ and midwives’ knowledge, attitudes, and acceptance regarding human papillomavirus vaccination in Ghana: a cross-sectional study

BMC Nursing ◽

10.1186/s12912-020-00530-x ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Nancy Innocentia Ebu ◽

Gifty Esinam Abotsi-Foli ◽

Doreen Faakonam Gakpo

Keyword(s):

Risk Factors ◽

Cervical Cancer ◽

Human Papillomavirus ◽

Hpv Vaccination ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Cancer Risk Factors ◽

Cervical Cancer Risk ◽

Nurses And Midwives

Abstract Background Nurses and midwives play important roles in educating the public on cervical cancer prevention strategies. Aim This study sought to assess nurses’ and midwives’ knowledge of, attitudes towards, and acceptance of human papillomavirus (HPV) vaccination in relation to their background characteristics. Methods A descriptive cross-sectional study using questionnaires was conducted with a convenience sample of 318 female nurses and midwives, ages 20 to 59, at the Korle-Bu Teaching Hospital in Ghana. The data were summarised using frequencies, percentages, chi-square tests, and Fisher’s exact tests. Results The results indicated that 41.5% (n = 132) of the participants had high levels of knowledge about cervical cancer risk factors, and 17.6% (n = 56) of the respondents had received at least one dose of the HPV vaccine. Reasons for receiving the HPV vaccination included advice from a colleague (12.9%, n = 41) and perceived threat of cervical cancer (11.7%, n = 37). Of the 262 respondents who had not been vaccinated, 24.45% (n = 78) strongly agreed and 28.0% (n = 89) agreed with the statement that there was limited information on HPV vaccination. Also, there were statistically significant associations between age (X2 = 23.746, p = 0.001), marital status (X2 = 14.758, p = 0.005), completed level of education (X2 = 21.692, p = 0.001), and duration of working at the hospital (X2 = 8.424, p = 0.038) and acceptance of HPV vaccination. Conclusions This study demonstrated gaps in knowledge about cervical cancer risk factors and attitudes towards HPV vaccination, indicating the need for targeted measures to improve knowledge and attitudes. Also, measures to increase acceptance of HPV vaccination among nurses and midwives should consider their sociodemographic characteristics.

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Low prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, Northwest Ethiopia: a community based cross-sectional study

Italian Journal of Pediatrics ◽

10.1186/s13052-021-01064-x ◽

2021 ◽

Vol 47 (1) ◽

Author(s):

Kessete Ayelgn ◽

Tadesse Guadu ◽

Atalay Getachew

Keyword(s):

Rural Communities ◽

Associated Factors ◽

Statistical Significance ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Active Trachoma ◽

Study Participants

Abstract Background Trachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited. Objective To determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia. Method A community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance. Results A total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95% CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3–6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma. Conclusion The current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.

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