Knowledge and Attitude of Human Papillomavirus Vaccination and associated Factors Among Adolescent School Girls in Ambo Town, Oromia Region, Ethiopia, 2021

Abstract Background Large-scale HPV vaccination offers a revolutionary new tool, especially in low- and middle-income countries, where 86% of cervical cancer cases and 88% of related deaths occur. There is little research done on knowledge and attitudes towards HPV vaccine in Ethiopia. Therefore, this study attempts to assess knowledge and attitudes regarding HPV vaccination and related factors among adolescent girls in Ambo town, Oromia, Ethiopia, in 2021. Methods A cross sectional study was conducted from May 01 to 30, 2021, at selected schools of Ambo town among 422 adolescent Girls. The collected data were coded, entered, and cleaned by using Epi-Info 7.2.3 and exported to Statistical package for social science version 25 for analysis. Descriptive statistics were used to compute summary statistics and proportion. Variables at a cut off value (0.25) on bivariate and (0.05) on multivariate logistic-regression were used to identify predictors that were associated to knowledge and attitude of HPV vaccine among Adolescent Girls Result Current study revealed that 24.9% (103) and 55.6% (230) of respondents had good knowledge and favorable attitude respectively. The factors like educational level (AOR=2.011 95% CI; (1.239, 3.265)), having health workers as a source of information (AOR=2.132, 95%CI; (1.304, 3.486)), and respondents who have heard about HPV vaccine at school (AOR=1.66, 95% CI (1.02, 2.71)) were significantly associated with respondent’s knowledge of HPV vaccine. Moreover, perceived severity of the diseases (AOR=2.894, 95%CI; (1.607, 5.21)), and perceived benefit of the vaccine (AOR=4.263 95% CI; (2.431, 7.475)) were the two factors significantly associated with attitude of the respondents about HPV vaccine. Conclusion There was poor knowledge and unfavorable attitude of HPV vaccination among the school Adolescents of the study area. Several seemingly major deterrents of knowledge and attitude of the HPV vaccination were identified. Therefore, awareness creation and behavioral change education is mandatory.

Download Full-text

Factors Affecting Uptake of Human Papilloma Virus (HPV) Vaccination among in- School Adolescent Girls in Wakiso District, Central Uganda.

10.51168/sjhrafrica.v1i12.11 ◽

2020 ◽

Author(s):

◽

Zaitune Nanyunja

Keyword(s):

Cervical Cancer ◽

Adolescent Girls ◽

Health Workers ◽

Hpv Vaccination ◽

Cluster Sampling ◽

Cross Sectional ◽

Factors Affecting ◽

Five Factors ◽

Vaginal Sex ◽

Depth Interviews

Background: Since 2008, the Human Papillomavirus (HPV) vaccination has been routinely recommended for pre-adolescents and adolescent girls in Uganda. The introduction of HPV vaccines represents a step forward in the primary prevention of cervical cancer and other HPV-related malignancies. This study examines the factors affecting the uptake of HPV vaccination among in-school adolescent girls in Wakiso district to generate information that can be used to improve the uptake of such critical services. Methodology: A cross-sectional analytical study was employed. Both quantitative and qualitative data were collected concurrently. Data were collected from secondary schools in Wakiso district, selected using cluster sampling. Semi-structured self-administered questionnaires were used to collect quantitative data while data from mothers in Wakiso were collected using In-depth interviews through group dialogue sessions. Data were analyzed using SPSS 16.0; characteristics of the sample were summarized by descriptive statistics Results: The findings indicate the HPV vaccination uptake rate as low as 9.2% among the In-school adolescent girls in the Wakiso district. 68.5% belonged to the age group 16-19 (older adolescents). 91.2% had already had vaginal sex and 90.4% had ever had any STI. In the bivariate analyses, five factors were presented to be statistically significant with a P<0.05, implying that these factors were associated with HPV vaccination. They included the occupation of the caretaker, education level of the caretaker, perceived susceptibility to HPV infections and cervical cancer, perceived benefits of HPV vaccination, and knowledge attributes regarding HPV and HPV infections. Conclusion: The Ministry of the health of Uganda and partners should offer ample orientation and training to all health workers and encourage them to disseminate information on HPV vaccination to all eligible adolescents and their caretakers in Wakiso district central Uganda.

Download Full-text

Knowledge and Attitudes Regarding HPV and Vaccination Among Chinese Women Aged 20 to 35 Years in Fujian Province

Cancer Control ◽

10.1177/1073274818775356 ◽

2018 ◽

Vol 25 (1) ◽

pp. 107327481877535 ◽

Cited By ~ 13

Author(s):

Lihua Chen ◽

Yiyi Song ◽

Guanyu Ruan ◽

Qiaoyu Zhang ◽

Fen Lin ◽

...

Keyword(s):

Young Women ◽

Hpv Vaccine ◽

Chinese Women ◽

Hpv Vaccination ◽

Hpv Infection ◽

Cross Sectional Study ◽

Detailed Knowledge ◽

Fujian Province ◽

Cross Sectional ◽

Knowledge And Attitudes

The use of the human papillomavirus (HPV) vaccine was recently approved in Mainland China. This study determined the knowledge and attitudes of young women aged 20 to 35 years in Fujian Province, China, with regard to HPV and vaccination and explored the potential factors influencing their attitudes toward HPV vaccination. This was a cross-sectional study that collected data regarding the knowledge on and attitudes toward HPV and vaccination using questionnaires. Furthermore, the prevalence of HPV was determined from the sampled participants. A total of 1001 young women were included in the survey. This study demonstrated that the HPV prevalence rate was 15.7% (157/1001). Among all patients, 44.9% (n = 449) had heard of HPV; however, detailed knowledge about HPV was lacking. The majority (83.7%) expressed a willingness to be vaccinated. Specifically, knowledge of the dangers of HPV infection was significantly associated with the willingness to be vaccinated. In this study, women cited some concerns and expressed high expectations for the HPV vaccine, but the costs of vaccination reduced their willingness to be vaccinated. This study found that most patients did not have a detailed knowledge of HPV. Thus, there is a need for continued HPV promotion and education efforts, especially on the dangers of HPV infection, among young women aged 20 to 35 years in Fujian Province, China. Furthermore, it is important to subsidize the costs of vaccination for promoting vaccination campaigns in China.

Download Full-text

Human Papilloma Virus Transmission: Knowledge and Uptake of HPV Vaccine among In-school Adolescent Girls in South-South Nigeria

International Journal of TROPICAL DISEASE & Health ◽

10.9734/ijtdh/2020/v41i830308 ◽

2020 ◽

pp. 25-37

Author(s):

I. N. Ojule ◽

I. E. Anika

Keyword(s):

Adolescent Girls ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Virus Transmission ◽

Hpv Infection ◽

Cross Sectional Study ◽

Hpv Vaccines ◽

Cross Sectional ◽

Multi Stage ◽

Rivers State

Background: HPV infection is the most common STI in sexually active adolescents. It has been implicated in majority of cases of cervical cancers. HPV is preventable. Potent Vaccines are available. Objective: This study assessed what adolescents know about HPV infection and HPV vaccination, their attitude and uptake of HPV vaccine. This was also to raise awareness and obtain data that will be useful in identifying where to intervene to improve coverage. Materials and Methods: A descriptive cross-sectional study carried out in Rivers State, Nigeria. Study tool was a semi-structured, self-administered questionnaire. Multi-stage sampling method was used to recruit adolescent girls from secondary schools. Results: 445 in-school adolescent girls aged 9 to 19 years participated. Mean age was 13.4 SD = ±2.2 years. 36.6% and 36.8% had heard of HPV infection and HPV vaccine respectively. Only 3.1% of the participants knew HPV could be prevented through vaccination. 71.7% indicated willingness to obtain the vaccine. Only 3.6% self reported to have received at least one dose of the vaccine at the time of the survey. Uptake of HPV vaccine (P=0.00), willingness to be vaccinated (P=0.005) highest among adolescents that had heard of HPV vaccine and those who perceived themselves to be at risk for HPV infection (P=0.005). Insufficient health information, cost of HPV vaccines identified as key barriers to vaccines utilization. Conclusion: Notwithstanding the low level of knowledge about HPV infection and HPV vaccines willingness to be vaccinated was high. Our study shows that uptake of vaccination is low in our locality.

Download Full-text

Human papillomavirus vaccination and sexual practices among men who have sex with men in Melbourne, Australia: a cross-sectional study

International Journal of STD & AIDS ◽

10.1177/0956462419897514 ◽

2020 ◽

Vol 31 (4) ◽

pp. 312-317

Author(s):

Eric PF Chow ◽

Ei T Aung ◽

Marcus Y Chen ◽

Catriona S Bradshaw ◽

Christopher K Fairley

Keyword(s):

Human Papillomavirus ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Health Centre ◽

Cross Sectional Study ◽

Sexual Practices ◽

Human Papillomavirus Vaccination ◽

Cross Sectional ◽

Sex With Men ◽

Hiv Negative

The aim of this study was to explore the factors associated with self-reported receipt of human papillomavirus (HPV) vaccine among men who have sex with men (MSM). MSM aged 16–40 years attending the Melbourne Sexual Health Centre, Australia, for their first visit in 2016 were included in the analysis. Multivariable logistic regression analyses were performed to examine the association between self-reported HPV vaccination and sexual practices: one examining the sexual practices. A total of 1332 MSM with a mean age of 27.6 (standard error [SE] = 0.1) were included in the analysis. The mean number of reported male partners in the last 3 and 12 months was 4.0 (SE = 0.1) and 8.9 (SE = 0.4), respectively. Six percent ( n = 81) of MSM reported receiving the HPV vaccine. There was no significant association between sexual practices (the number of partners or condomless anal sex) and self-reported HPV vaccine receipt after adjusting for confounding factors such as human immunodeficiency virus (HIV) status and pre-exposure prophylaxis (PrEP). HIV-negative MSM taking PrEP were three times more likely to be vaccinated against HPV compared with HIV-negative MSM not taking PrEP in both multivariable analyses. Our findings suggest that there is no association between HPV vaccination and sexual risk practices in MSM.

Download Full-text

Are Men Being Left Behind (Or Catching Up)? Differences in HPV Awareness, Knowledge, and Attitudes Between Diverse College Men and Women

American Journal of Men s Health ◽

10.1177/1557988319883776 ◽

2019 ◽

Vol 13 (6) ◽

pp. 155798831988377 ◽

Cited By ~ 2

Author(s):

Sharice M. Preston ◽

William W. Darrow

Keyword(s):

College Students ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

South Florida ◽

Vaccine Uptake ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Men And Women ◽

Knowledge And Attitudes ◽

Hpv Awareness

The aim of this cross-sectional survey was to assess awareness, knowledge, and attitudes in regard to human papillomavirus (HPV) and vaccination against HPV among college students. From 2015 to 2017, 386 diverse undergraduates were recruited from a south Florida university. A survey, part of which was researcher developed, of HPV awareness, knowledge, and attitudes was conducted. The majority (84%) of participants had heard of HPV, and 70% had favorable attitudes toward vaccination. Only 28% of men and 55% of women had received ≥1 dose vaccine ( p = .01), and 4% of all participants reported that they had received 3 doses. Those with ≥1 dose ( n = 123, 40.1%) were more knowledgeable about HPV ( p = .01). High knowledge scores were recorded for 30% of respondents and were strongly associated with HPV vaccine initiation among both men and women ( p < .001) and perceived knowledge among women only ( p < .001). Negative attitudes toward HPV vaccine acceptance were associated with low knowledge scores ( p = .01) and undervaccination ( p < .001). Vaccinated women ( n = 95) were over seven times more likely than were unvaccinated women ( n = 115) to report positive vaccine attitudes (relative risk = 7.1). HPV vaccination status was not associated with vaccine attitudes among men. HPV knowledge and vaccine uptake remain problematic among college students, and deficits in both are associated with negative HPV vaccine attitudes. Although the knowledge gap is narrowing, HPV vaccination efforts should target young men, as HPV-related cancer morbidity continues to rise in men.

Download Full-text

Factors Affecting Uptake of Human Papilloma Virus (HPV) Vaccination among in- School Adolescent Girls in Wakiso District, Central Uganda.

10.51168/sjhrafrica.v1i12.11. ◽

2020 ◽

Author(s):

◽

Zaitune Nanyunja

Keyword(s):

Cervical Cancer ◽

Adolescent Girls ◽

Health Workers ◽

Hpv Vaccination ◽

Cluster Sampling ◽

Cross Sectional ◽

Factors Affecting ◽

Five Factors ◽

Vaginal Sex ◽

Depth Interviews

Download Full-text

Why don’t adolescent girls in a rural Uganda district initiate or complete routine 2-dose HPV vaccine series: Perspectives of adolescent girls, their caregivers, healthcare workers, community health workers and teachers

PLoS ONE ◽

10.1371/journal.pone.0253735 ◽

2021 ◽

Vol 16 (6) ◽

pp. e0253735

Author(s):

Joseph Rujumba ◽

Mathias Akugizibwe ◽

Nicole E. Basta ◽

Cecily Banura

Keyword(s):

Health Facility ◽

Adolescent Girls ◽

Hpv Vaccine ◽

Healthcare Workers ◽

Health Workers ◽

Cultural Beliefs ◽

Hpv Vaccination ◽

Cold Chain ◽

Injection Pain ◽

Northern Uganda

Introduction Vaccination with the 2-dose HPV vaccine series among adolescent girls in Uganda remains low after almost 5 years since the vaccine was included into the routine national immunization program and barriers are not well understood. Objective We explored barriers that prevent eligible girls from initiating or completing the recommended 2-dose HPV vaccine series in Oyam District, Northern Uganda. Methods A qualitative study was conducted in Oyam District, Northern Uganda. Forty interviews were conducted with adolescent girls, their caregivers, Village Health Team Members, health workers and school administrators involved in HPV vaccination. All interviews were audio recorded and transcribed. NVivo version 11 was used for data management and content thematic approach for analysis guided by the Social Ecological Model. Results At individual level, low levels of knowledge about the vaccine, girls’ frequent mobility between vaccine doses, school absenteeism and drop out, fear of injection pain and discouragement from caregivers or peers were key barriers. At the health facilities level, reported barriers included: few healthcare workers, inadequate knowledge about HPV vaccine, limited social mobilization and community engagement to promote the vaccine, limited availability of the HPV vaccine, unreliable transportation, lack of reminder strategies after the first dose of the vaccine, lack of vaccination strategy for out-of-school girls and un-friendly behaviour of some healthcare workers. Concerns about safety and efficacy of the vaccine, negative religious and cultural beliefs against vaccination, rumors and misconceptions about the vaccine, mistrust in government intentions to introduce the new vaccine targeting girls, busy schedules and the gendered nature of care work were key community level barriers. Conclusion Our study revealed an interplay of barriers at individual, health facility and community levels, which prevent initiation and completion of HPV vaccination among adolescent girls. Strengthening HIV vaccination programs and ensuring high uptake requires providing appropriate information to the girls plus the community, school and health facility stakeholders; addressing cold chain challenges as well as adequate training of vaccinators to enable them respond to rumors about HPV vaccination.

Download Full-text

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.

Download Full-text

Human papillomavirus vaccination among diverse college students in the state of Georgia: who receives recommendation, who initiates and what are the reasons?

Health Education Research ◽

10.1093/her/cyz014 ◽

2019 ◽

Vol 34 (4) ◽

pp. 415-434 ◽

Cited By ~ 1

Author(s):

Milkie Vu ◽

Robert A Bednarczyk ◽

Cam Escoffery ◽

Betelihem Getachew ◽

Carla J Berg

Keyword(s):

College Students ◽

Private Schools ◽

Hpv Vaccine ◽

Parental Education ◽

Hpv Vaccination ◽

Critical Time ◽

Human Papillomavirus Vaccination ◽

Cross Sectional ◽

Belief Models ◽

Vaccine Recommendation

Abstract Young adulthood is a critical time for catch-up HPV vaccination. We assessed predictors of vaccine recommendation and initiation among college students. We analysed cross-sectional surveys from 2397 students using multivariable logistic regressions. Guided by the Socio-ecological and Health Belief Models, measures included socio-demographic characteristics, intrapersonal measures (e.g. vaccine beliefs), interpersonal measures (e.g. doctor’s recommendation) and institutional-level measures (e.g. college settings). The sample included students from private, public, technical and historically black colleges/universities. Of the sample, 64.5% were White; additionally, 48.3% of women (n = 750/1552) and 18.8% of men (n = 159/845) received a doctor’s recommendation. Among women, predictors included older age, US-born, higher parental education and attending private schools. Among men, predictors included younger age, being homosexual and attending private schools. HPV vaccine series initiation was low—43.3% of women (n = 672) and 16.7% of men (n = 141). Doctor’s recommendation predicted initiation for both sexes. Younger women, women attending technical colleges and men of ‘multiple/other’ race had lower odds of initiation. Common initiation barriers for both sexes included a lack of doctor recommendation and sexual inactivity. These barriers and the associations between nativity, race and socio-economic status with vaccine recommendation and initiation should be further investigated. Interventions should improve patient–provider communication around HPV vaccine.

Download Full-text

Parental decision-making on human papillomavirus vaccination for daughters in Japan

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2018-0140 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Ken-ichiro Kobayashi ◽

Charnchudhi Chanyasanha ◽

Dusit Sujirarat

Keyword(s):

Cervical Cancer ◽

Human Papillomavirus ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Healthcare Providers ◽

Related Factors ◽

Human Papillomavirus Vaccination ◽

Remote Areas ◽

Parental Decision Making ◽

The Government

AbstractBackgroundIn June 2013, the fear of adverse events compelled the government to withdraw its recommendation of the Human papillomavirus (HPV) vaccine. Since then, the rate of vaccination among Japanese girls has dropped dramatically.ObjectiveThis study aims to assess how the Japanese government's policy change against HPV vaccination influenced the degree to which parents in remote areas in Japan accepted the vaccine for their daughters, and to analyze related factors.MethodsA self-administered questionnaire was distributed to parents with daughters attending secondary schools or high schools in two remote areas of the country.ResultsOut of 700 eligible parents, 246 (35%) responded. The percentage of parents in the “accept group” (those whose daughters had already been vaccinated or those who intended to have their daughters vaccinated) dropped from 54% before the government withdrew its HPV vaccine recommendation to only 4.5% after the withdrawal (1.5% of whom intended to vaccinate and 3% of whom had already had their daughters vaccinated). Vaccine acceptance was higher in parents who were employed as healthcare workers, had been educated through to the completion of high school, had good levels of knowledge about cervical cancer and the HPV vaccine, had low perceived barriers against the HPV vaccine, and received high levels of social support.ConclusionThe acceptance of HPV vaccination among parents was low overall. Higher acceptance may be possible if the government restores its recommendation and healthcare providers disseminate appropriate information about the HPV vaccination and cervical cancer.

Download Full-text