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Bogka E, Naoum P, Pavi E, Athanasakis K. What Influences Parents on Their Decision to Vaccinate Their Daughters Against HPV? J Pediatr Adolesc Gynecol 2024; 37:396-401. [PMID: 38367952 DOI: 10.1016/j.jpag.2024.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Revised: 01/28/2024] [Accepted: 02/11/2024] [Indexed: 02/19/2024]
Abstract
STUDY OBJECTIVE To investigate and compare the attitudes of parents who initiated their daughters' HPV vaccination with parents who did not. METHODS Data were collected through telephone interviews with a close-end questionnaire on parents' knowledge, attitudes towards the vaccine, and the reasons for vaccinating or not their daughters against HPV. The sample was random, stratified by geographic region and urbanization level, national, and representative of the general population of parents of girls aged 11-18 in Greece. Statistical analysis consisted of descriptives, an inferential analysis with hypothesis testing, and a logistic regression model. RESULTS Overall, 996 parents were included in the analysis, 99.0% of which were women. Forty-seven percent of them initiated their daughters' HPV vaccination, with physician recommendation stated as the most important reason for this decision (50.2%). For those who had not initiated their daughters' HPV vaccination (53%), lack of information was the most important reason (25.6%). In the hypothesis testing, parents with unvaccinated daughters agreed more with the statements "I do not have enough information for the HPV vaccine to decide," and "My child is very young to be vaccinated for an STD" (P < .05), but no significant difference found for the statement "It's more possible for a vaccinated girl to begin sexual activities" (P > .05). CONCLUSIONS Lack of information, young age of the daughter, and perceived effectiveness of the vaccine are the most important hesitation factors. Physician recommendation is the most important reason to initiate vaccination.
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Affiliation(s)
- Elissavet Bogka
- Department of Public Health Policy, Laboratory for Health Technology Assessment, University of West Attica, Athens, Greece.
| | - Panagiota Naoum
- Department of Public Health Policy, Laboratory for Health Technology Assessment, University of West Attica, Athens, Greece
| | - Elpida Pavi
- Department of Public Health Policy, Laboratory for Health Technology Assessment, University of West Attica, Athens, Greece
| | - Kostas Athanasakis
- Department of Public Health Policy, Laboratory for Health Technology Assessment, University of West Attica, Athens, Greece
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Altom F, Khawaji NY, Almalki MM, Almohammadi WA, Al-Enezi HS, Al-Khalil SY. Knowledge, Attitude, and Perception Regarding the Human Papillomavirus (HPV) Vaccine Among Parents at Al-Madinah Al-Munawwar: A Cross-Sectional Study. Cureus 2024; 16:e65850. [PMID: 39219931 PMCID: PMC11364085 DOI: 10.7759/cureus.65850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/31/2024] [Indexed: 09/04/2024] Open
Abstract
BACKGROUND Human papillomavirus (HPV) is the leading cause of cervical cancer in reproductive-age Saudi women. Parents' understanding and attitude regarding HPV vaccination in young girls are vital to preventing cervical cancer. OBJECTIVE This study aims to assess the knowledge, attitudes, and perceptions of parents in Al-Madinah Al-Munawwara towards the HPV vaccine and identify factors influencing their decision to vaccinate their children. METHODS A cross-sectional survey was conducted among 500 parents in Al-Madinah Al-Munawwara. A structured questionnaire was used to collect data on demographics, knowledge about HPV and the HPV vaccine, attitudes towards vaccination, and perceptions of vaccine safety and efficacy. Data were analyzed using Statistical Product and Service Solutions (SPSS, version 21; IBM SPSS Statistics for Windows, Armonk, NY). RESULTS Parents have 57.6% knowledge about HPV, 69.2% perceive it as dangerous, and 29.8% know its link to cervical cancer. Physicians are the primary source, and 81.2% believe the vaccine protects HPV. Key predictors of vaccine acceptance included higher educational levels, awareness of HPV-related health risks, and recommendations from healthcare professionals. CONCLUSION The study reveals a lack of knowledge about HPV infection and vaccines among Saudi Arabian parents, with only 7.2% having vaccinated their children, emphasizing the need for education and screening programs.
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Affiliation(s)
- Faris Altom
- Basic Sciences, Al Rayan National College of Medicine, Madinah, SAU
| | - Nussaiba Y Khawaji
- Medicine and Surgery, Al Rayan National College of Medicine, Madinah, SAU
| | - Mona M Almalki
- Medicine and Surgery, Al Rayan National College of Medicine, Madinah, SAU
| | | | - Heyam S Al-Enezi
- Medicine and Surgery, Al Rayan National College of Medicine, Madinah, SAU
| | - Shayma Y Al-Khalil
- Medicine and Surgery, Al Rayan National College of Medicine, Madinah, SAU
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3
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Nikolic N, Basica B, Strbac M, Terzic L, Patic A, Kovacevic G, Velicki R, Petrovic D, Mandic A, Petrovic V. Prevalence of Carcinogenic Genotypes of HPV-Infected Women in a Ten-Year Period (2014-2023) in Vojvodina, Serbia. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:922. [PMID: 38929539 PMCID: PMC11205824 DOI: 10.3390/medicina60060922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2024] [Revised: 05/20/2024] [Accepted: 05/29/2024] [Indexed: 06/28/2024]
Abstract
Background and Objectives: Human papillomavirus (HPV) infection and its etiological role in the development of cervical cancer are well established. The cervical cancer mortality rate in Serbia is one of the highest among European countries, and this cancer is the second-leading cause of death in Serbian women aged from 15 to 44. Materials and Methods: This retrospective study was conducted at the Institute of Public Health of Vojvodina. A total of 10,062 cervical specimens from Serbian women were collected and HPV tested in ten years. The study patients were divided into five age groups. HPV genotype testing was performed using a commercial kit to detect 14 high-risk (HR) HPV genotypes. Additionally, cervix cytology data have been available for patients tested in 2022 and 2023. Results: An overall positive rate was found in 43.3% of patients (4356/10,062). A single HPV infection (62.1%) was the main infection pattern. The most frequent HR HPV genotypes were HPV 16, 31, 52, 56, 39, and 51, comprising 62.3% of the detected genotypes, including multiple infections. A significant difference was noted in the HPV prevalence across the different age groups, with a bimodal distribution of HPV infection. The highest prevalence was recorded in the age group ≤ 30 and those after 61 years. Women diagnosed with high-grade squamous intraepithelial lesions (HSIL) were significantly older compared to others. HR HPV is the most prevalent in patients with HSIL cytological findings (76.5%). The most common type, according to age-specific distribution and cytological findings, was HR HPV 16. Conclusions: This study provides comprehensive data on HR HPV distribution among Serbian women, which can serve as a basis for subsequent monitoring of genotypic distribution. It is particularly significant considering they are missing in the updated ICO/IARC Report for Serbia, and the cervical cancer mortality rate in Serbia is one of the highest among European countries.
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Affiliation(s)
- Natasa Nikolic
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia; (N.N.); (M.S.); (L.T.); (A.P.); (G.K.); (R.V.); (D.P.); (V.P.)
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
| | - Branka Basica
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia; (N.N.); (M.S.); (L.T.); (A.P.); (G.K.); (R.V.); (D.P.); (V.P.)
| | - Mirjana Strbac
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia; (N.N.); (M.S.); (L.T.); (A.P.); (G.K.); (R.V.); (D.P.); (V.P.)
| | - Lidija Terzic
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia; (N.N.); (M.S.); (L.T.); (A.P.); (G.K.); (R.V.); (D.P.); (V.P.)
| | - Aleksandra Patic
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia; (N.N.); (M.S.); (L.T.); (A.P.); (G.K.); (R.V.); (D.P.); (V.P.)
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
| | - Gordana Kovacevic
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia; (N.N.); (M.S.); (L.T.); (A.P.); (G.K.); (R.V.); (D.P.); (V.P.)
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
| | - Radmila Velicki
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia; (N.N.); (M.S.); (L.T.); (A.P.); (G.K.); (R.V.); (D.P.); (V.P.)
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
| | - Dusan Petrovic
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia; (N.N.); (M.S.); (L.T.); (A.P.); (G.K.); (R.V.); (D.P.); (V.P.)
| | - Aljosa Mandic
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
- Clinic for Oncological Surgery, Oncology Institute of Vojvodina, 21204 Sremska Kamenica, Serbia
| | - Vladimir Petrovic
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia; (N.N.); (M.S.); (L.T.); (A.P.); (G.K.); (R.V.); (D.P.); (V.P.)
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia;
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Štrbac M, Vuković V, Pustahija T, Nikolić N, Rajčević S, Ilić S, Dugandžija T, Patić A, Ristić M, Petrović V. Motives and attitudes of parents toward HPV vaccination: Results from the initial period of HPV vaccine rollout in Serbia. PLoS One 2023; 18:e0287295. [PMID: 37410715 PMCID: PMC10325070 DOI: 10.1371/journal.pone.0287295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Accepted: 06/03/2023] [Indexed: 07/08/2023] Open
Abstract
Human papillomavirus (HPV) infection is one of the most common viral infections in sexually active population worldwide, and is the main cause of cervical cancer, which is the fourth most common cancer among women. Serbia ranks third in incidence and mortality rate of cervical cancer in Europe. We conducted a cross-sectional study considering parents' motivation for the HPV vaccination of their children. Statistical analysis included descriptive statistics and a logistic regression model. We found that the strongest motive was "Recommendation from paediatrician" (20.2%), followed by the attitude that HPV vaccine protects against cancers in different localization (15.4%), the motive "It is better to vaccinate a child than expose them to potential risk of HPV infection" (13.3%) and "Feeling anxiety due to a possible infection and cancer in the child" (13.1%). For those parents that vaccinated their child for some other strongest motive, reasons like "Vaccine is free of charge", "Recommendation from friends and family" and motive "My child received all obligatory vaccines, so I want to receive this one as well", were significantly more frequently selected. In the group where paediatricians' recommendation was not a motive for accepting the HPV vaccine, the largest percentage of parents (89.6%) selected motive "HPV vaccine protects against cancers in different localization" and the motive "It is better to vaccinate a child than expose them to potential risk of HPV infection" (78.1%). Paediatrician's recommendation is very important for parents' decision to vaccinate, however, other motives also influenced and had significance in making the parents' decision to vaccinate their children against HPV. Encouraging trust in public health authorities in Serbia, highlighting the advantages of the HPV vaccine and further encouraging healthcare workers to give stronger recommendations can increase the HPV vaccine uptake. Finally, we provided the basis to create more targeted messages that will empower parents to vaccinate their children.
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Affiliation(s)
- Mirjana Štrbac
- Institute of Public Health of Vojvodina, Novi Sad, Serbia
| | - Vladimir Vuković
- Institute of Public Health of Vojvodina, Novi Sad, Serbia
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Tatjana Pustahija
- Institute of Public Health of Vojvodina, Novi Sad, Serbia
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Nataša Nikolić
- Institute of Public Health of Vojvodina, Novi Sad, Serbia
| | - Smiljana Rajčević
- Institute of Public Health of Vojvodina, Novi Sad, Serbia
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Svetlana Ilić
- Institute of Public Health of Vojvodina, Novi Sad, Serbia
| | - Tihomir Dugandžija
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
- Oncology Institute of Vojvodina, Sremska Kamenica, Serbia
| | - Aleksandra Patić
- Institute of Public Health of Vojvodina, Novi Sad, Serbia
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Mioljub Ristić
- Institute of Public Health of Vojvodina, Novi Sad, Serbia
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Vladimir Petrović
- Institute of Public Health of Vojvodina, Novi Sad, Serbia
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
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Chen L, Sun X, Luo J, Zhang Y, Ha Y, Xu X, Tao L, Mu X, Gao S, Han Y, Wang C, Wang F, Wang J, Yang B, Guo X, Yu Y, Ma X, Liu L, Ma W, Xie P, Wang C, Li G, Lu Q, Cui F. A Case-Control Study on Factors of HPV Vaccination for Mother and Daughter in China. Vaccines (Basel) 2023; 11:vaccines11050976. [PMID: 37243080 DOI: 10.3390/vaccines11050976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 04/20/2023] [Accepted: 05/10/2023] [Indexed: 05/28/2023] Open
Abstract
(1) Background: To explore the influencing factors of human papillomavirus (HPV) vaccination among mothers and daughters so as to provide evidence and strategies for improving the HPV vaccination rate of 9-18-years-old girls. (2) A questionnaire survey was conducted among the mothers of 9-18-year-old girls from June to August 2022. The participants were divided into the mother and daughter vaccinated group (M1D1), the mother-only vaccinated group (M1D0), and the unvaccinated group (M0D0). Univariate tests, the logistic regression model, and the Health Belief Model (HBM) were employed to explore the influencing factors. (3) Results: A total of 3004 valid questionnaires were collected. According to the regions, Totally 102, 204, and 408 mothers and daughters were selected from the M1D1, M1D0, and M0D0 groups, respectively. The mother having given her daughter sex education (OR = 3.64; 95%CI 1.70, 7.80), the mother's high perception of disease severity (OR = 1.79; 95%CI 1.02, 3.17), and the mother's high level of trust in formal information (OR = 2.18; 95%CI 1.26, 3.78) were all protective factors for both the mother and her daughter's vaccination. The mother's rural residence (OR = 0.51; 95%CI 0.28, 0.92) was a risk factor for vaccination of both mother and daughter. The mother's education of high school or above (OR = 2.12; 95%CI 1.06, 4.22), the mother's high level of HPV and HPV vaccine knowledge (OR = 1.72; 95%CI 1.14, 2.58), and the mother's high level of trust in formal information (OR = 1.72; 95%CI 1.15, 2.57) were protective factors of mother-only vaccination. The older the mother (OR = 0.95; 95%CI 0.91, 0.99) was classed as a risk factor for mother-only vaccination. "Waiting until the daughters are older to receive the 9-valent vaccine" is the main reason why the daughters of M1D0 and M0D0 are not vaccinated". (4) Chinese mothers had a high willingness to vaccinate their daughters with the HPV vaccine. The higher education level of the mother, giving sex education to the daughter, the older ages of mothers and daughters, the mother's high level of HPV and HPV vaccine knowledge, a high level of perception of the disease severity, and a high level of trust in formal information were promoting factors of HPV vaccination for mother and daughter, and rural residence was a risk factor to vaccination. To promote HPV vaccination in girls from 9-18 years old, communities could provide health education to rural mothers with low education levels; the government could advocate for HPV vaccination through issuing policy documents; and doctors and the CDC could popularize the optimal age for HPV vaccination to encourage mothers to vaccinate their daughters at the age of 9-14 years old.
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Affiliation(s)
- Linyi Chen
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China
| | - Xihong Sun
- Jining Center for Disease Control and Prevention, Jining 272209, China
| | - Jing Luo
- Suzhou City Center for Disease Control and Prevention, Suzhou 234000, China
| | - Yuanshan Zhang
- Lingcheng Center for Disease Control and Prevention, Dezhou 253500, China
| | - Yu Ha
- Disease Control and Prevention Center of Jiuzhaigou County, Aba 623400, China
| | - Xiaoxia Xu
- Longxi Center for Disease Control and Prevention, Dingxi 748000, China
| | - Liandi Tao
- Chengguan Center for Disease Control and Prevention, Lanzhou 730020, China
| | - Xuefeng Mu
- Yilan Center for Disease Control and Prevention, Harbin 154800, China
| | - Shengnan Gao
- Nangang Center for Disease Control and Prevention, Harbin 150006, China
| | - Yongchao Han
- Qingfeng County Center for Disease Control and Prevention, Puyang 457000, China
| | - Chi Wang
- Nangang Center for Disease Control and Prevention, Harbin 150006, China
| | - Fuliang Wang
- Xiaoshan Center for Disease Control and Prevention, Hangzhou 311201, China
| | - Juan Wang
- Disease Control and Prevention Center of Jiuzhaigou County, Aba 623400, China
| | - Bingying Yang
- Si County Center for Disease Control and Prevention, Suzhou 234300, China
| | - Xiaoyan Guo
- Qingfeng County Center for Disease Control and Prevention, Puyang 457000, China
| | - Yajie Yu
- Yilan Center for Disease Control and Prevention, Harbin 154800, China
| | - Xian Ma
- Chengguan Center for Disease Control and Prevention, Lanzhou 730020, China
| | - Lijian Liu
- Jinxiang Center for Disease Control and Prevention, Jining 272200, China
| | - Wenmin Ma
- Jinxiang Center for Disease Control and Prevention, Jining 272200, China
| | - Pengmin Xie
- Longxi Center for Disease Control and Prevention, Dingxi 748000, China
| | - Chao Wang
- Department of Laboratorial Science and Technology & Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
| | - Guoxing Li
- Puyang Center for Disease Control and Prevention, Puyang 457000, China
| | - Qingbin Lu
- Department of Laboratorial Science and Technology & Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
| | - Fuqiang Cui
- Department of Laboratorial Science and Technology & Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
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Jin SW, Lee Y, Brandt HM. Human Papillomavirus (HPV) Vaccination Knowledge, Beliefs, and Hesitancy Associated with Stages of Parental Readiness for Adolescent HPV Vaccination: Implications for HPV Vaccination Promotion. Trop Med Infect Dis 2023; 8:tropicalmed8050251. [PMID: 37235299 DOI: 10.3390/tropicalmed8050251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Revised: 04/18/2023] [Accepted: 04/20/2023] [Indexed: 05/28/2023] Open
Abstract
The vaccination against human papillomavirus (HPV) has shown effectiveness in preventing six different types of cancer. Despite a safe, effective HPV vaccine, vaccination coverage for adolescents remains suboptimal, especially in the Memphis, Tennessee metropolitan area. Parents/Guardians have a substantial influence on adolescent vaccination, but little is known about parental cognitive factors contributing to intent on adolescent HPV vaccination in this region. Thus, this study examined factors associated with stages of parental readiness for adolescent HPV vaccination by applying the transtheoretical model. A cross-sectional, online survey was conducted to collect quantitative data on sociodemographic characteristics; health-related information; HPV vaccination knowledge, beliefs, and hesitancy; and stages of readiness for adolescent HPV vaccination among parents. Convenience sampling was performed to recruit a total of 497 parents of adolescents aged 11-17 years in Shelby and Tipton Counties in Tennessee and DeSoto County in Mississippi. Binary logistic regression analyses showed that greater knowledge of HPV vaccination, greater perceived susceptibility to HPV, and lower levels of HPV vaccination hesitancy, respectively, distinguished higher from lower stages of parental readiness for adolescent HPV vaccination after controlling for other variables. The findings provide implications for developing readiness for stage-specific interventions targeted to effectively influence the parental decision-making process regarding HPV vaccination for adolescents.
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Affiliation(s)
- Seok Won Jin
- School of Social Work, The University of Memphis, 119 McCord Hall, Memphis, TN 38152, USA
- Department of Medical Humanities and Social Science, College of Medicine, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea
| | - Yeonggeul Lee
- Social Science Research, University of Seoul, 163 Seoulsiripdaero, Dongdaemun-gu, Seoul 02504, Republic of Korea
| | - Heather M Brandt
- HPV Cancer Prevention Program, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105, USA
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