Factors influencing intention to obtain the HPV vaccine in South East Asian and Western Pacific regions: A systematic review and meta-analysis

Santhanes, Diviya; Yong, Che Pui; Yap, Yan Ye; Saw, Pui San; Chaiyakunapruk, Nathorn; Khan, Tahir Mehmood

doi:10.1038/s41598-018-21912-x

Cited by 52 publications

(42 citation statements)

References 42 publications

(182 reference statements)

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“…Other studies among university students in other countries have reported similar findings, showing that women had a higher intention of receiving the vaccine than men [ 18 , 26 , 27 ]. The data reported here are consistent with earlier studies, which found an association between a higher knowledge of HPV and its vaccines and the intention to receive the vaccine [ 18 , 28 ].…”

Section: Discussionsupporting

confidence: 92%

Human papillomavirus (HPV) vaccine status and knowledge of students at a university in rural Thailand

Chanprasertpinyo

Rerkswattavorn

2020

Heliyon

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Background Human papillomavirus (HPV) is a sexually transmitted virus that causes cancers of the cervix, anus, vagina, penis, and oropharynx. HPV vaccination prevents HPV types that commonly cause these cancers. HPV vaccines have been approved in Thailand since 2007. However, the vaccination rate remains low, particularly in young people. Objectives This study aimed to investigate the information level regarding HPV infection and vaccination in the younger Thai population, the self-reported vaccination rate, the vaccine intention, and factors affecting the intention. Methods This cross-sectional study enrolled a total of 521 undergraduate students (77% female). We used a 34 items self-administered questionnaire (18 questions assessing knowledge level). Results The mean score of knowledge was 7.53 ± 4.95 (total score 18), indicating a low-to-moderate level of knowledge. Female gender and health-related majors were significant factors associated with greater knowledge. The self-reported vaccination rate was 1.9% among only female participants. Only 30.3% of the unvaccinated subjects had the intention to receive the vaccine. The factors affecting vaccine intention were female gender and having knowledge score ≥7. The barriers to HPV vaccination were cost (52.2%), and the perception of no need due to low-risk behavior (45.1%). Conclusion Education programs on HPV infection and vaccination should be included in the curriculum earlier, if possible, since primary school because the vaccine works best before the onset of sexual activity. In university students, the education programs may encourage the sexually inexperienced students to receive the vaccines, as they are still the ideal group for catch-up vaccination. Moreover, parental education is essential, as national vaccination programs usually target younger people. Knowledge sharing by educated people and organizations could enhance the information level in the communities. Consequently, people become aware of primary prevention by vaccination, which may lead to an increase in vaccination rates and eventually decrease HPV-related cancers.

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Section: Discussionsupporting

confidence: 92%

Human papillomavirus (HPV) vaccine status and knowledge of students at a university in rural Thailand

Chanprasertpinyo

Rerkswattavorn

2020

Heliyon

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“…Globally, the United States was among the first countries to introduce a HPV immunization program funded by the Government. [7] The Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention (CDC) recommended the provision of HPV vaccine (3 doses completion) for girls aged 11 or 12 years, and for females aged 13 through 26 years who were not previously vaccinated. ACIP expanded its recommendation in 2011 to include boys as well into the program get the vaccination.…”

Section: Introductionmentioning

confidence: 99%

Why human papilloma virus vaccination coverage is low among adolescents in the US? A study of barriers for vaccination uptake

Sriram

Ranganathan

2019

J Family Med Prim Care

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Introduction: Cervical cancer and Human papillomavirus (HPV) affects women, men, and children of all races, ethnicities, and backgrounds. The objective of this study is to examine the association between adolescent (13–17 years) HPV vaccination uptake and the key factors influencing the uptake rates of HPV vaccination. Materials and Methods: The 2016 NIS-Teen data, an annual survey conducted by the CDC to monitor vaccination uptake in the United States is used for this study. Multivariable logistic regression model was used to estimate the relationship between various factors and HPV vaccine uptake. Results: Male adolescents were 0.26 times less likely to get the HPV vaccines; adolescents covered by private health insurance were 0.18 times less likely to get HPV vaccines; Hispanic adolescents were 1.47 times more likely, adolescents from other races including Asians were 1.75 times more likely to get vaccinated for HPV compared to non-Hispanic white adolescents. Adolescents from the low-income families were 1.21 times more likely to get vaccinated for HPV; adolescents from North-eastern regions of the United States were 1.62 times more likely to get vaccinated; adolescents who were not recommended for vaccination by the family physicians were 0.43 times less likely to get HPV vaccination; adolescents who did not have any safety concerns and concerns about side effects were 3.24 times more likely to get the HPV vaccine; adolescents from households that did have not orthodox religious beliefs were 13.67 times more likely to get vaccinated. Conclusions: Vaccination uptake rates are low for adolescents in the US and the results of this study identified important barriers which need to be addressed in order to improve vaccine uptake rates among the target groups which are less likely to get vaccinated. Also, knowing the sociodemographic and community level factors associated with HPV vaccination uptake status, health planners can better plan strategies to improve HPV vaccination in their local settings.

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“…When the HPV vaccine is fully included in the Immunization Program in India, uptake of the vaccine among eligible girls might be low due to misperceptions about HPV infection, cervical cancer and HPV vaccine, or vaccination in general [15][16][17][18]. Lower intention to HPV vaccination was associated with parental negative beliefs about HPV vaccine (e.g.…”

Section: Introductionmentioning

confidence: 99%

An integrative behavior theory derived model to assess factors affecting HPV vaccine acceptance using structural equation modeling

Degarege

Krupp

Fennie

et al. 2019

Vaccine

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The study examined factors that affect parental intention-to-vaccinate adolescent daughters with HPV vaccine in Mysore district, India. A cross-sectional study was conducted among 1,609 parents of adolescent girls attending schools in Mysore District between February 2010 and October 2011. A validated questionnaire was used to assess parental attitudes, beliefs related with HPV infection, cervical cancer, HPV vaccine and vaccination in general. Structural equation modeling was used to estimate parameters and assess whether a model based on the integrative behavior theory would fit the current data. More than two-thirds (78.0%) of parents would accept vaccinating their daughters with HPV vaccine. Intention to HPV vaccination significantly increased with increase in the perception of parents about the benefits (standardized regression

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Factors influencing intention to obtain the HPV vaccine in South East Asian and Western Pacific regions: A systematic review and meta-analysis

Cited by 52 publications

References 42 publications

Human papillomavirus (HPV) vaccine status and knowledge of students at a university in rural Thailand

Human papillomavirus (HPV) vaccine status and knowledge of students at a university in rural Thailand

Why human papilloma virus vaccination coverage is low among adolescents in the US? A study of barriers for vaccination uptake

An integrative behavior theory derived model to assess factors affecting HPV vaccine acceptance using structural equation modeling

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