Influences on HPV vaccine acceptance among men in the Philippines

Young, April M.; Crosby, Richard A.; Jagger, Kathleen S.; Casquejo, Efren; Pinote, Lino; Ybañez, Purita L.; Casquejo, Luz; Estorgio, Dalinay; Pinote, Lucy

doi:10.1016/j.jomh.2011.01.007

Cited by 7 publications

(5 citation statements)

References 29 publications

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“…Formally employed women face additional challenges to immunizing their children such as loss of income and opportunity costs [ 25 , 38 ] and competing priorities or demands on their time [ 18 , 40 , 55 , 61 ]. Women across geographies and regardless of occupation status experienced gendered expectations of their labor resulting in increased household and caregiving demands, thus decreasing time for immunizations [ 23 , 25 , 40 , 41 , 55 , 60 , 62 , 74 , 75 , 76 ]. Seven studies identified a lack of male engagement in the household and in caregiving as a barrier [ 21 , 35 , 43 , 44 , 54 , 62 , 75 ] and four additional studies recommended male engagement as an important strategy given their decision-making power [ 19 , 20 , 63 , 91 ].…”

Section: Resultsmentioning

confidence: 99%

“…Studies reported barriers associated with direct costs including the cost of the vaccine [ 19 , 23 , 64 , 76 , 80 , 82 , 83 ], transportation costs to access services [ 19 , 25 , 29 , 36 , 58 , 61 , 68 , 70 ], and illicit fees for services or the need to pay health workers [ 25 , 36 ]. One woman in Malaysia reflected, “What’s the point of taking my children to a clinic to be vaccinated if I do not have money?” [ 28 ].…”

Section: Resultsmentioning

confidence: 99%

“…One study documented a preference for more experienced health workers, which in this setting, translated to male health workers [ 60 ]. Men in the Philippines also preferred to receive the HPV vaccine from male providers, particularly physicians (not nurses) [ 76 ]. Alternatively, other studies noted that a lack of female vaccinators leads to increases in coverage inequities [ 10 , 57 ].…”

Section: Resultsmentioning

confidence: 99%

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Of Money and Men: A Scoping Review to Map Gender Barriers to Immunization Coverage in Low- and Middle-Income Countries

Kalbarczyk,

Brownlee,

Katz

2024

Vaccines

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Among the multiple factors impeding equitable childhood immunization coverage in low- and middle-income countries (LMICs), gender barriers stand out as perhaps the most universal. Despite increasing recognition of the importance of gender considerations in immunization programming, there has not yet been a systematic assessment of the evidence on gender barriers to immunization. We conducted a scoping review to fill that gap, identifying 92 articles that described gender barriers to immunization. Studies documented a range of gender influencers across 43 countries in Africa and South Asia. The barrier to immunization coverage most frequently cited in the literature is women’s lack of autonomous decision-making. Access to immunization is significantly impacted by women’s time poverty; direct costs are also a barrier, particularly when female caregivers rely on family members to cover costs. Challenges with clinic readiness compound female caregiver’s time constraints. Some of the most important gender barriers lie outside of the usual purview of immunization programming but other barriers can be addressed with adaptations to vaccination programming. We can only know how important these barriers are with more research that measures the impact of programming on gender barriers to immunization coverage.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Of Money and Men: A Scoping Review to Map Gender Barriers to Immunization Coverage in Low- and Middle-Income Countries

Kalbarczyk,

Brownlee,

Katz

2024

Vaccines

View full text Add to dashboard Cite

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“…A study conducted in the Philippines revealed that the willingness of most men (53%) to receive vaccination was influenced by their intention to protect family members, and 40% of them said that protecting their sexual partners from infection was a major reason for getting vaccinated. 32 A US-based study in 2011 indicated that emphasizing the altruism of being vaccinated could improve the willingness of young men to get vaccinated. 33 This may also explain why male college students who are in romantic relationships may be willing to be vaccinated out of a sense of responsibility for their partners.…”

Section: Discussionmentioning

confidence: 99%

A survey of potential acceptance of 9-valent HPV vaccine among Chinese male college students

Jia,

Pan,

Hong

et al. 2023

Human Vaccines & Immunotherapeutics

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Human papillomavirus (HPV) has a great impact on world health. Vaccination is among the most important methods of preventing HPV infection. This study investigated Chinese male college students’ knowledge of, attitude toward, and acceptance of the 9vHPV vaccine and the independent predictors. An online cross-sectional study was conducted among male college students at Chinese colleges and universities from March 12 to March 23, 2022. Based on a literature review of similar studies, a self-questionnaire was designed to investigate the students’ knowledge of, attitude toward, and acceptance of the 9vHPV vaccine. Multivariate logistic regression analysis was performed to identify factors influencing their willingness to be vaccinated. In addition, the structural equation model was constructed. A total of 1,547 male college students completed the survey. Of all the students, 54.95% were unwilling to receive a 9vHPV vaccination, while only 45.05% expressed willingness. Multivariate logistic regression analysis revealed that the male college students willing to receive the vaccine included medical students, those in a romantic relationship, those whose relatives and friends had cervical cancer, those whose relatives and friends had received the 9vHPV vaccine, those supportive of promoting the vaccine for men, and those who would recommend the vaccine to their relatives and friends. Male college students exhibited high hesitancy toward the 9vHPV vaccine. Acceptance of the 9vHPV vaccine by male college students can be improved by deepening their accurate understanding of the vaccine and enhancing their positive attitude toward it.

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“…Initially a community-based immunization program, the government changed the protocol to a school-based immunization program targeting young girls aged 9–14 years to ensure high coverage and minimal dropout rate. Despite being free, which was the predominant factor affecting vaccine acceptance ( 115 , 118 , 119 ), the Philippines still ranked last among low- to middle-income countries on HPV program coverage ( 7 ). As of 2020, 23% of the female target population received the first dose of the HPV vaccine, virtually unchanged from 2019, while 5% received the last dose, up from 3% ( 11 ).…”

Section: Prevention Strategies To Address Hpv Infection and Cervical ...mentioning

confidence: 99%

Current Status of Human Papillomavirus Infection and Cervical Cancer in the Philippines

Lintao

Cando²,

Perias³

et al. 2022

Front. Med.

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Cervical cancer is estimated to cause 341,831 deaths each year, with 9 of 10 deaths occurring in developing countries. Over the past decade, there has been a significant increase in cervical cancer incidence among women in the Philippines. Persistent infection with high-risk human papillomavirus (HPV) is the well-established necessary cause of cervical cancer. Based on limited studies conducted in the Philippines, the prevalence of infection with any HPV genotype was 93.8% for cervical squamous cell carcinoma and 90.9% for cervical adenocarcinomas. HPV types 16 and 18 were the most common HPV genotypes among Filipino patients with cervical cancer. On the other hand, the incidence of HPV infection among Filipino women with normal cervices was 9.2%. The World Health Organization has launched a global agenda of eliminating HPV infection by 2030. One of its key milestones is to vaccinate 90% of girls with the HPV vaccine by 15 years. However, the HPV vaccination rate among Filipino women remains to be unsatisfactory. HPV vaccination has only been included in the Philippine Department of Health's community-based National Immunization Program in 2015. Despite these efforts, the Philippines currently ranks last on HPV program coverage among low-middle income countries, with coverage of only 23% of the target female population for the first dose and 5% for the final dose. The principal reason for the non-acceptance of HPV vaccines was the perceived high cost of vaccination. The low utilization of available cervical cancer screening tests such as Pap smear and visual inspection with acetic acid hampered the Philippines' control and prevention of HPV infection and cervical cancer. Among those diagnosed with cervical cancer in the Philippines, only an estimated 50% to 60% receive some form of treatment. To this end, we summarize the burden of HPV infection and cervical cancer on Filipinos and the risk factors associated with the disease. We present the current screening, diagnostics, treatment, and prevention of HPV-related diseases in the Philippines. Lastly, we also propose solutions on how each building block in health systems can be improved to eliminate HPV infection and reduce the burden of cervical cancer in the Philippines.

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Influences on HPV vaccine acceptance among men in the Philippines

Cited by 7 publications

References 29 publications

Of Money and Men: A Scoping Review to Map Gender Barriers to Immunization Coverage in Low- and Middle-Income Countries

Of Money and Men: A Scoping Review to Map Gender Barriers to Immunization Coverage in Low- and Middle-Income Countries

A survey of potential acceptance of 9-valent HPV vaccine among Chinese male college students

Current Status of Human Papillomavirus Infection and Cervical Cancer in the Philippines

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