Urban-Rural Inequities in the Parental Attitudes and Beliefs Towards Human Papillomavirus Infection, Cervical Cancer, and Human Papillomavirus Vaccine in Mysore, India

Degarege, Abraham; Krupp, Karl; Fennie, Kristopher; Li, Tan; Stephens, Dionne P.; Marlow, Laura A.V.; Srinivas, Vijaya; Arun, Anjali; Madhivanan, Purnima

doi:10.1016/j.jpag.2018.03.008

Cited by 18 publications

(19 citation statements)

References 37 publications

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“…A total of 778 parents living in the urban area and 831 parents living in the rural areas of Mysore district participated in this study. Detailed description of the study procedures are available elsewhere [33]. In brief, 12 schools located in the urban area and 11 schools located in the rural area were selected based on probability proportionate-to-size sampling.…”

Section: Study Design and Participantsmentioning

confidence: 99%

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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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Section: Study Design and Participantsmentioning

confidence: 99%

“…More than two-thirds (78.0%) of the parents were willing to vaccinate daughter with HPV vaccine. Details of the study participant characteristics are described elsewhere [33].…”

Section: Characteristics Of the Study Participantsmentioning

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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“…Study participants recruitment procedures are explained in detail elsewhere [ 33 , 37 ]. In brief, 12 schools in the urban area (five government, four private and three religious) and 11 schools in the rural areas (10 government and one private) of Mysore district were selected based on probability proportionate to size sampling.…”

Section: Methodsmentioning

confidence: 99%

“…The questionnaire was administered in Kannada , the local language, to assess factors affecting general vaccination and HPV vaccination in particular. A detailed description of the questionnaire is described elsewhere [ 33 , 34 , 37 ]. It included items such as “ Please indicate (to the best of your knowledge whether all your children have had the following recommended vaccinations ” to assess immunization for BCG, DPT3, OPV and MCV.…”

Section: Methodsmentioning

confidence: 99%

Structural equation modeling to detect correlates of childhood vaccination: A moderated mediation analysis

Degarege¹,

Krupp²,

Srinivas³

et al. 2020

PLoS ONE

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Objectives This study used a health belief theory derived framework and structural equation model to examine moderators, mediators, and direct and indirect predictors of childhood vaccination. Methods A secondary analysis was conducted using data collected from a cross-sectional survey of a random sample of 1599 parents living in urban and rural areas of Mysore district, India. Applying two-stage probability proportionate-to-size sampling, adolescent girls attending 7 th through 10 th grades in 23 schools were selected to take home a questionnaire to be answered by their parents to primarily assess HPV vaccine intentions. Parents were also asked whether their children had received one dose of Bacillus Calmette–Guérin; three doses of Diphtheria, Pertussis, Tetanus; three doses of oral Polio vaccine; and one dose of Measles vaccine. In addition, parents were asked about their attitudes towards childhood vaccination. Results Out of the 1599 parents, 52.2% reported that their children had received all the routine vaccines (fully vaccinated); 42.7% reported their children had missed at least one routine vaccine, and 5.2% reported that their children had missed all routine vaccinations. Perceptions about the benefits/facilitators to childhood vaccination significantly predicted the full vaccination rate (standardized regression coefficient (β) = 0.29) directly and mediated the effect of parental education (β = 0.11) and employment (β = -0.06) on the rate of full vaccination. Parental education was significantly associated indirectly with higher rates of full vaccination (β = 0.11). Parental employment was significantly associated indirectly with decreasing rates of full vaccination (β = -0.05). Area of residence moderated the role of religion (β = 0.24) and the ‘number of children’ in a family (β = 0.33) on parental perceptions about barriers to childhood vaccination. The model to data fit was acceptable (Root Mean Square Error of Approximation = 0.02, 95% CI 0.018 to 0.023; Comparative Fit Index = 0.92; Tucker–Lewis Index = 0.91). Conclusions Full vaccination rate was relatively low among children in Mysore, especially among parents who were unsure about the benefits of routine vaccination and those with low educational levels. Interventions increasing awareness of the benefits of childhood vaccination that target rural parents with lower levels of education may help increase the rate of full childhood vaccination in India.

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“…Nearly 528,000 women are diagnosed with cervical cancer each year with nearly half of them deceased [12]. The authors suggest that nearly 80% of the cases are found in third world countries are lacking the resources to battle this number of deaths.…”

Section: The Historical Perspective Of Hpvmentioning

confidence: 99%

Preventing Human Papilloma Virus through Community Education and Vaccination

Baldwin¹,

Rinke²

2021

Cervical Cancer - A Global Public Health Treatise

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Human Papilloma Virus (HPV) affects many members of the community. To better educate the community in a participatory manner, engaging those outside of the health care arena is necessary. To prevent the spread of the disease in the United States, reaching the parents of children at the vulnerable age of 9–11 years of age is critical. The barriers to education of parents and children around the spread of a sexually transmitted disease are vast and difficult to overcome. However, the use of proven vaccinations give healthcare providers and community advocates the main tool for prevention of the spread of the disease. It is often taboo to discuss anything related to sexual promiscuity or sexual activity in the United States in the public schools. The biggest myth includes the fear parents and grandparents have is that if HPV is talked about, then the child may become sexually active sooner. This myth needs to be challenged with science and reality including taking on the those vehemently opposed to vaccines, known as “Anti-Vaxers” that obstruct vaccine education. The strategies utilized in public health outreach to the community should be reviewed and uniquely developed for each diverse community to overcome the challenges in the prevention of HPV.

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Urban-Rural Inequities in the Parental Attitudes and Beliefs Towards Human Papillomavirus Infection, Cervical Cancer, and Human Papillomavirus Vaccine in Mysore, India

Abstract: Rural parents might be reluctant to recommend behaviors that can help prevent HPV infection and cervical cancer such as HPV vaccination for their daughters.

Cited by 18 publications

References 37 publications

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

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

Structural equation modeling to detect correlates of childhood vaccination: A moderated mediation analysis

Preventing Human Papilloma Virus through Community Education and Vaccination

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