TY - JOUR
T1 - Human Papillomavirus Vaccine Acceptability among Parents of Adolescent Girls in a Rural Area, Mysore, India
AU - Degarege, Abraham
AU - Krupp, Karl
AU - Fennie, Kristopher
AU - Srinivas, Vijaya
AU - Li, Tan
AU - Stephens, Dionne P.
AU - Marlow, Laura A.V.
AU - Arun, Anjali
AU - Madhivanan, Purnima
N1 - Funding Information:
This study was funded by an Investigator Initiated Award from Merck & Co, Inc. The funder had no role in the study design, data collection, analysis, interpretation and publication of the report. A.D. is funded by Dissertation Year Fellowship from Florida International University. K.K. is a Global Health Equity Scholar funded by Fogarty International Center and National Heart Lung and Blood Institute at the National Institute for Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Health.
Publisher Copyright:
© 2018 North American Society for Pediatric and Adolescent Gynecology
PY - 2018/12
Y1 - 2018/12
N2 - Study Objective: The purpose of this study was to examine factors predicting human papillomavirus (HPV) vaccine acceptability among parents of adolescent girls in a rural area in Mysore district, India. Design: Cross-sectional. Setting: Mysore, India. Participants: Parents of school-going adolescent girls. Interventions: Parents completed a validated self-administered questionnaire. Main Outcome Measures: Parental willingness to vaccinate their daughters with HPV vaccine. Results: Of the 831 parents who participated in this study, 664 (79.9%) were willing to vaccinate their daughter with HPV vaccine sometime soon if they were invited to receive it. Higher odds of parental willingness to vaccinate their daughters with HPV vaccine was observed among those who believed that HPV vaccine is safe (adjusted odds ratio [aOR], 2.11; 95% confidence interval [CI], 1.01-4.45); their daughter might become sexually active (aOR, 1.84; 95% CI, 1.08-3.13); they have support of other family members to vaccinate their daughter (aOR, 2.86; 95% CI, 1.47-5.57); and that HPV infection causes severe health problems (aOR, 1.64; 95% CI, 1.04-2.57). In contrast, parents who believed that there is low risk that their daughter will get cervical cancer (aOR, 0.52; 95% CI, 0.29-0.95); that the family will disapprove of getting their daughter vaccinated (aOR, 0.45; 95% CI, 0.22-0.76); that the injection might cause pain (aOR, 0.53; 95% CI, 0.31-0.89), and were older-age parents (aOR, 0.96; 95% CI, 0.93-0.99) had lower odds of willingness to vaccinate daughters with HPV vaccine. Conclusion: Acceptance of HPV vaccination for daughters was high among rural parents in Mysore, India. However, health education to reduce the belief that injection is painful and that daughters are at low risk to get cervical cancer is important to further improve parental HPV vaccine acceptability in Mysore. Public health education should target older-aged parents and extended family members.
AB - Study Objective: The purpose of this study was to examine factors predicting human papillomavirus (HPV) vaccine acceptability among parents of adolescent girls in a rural area in Mysore district, India. Design: Cross-sectional. Setting: Mysore, India. Participants: Parents of school-going adolescent girls. Interventions: Parents completed a validated self-administered questionnaire. Main Outcome Measures: Parental willingness to vaccinate their daughters with HPV vaccine. Results: Of the 831 parents who participated in this study, 664 (79.9%) were willing to vaccinate their daughter with HPV vaccine sometime soon if they were invited to receive it. Higher odds of parental willingness to vaccinate their daughters with HPV vaccine was observed among those who believed that HPV vaccine is safe (adjusted odds ratio [aOR], 2.11; 95% confidence interval [CI], 1.01-4.45); their daughter might become sexually active (aOR, 1.84; 95% CI, 1.08-3.13); they have support of other family members to vaccinate their daughter (aOR, 2.86; 95% CI, 1.47-5.57); and that HPV infection causes severe health problems (aOR, 1.64; 95% CI, 1.04-2.57). In contrast, parents who believed that there is low risk that their daughter will get cervical cancer (aOR, 0.52; 95% CI, 0.29-0.95); that the family will disapprove of getting their daughter vaccinated (aOR, 0.45; 95% CI, 0.22-0.76); that the injection might cause pain (aOR, 0.53; 95% CI, 0.31-0.89), and were older-age parents (aOR, 0.96; 95% CI, 0.93-0.99) had lower odds of willingness to vaccinate daughters with HPV vaccine. Conclusion: Acceptance of HPV vaccination for daughters was high among rural parents in Mysore, India. However, health education to reduce the belief that injection is painful and that daughters are at low risk to get cervical cancer is important to further improve parental HPV vaccine acceptability in Mysore. Public health education should target older-aged parents and extended family members.
KW - Acceptability
KW - HPV
KW - India
KW - Mysore
KW - Parents
KW - Rural
KW - Vaccine
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U2 - 10.1016/j.jpag.2018.07.008
DO - 10.1016/j.jpag.2018.07.008
M3 - Article
C2 - 30055285
AN - SCOPUS:85052814956
SN - 1083-3188
VL - 31
SP - 583
EP - 591
JO - Journal of Pediatric and Adolescent Gynecology
JF - Journal of Pediatric and Adolescent Gynecology
IS - 6
ER -