Predictors, barriers and motivating factors for human papillomavirus vaccination and testing as preventive measures for cervical cancer: A study of urban women in Lagos, Nigeria.

Autor:	Okunowo AA; Department of Obstetrics & Gynaecology, College of Medicine, University of Lagos (CMUL) / Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos, Nigeria., Ugwu AO; Department of Obstetrics & Gynaecology, Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos, Nigeria., Kuku JO; Department of Obstetrics & Gynaecology, Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos, Nigeria., Soibi-Harry AP; Department of Obstetrics & Gynaecology, Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos, Nigeria., Okunowo BO; Department of Internal Medicine, Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos, Nigeria., Ani-Ugwu NK; Department of Internal Medicine, Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos, Nigeria., Osunwusi BO; Department of Obstetrics & Gynaecology, Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos, Nigeria., Adenekan MA; Department of Obstetrics & Gynaecology, Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos, Nigeria.
Jazyk:	angličtina
Zdroj:	Preventive medicine reports [Prev Med Rep] 2021 Nov 15; Vol. 24, pp. 101643. Date of Electronic Publication: 2021 Nov 15 (Print Publication: 2021).
DOI:	10.1016/j.pmedr.2021.101643
Abstrakt:	Human papillomavirus (HPV) vaccination and HPV based cervical screening are scientifically proven ways to prevent and eliminate cervical cancer (CC). Unfortunately, these measures are yet to be widely accepted or utilized. Our study aimed to explore the individual-related factors that predict HPV vaccination and testing, its motivating factors and barriers among urban women in Lagos, Nigeria. This was a descriptive cross-sectional study among 208 consenting women who attended a community health awareness program in Surulere, Lagos, Nigeria, in September 2019. Structured questionnaires were interviewer administered and analysis was done using SPSS version 23. The uptake of HPV vaccination and testing was 29.0% and 3.0% respectively. Being employed [adjusted odds ratio (AOR) = 60.45, CI = 10.64-343.46, P < 0.001] and unmarried (AOR = 33.33, CI = 12.5-100.0, P < 0.001) predicted HPV vaccination uptake while being unmarried was the only predictor of uptake of HPV testing [crude odds ratio (COR) = 7.69, CI = 1.01-100.00, P = 0.039]. Knowing someone with CC (AOR = 21.64, CI = 4.87-96.16, P < 0.001) and being unmarried (AOR = 5.56, CI = 1.45-20.00, P = 0.012) predicted increased willingness to be vaccinated. Being unmarried (AOR = 5.26, CI = 1.89-14.29, P = 0.002) and knowing someone with CC (AOR = 6.41, CI = 2.68-15.33, P < 0.001) predicted willingness to do HPV testing. Recommendation by healthcare provider (HCP), friends/relatives and media were major motivators for HPV vaccination & testing while fear, cost, no recommendation by HCP, inaccessibility & lack of awareness were major barriers. There is need to urgently address these identified factors that affect HPV vaccination and testing in order to improve its acceptability and uptake rate in our environment. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2021 The Authors.)
Databáze:	MEDLINE
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