A Qualitative Study of Parental Knowledge and Perceptions of Human Papillomavirus and Cervical Cancer Prevention in Rural Central Java, Indonesia: Understanding Community Readiness for Prevention Interventions

Autor: Amirah Ellyza Wahdi, Christina Alexandra Keenan, Linda Rae Bennett, Siswanto Agus Wilopo, Belinda Rina Marie Spagnoletti
Rok vydání: 2019
Předmět:
Adult
Male
Parents
Rural Population
0301 basic medicine
Human papillomavirus
Health Knowledge
Attitudes
Practice
medicine.medical_specialty
Community education
cervical cancer
Psychological intervention
Uterine Cervical Neoplasms
Young Adult
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Papillomavirus Vaccines
Young adult
Papillomaviridae
Early Detection of Cancer
Qualitative Research
Cervical cancer
parental acceptance
Cervical screening
Immunization Programs
business.industry
Incidence
Papillomavirus Infections
Vaccination
reproductive cancer
General Medicine
Middle Aged
Patient Acceptance of Health Care
Prognosis
medicine.disease
Focus group
030104 developmental biology
Indonesia
030220 oncology & carcinogenesis
Family medicine
Female
business
Research Article
Follow-Up Studies
Qualitative research
Zdroj: Asian Pacific Journal of Cancer Prevention : APJCP
ISSN: 2476-762X
DOI: 10.31557/apjcp.2019.20.8.2429
Popis: Background: Cervical cancer (CC) is a leading cause of cancer deaths among Indonesian women. Pilot prevention programs, including human papillomavirus (HPV) vaccination for young adolescent girls, and cervical screening for women, have been implemented. However, many communities are yet to receive these interventions, nor targeted education regarding CC prevention. This study explored community readiness and acceptance of HPV vaccination and CC screening, as well as knowledge and perceptions of HPV and CC, to determine facilitators and barriers to upscaling CC prevention in rural Central Java. Methods: Qualitative data collection in October 2015 consisted of four focus group discussions with married women and men, and 22 semi-structured interviews with married women. All 57 participants, 39 women and 15 men, lived in Purworejo Regency in rural Central Java. Results: Most participants had no knowledge of HPV or the causal link between HPV and CC. However, most participants were supportive of vaccinating their children against HPV. Most participants had heard of cervical cancer, although understandings of symptoms and causes were very poor. Less than half of the women interviewed had undergone CC screening. Multiple barriers to screening were reported, including: a dislike of pelvic exams; embarrassment at being screened by a male doctor; anxiety over the cost; fearing a positive result; and being asymptomatic and thus not perceiving the need for screening. Conclusions: Extensive community education about HPV and CC, targeting women and men, adolescents, health workers and teachers, is crucial to support the introduction of the HPV Demonstration Program and the upscaling of CC screening. Low incomes among rural families underline the need for the HPV vaccine to be provided free within the National Immunization Program, and for CC screening to be free at primary health clinics.
Databáze: OpenAIRE
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