Parental acceptance of human papillomavirus vaccination for adolescent girls in Lagos, Nigeria

Autor:	Taiwo Ganiyat Alausa, Nosimot Omolola Davies, Oluwarotimi I. Akinola, Fatimat Motunrayo Akinlusi, Rabiu Ka, Khadijah Adebisi Shittu
Rok vydání:	2020
Předmět:	Cervical cancer parental acceptance Multivariate analysis cervical cancer business.industry lcsh:R HPV infection lcsh:Medicine 030209 endocrinology & metabolism human papillomavirus vaccine HPV vaccines Odds ratio Logistic regression medicine.disease Confidence interval nigeria Vaccination 03 medical and health sciences 0302 clinical medicine Medicine Original Article adolescents 030212 general & internal medicine business Demography
Zdroj:	Journal of Family Medicine and Primary Care, Vol 9, Iss 6, Pp 2950-2957 (2020) Journal of Family Medicine and Primary Care
ISSN:	2249-4863
DOI:	10.4103/jfmpc.jfmpc_102_20
Popis:	Background and Aims: Human papillomavirus (HPV) vaccination is recommended for adolescent girls and would offer a long-term solution to cervical cancer especially in developing countries. However, parental perception and acceptance is a critical success factor. This study examined the degree of parental acceptance of HPV vaccination for adolescent secondary-school girls in Lagos, Nigeria. Materials and Methods: A descriptive cross-sectional survey of adolescent girls’ parents was undertaken in two urban and two rural secondary schools in Lagos. Univariate and multivariate analysis were carried out using logistic regression to determine correlates of parental acceptance of HPV vaccine. Results: Of the 318 respondents, 45.9% had poor knowledge of cervical cancer and HPV infection, whereas 29.6% had good knowledge. Majority (54.7%) also had poor knowledge of HPV vaccine, whereas 26.7% had good knowledge. Most (72%) would vaccinate their daughters if vaccines were free, whereas only 35.5% would, if not free. Poor knowledge of cervical cancer and HPV infection significantly reduced the likelihood of vaccination even if free (adjusted odds ratio [OR] =0.48; 95% confidence interval [CI] =0.24–0.94; P = 0.0325), whereas good knowledge of HPV vaccines (adjusted OR = 6.11; 95% CI = 1.37–27.34; P = 0.018) and tertiary education in the mother (adjusted OR = 29.17; 95% CI = 3.98–214.08; P = 0.0009) increased the likelihood, if not free. Conclusion: HPV vaccination was acceptable to most parents only if offered free. Poor knowledge of cervical cancer, HPV infection, and vaccine may hinder acceptability. It is recommended that HPV vaccination is offered free through the National Programme on Immunization in Nigeria.
Databáze:	OpenAIRE
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