Analysis of community-based studies related with knowledge, awareness, attitude, and behaviors towards HPV and HPV vaccine published in Turkey: A systematic review

Özdemir, Serpil; Akkaya, Rabia; Karaşahin, Kazım Emre

doi:10.4274/jtgga.galenos.2019.2019.0071

Cited by 22 publications

(16 citation statements)

References 45 publications

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“…Both cited studies, and our study, confirmed that level of awareness and attitudes were directly linked to education [ 38 , 47 ]. This was also confirmed in the study by Özdemir et al (2020), where positive attitudes towards HPV and the HPV vaccine increased in employed women and those who had high education and economic levels [ 49 ].…”

Section: Discussionsupporting

confidence: 61%

What Factors Are Associated with Attitudes towards HPV Vaccination among Kazakhstani Women? Exploratory Analysis of Cross-Sectional Survey Data

2022

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Background. The high prevalence of HPV infection among Kazakhstani women and the absence of an HPV vaccination program are directly reflected in increasing rates of cervical cancer incidence and mortality. Kazakhstan made its first attempt at introducing the HPV vaccine in 2013, but was unsuccessful due to complications and low public acceptance. The attitudes of Kazakhstani women towards the vaccine were never measured. Therefore, this study aims to investigate the attitudes of women towards the HPV vaccine and determine factors associated with positive, negative, or neutral attitudes. Methods. A 29-item survey consisting of 21 demographic and contextual questions and 8 Likert-scale questions was distributed among women attending gynecological offices in four major cities of Kazakhstan from December 2021 until February 2022. Attitudes of women were measured based on their answers to the eight Likert-scale questions. Ordinal logistic regression was built to find associations between demographic characteristics and attitudes of women. Results. Two hundred thirty-three women were included in the final analysis. A total of 54% of women had positive attitudes towards the vaccine. The majority of women did not trust or had a neutral attitude towards the government, pharmaceutical industry, and traditional and alternative media. However, the trust of women was high in medical workers and scientific researchers. Women’s age, education, number of children, effect of the 2013 HPV program, and trust in alternative medicine were included in the ordinal logistic model. Women with a low level of education, a high number of children, who believe in alternative medicine, and who were affected by the failed 2013 vaccination program were less likely to have a positive attitude towards the vaccine. Conclusions. Contrary attitudes towards HPV vaccination exist among Kazakhstani women, with approximately half having positive and almost half having negative or neutral attitudes towards the vaccine. An informational campaign that takes into consideration women’s levels of trust in different agencies, as well as targets those who are the most uninformed, might help in a successful relaunch of the HPV vaccination program. However, more studies that cover a higher number of women are required.

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Section: Discussionsupporting

confidence: 61%

What Factors Are Associated with Attitudes towards HPV Vaccination among Kazakhstani Women? Exploratory Analysis of Cross-Sectional Survey Data

2022

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“…Variables associated with intention to vaccinate included knowledge, personal beliefs, confidence that others would approve of vaccination, and having a higher number of sexual partners [49]. However, negative or variable attitudes of parents to vaccinate their children have been reported in a systematic review involving Turkish population [50]. The systematic review showed that between 14.4% and 68.0% of Turkish parents were willing to have their daughters vaccinated with HPV vaccine and between 11.0% and 62.0% parents were willing to have their sons vaccinated [50], suggesting a negative attitude may not be just a phenomenon of immigrants, many non-immigrants in their own countries too may have negative attitudes towards HPV vaccination.…”

Section: Discussionmentioning

confidence: 99%

“…However, negative or variable attitudes of parents to vaccinate their children have been reported in a systematic review involving Turkish population [50]. The systematic review showed that between 14.4% and 68.0% of Turkish parents were willing to have their daughters vaccinated with HPV vaccine and between 11.0% and 62.0% parents were willing to have their sons vaccinated [50], suggesting a negative attitude may not be just a phenomenon of immigrants, many non-immigrants in their own countries too may have negative attitudes towards HPV vaccination. However, since this attitude appeared amenable to change in our systematic review, innovative simple interventions may improve attitudes to HPV vaccination.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes and Perceptions of Immigrant Parents Towards Human Papillomavirus (HPV) Vaccination: A Systematic Review

et al. 2020

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Background: Our understanding about knowledge, attitudes and perceptions (KAP) of immigrants regarding human papillomavirus (HPV) vaccine is poor. We present the first systematic review on KAP of immigrant parents towards HPV vaccine offered to their children. Methods: Major bio-medical databases (Medline, Embase, Scopus and PsycINFO) were searched using a combination of keyword and database-specific terms. Following identification of studies, data were extracted, checked for accuracy, and synthesised. Quality of the studies was assessed using the Newcastle Ottawa Scale and the Joanna Briggs Institute Qualitative Assessment tool. Results: A total of 311 titles were screened against eligibility criteria; after excluding 292 titles/full texts, 19 studies were included. The included studies contained data on 2206 adults. Participants’ knowledge was explored in 16 studies and ranged from none to limited knowledge. Attitudes about HPV vaccination were assessed in 13 studies and were mixed: four reported negative attitudes fearing it would encourage sexual activity; however, this attitude often changed once parents were given vaccine information. Perceptions were reported in 10 studies; most had misconceptions and concerns regarding HPV vaccination mostly influenced by cultural values. Conclusion: The knowledge of HPV-related diseases and its vaccine among immigrant parents in this study was generally low and often had negative attitude or perception. A well-designed HPV vaccine health educational program on safety and efficacy of HPV vaccination targeting immigrant parents is recommended.

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“…[18]. When a worldwide literature review was conducted, it was found that the willingness to vaccinate was higher if the vaccine was administered free of charge [19,20].…”

Section: Discussionmentioning

confidence: 99%

Mothers' perspective on human papillomavirus vaccine in Eastern Turkey

Aras

KIRAT

YENDUR>

et al. 2023

The European Research Journal

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Objectives: The rates of vaccination with human papillomavirus (HPV) vaccine, which can prevent many cancers, rank the last place when compared to other childhood vaccination rates. The purpose of the present study was to evaluate the knowledge levels of mothers living in our region about HPV vaccine and their perspectives regarding having the vaccine. Methods: The study was conducted between 15 July and 15 August 2022 in the Department of Obstetrics and Gynecology, Faculty of Medicine, Kafkas University with the mothers of 377 girls. The SPSS 21 program was used and p < 0.05 was accepted as significant. Results: No statistically significant differences were detected between the desire of the mother to have her child vaccinated against HPV and the age of her child (p = 0.740), income level of the household (p = 0.590) and the working status of the mother (p = 0.419). There were statistically significant differences between the desire of the mother to have her daughter vaccinated with HPV, the place where the mother lived (p = 0.001), age of the mother (p = 0.037), family type (p = 0.001), number of people living at home (p = 0.027), education year of the mother (p = 0.004), father’s approval for vaccination (p = 0.001), and mother’s hearing about the Smear Test (p = 0.001). Conclusions: Even if the HPV vaccine is given free of charge, there is resistance in mothers to the vaccine. It is necessary to inform mothers about HPV vaccination for their daughters and to make the vaccination more widespread.

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Analysis of community-based studies related with knowledge, awareness, attitude, and behaviors towards HPV and HPV vaccine published in Turkey: A systematic review

Cited by 22 publications

References 45 publications

What Factors Are Associated with Attitudes towards HPV Vaccination among Kazakhstani Women? Exploratory Analysis of Cross-Sectional Survey Data

What Factors Are Associated with Attitudes towards HPV Vaccination among Kazakhstani Women? Exploratory Analysis of Cross-Sectional Survey Data

Knowledge, Attitudes and Perceptions of Immigrant Parents Towards Human Papillomavirus (HPV) Vaccination: A Systematic Review

Mothers' perspective on human papillomavirus vaccine in Eastern Turkey

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