Factors Influencing Mothers' Acceptance of Human Papillomavirus Vaccination to Prevent Cervical Cancer in their Daughters

Abstract

Purpose: This study was done to examine mothers' acceptance and its influencing factors in daughters' human papillomavirus (HPV) vaccination to prevent cervical cancer. Methods: From July 20 to August 31, 2010, 220 mothers of unmarried daughters responded to self-administered questionnaires about their acceptance of HPV vaccination for their daughters and the optimal age for HPV vaccination. Descriptive statistics, univariate logistic and multiple logistic regression were used for data analysis with SPSS/WIN 12.0. Results: Mothers indicating their willingness to pay for their daughters to receive HPV vaccination accounted for 61.8%, and willingness with health insurance coverage, 84.5%. Mean optimal age for HPV vaccination was 19.78 ± 3.96) years. With self-payment the factor influencing mothers willingness was necessity of HPV vaccination (OR= 30.45, 95% CI=10.33~89.15). With health insurance coverage, income (OR=3.02, 95% CI: 1.19~7.62), necessity of HPV vaccination (OR=15.05, 95% CI= 4.15~54.64), concern about HPV vaccine safety (OR=2.99, 95% CI=1.15~7.76), and experience of Pap test (OR= 3.16, 95% CI=1.24~8.05) were factors influencing mothers willingness. Other influencing factors were optimal age for HPV vaccination, knowing about HPV (OR=7.66, 95% CI=2.19~26.82), and age of youngest daughter (OR=3.95, 95% CI=1.34~11.68). Conclusion: Financial support is anticipated for low income families in a primary approach to increase HPV vaccination. And focusing on earlier age and concerns about vaccination are necessary to gain mothers' acceptance.

Awareness of cervical cancer prevention among mothers of adolescent daughters in Korea: qualitative research

“…In general, the mothers demonstrated a willingness to have their daughters vaccinated against HPV, accepted that the vaccination should be administered to their daughters when they were relatively young, prior to their first sex experience, and expressed worry regarding the safety of the vaccine. These findings are similar to those of a previous study 5 with respect to the willingness of mothers to have their daughters vaccinated and their concern about the vaccine. Since the introduction of the HPV vaccination in 2009, no financial support has been provided for reducing its cost, and it is not as yet included in the school vaccination programme in Korea; the current HPV vaccination rate among Korean female adolescents was reported to be as low as 5.5% in 2011.…”

“… 18 These factors could have contributed to why the mothers included in the present study were relatively ambivalent regarding the promotion of HPV vaccination to their daughters, and why they perceived the same barriers as reported previously. 5 However, the mothers’ acceptance of the necessity for early vaccination was slightly improved in this study due to the recent promotion of the HPV vaccine in Korea. In this context, the mothers appeared to be somewhat suspicious regarding the publicity around the HPV vaccine, suggesting that the general population is sensitive to the effects of media advertising regarding the HPV vaccine, and therefore balanced information regarding the HPV vaccine should be provided.…”

Effect of community‐based education to Korean mothers in relation to the prevention of cervical cancer in their daughters: A non‐randomized trial

“…The assessment was carried out by using eight items that had been developed for Korean women from a previous study (Kim, ). This included signs and symptoms, management, infection mode, prevention of HPV, and the relationship between genital warts and cervical cancer.…”

“…Primary prevention of cervical cancer focuses on education to reduce high‐risk sexual behaviors and to increase the awareness of HPV, combined with early detection by using cancer screening tests. The HPV vaccination could protect children from several types of cancers, including cervical cancer, and mothers especially can play a critical role in decision‐making with regards to HPV vaccination (Kepka, Coronado, Rodriguez, & Thompson, ; Kim, ; Kim & Kim, ).…”

“…It is well known that mothers’ lack of knowledge regarding HPV or cervical cancer, as well as their low perceived risk of disease, are the main reasons that are contributing to a refusal to vaccinate against HPV (Dempsey, Abraham, Dalton, & Ruffin, ). Prior studies that have emphasized mothers’ education regarding HPV and cervical cancer prevention in adolescent daughters have focused on enhancing their awareness and promoting HPV vaccine acceptance (Foley et al , ; Francis et al ; Kim, ). Communication between mothers and their daughters has been shown to alter the daughter's sex‐related behaviors and knowledge (Akers, Holland, & Bost, ).…”