Impact of Parental Knowledge and Beliefs on HPV Vaccine Hesitancy in Kenya—Findings and Implications

Kolek, Chester O; Opanga, Sylvia; Okalebo, Faith A.; Birichi, Alfred; Kurdi, Amanj; Godman, Brian; Meyer, Johanna C.

doi:10.3390/vaccines10081185

Cited by 17 publications

(12 citation statements)

References 76 publications

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“…Our integrated health behaviour model offers a novel way of visualizing how these factors are interrelated. We found that perceived sexual inactivity of adolescents (34,(39)(40)(41), insu cient knowledge about vaccination timing, safety and effectiveness (24,(41)(42)(43) and preference for 9vHPV vaccine in uenced parents' individual decision and were consistent with determinants of vaccine hesitancy identi ed from studies conducted in the United States, Kenya and Japan. Furthermore, systemic barriers such as supply shortage, inadequate communication and dissemination of information (40)(41)(42) also contributed to hesitancy.…”

Section: Discussionsupporting

confidence: 75%

Between Now and Later: A Mixed Methods Study of HPV Vaccination Delay Among Chinese Caregivers in Urban Chengdu, China

Yim,

Wang,

et al. 2023

Preprint

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Background: Adolescent girls in China have a low HPV vaccination rate. Although vaccination is recommended by the Chinese health authorities, the cost is not covered by the national immunisation programme. Vaccination delay, among other reasons such as supply shortage and poor affordability, may contribute to low uptake. This sequential mixed methods study aimed to identify potential factors of delayed HPV vaccination among Chinese adolescent girls. Methods: Quantitative data about the attitudes and perceptions of HPV vaccination were collected from 100 caregivers of 14–18-year-old girls using an online survey in Chengdu, China. The survey data informed a subsequent qualitative study using four focus group discussions. We conducted a descriptive analysis of the survey data and a thematic analysis of the qualitative data. The findings were interpreted using a health behaviour model adapted from the Health Belief Model and the Andersen’s Behavioural Model for Health Services Use. Results: A total of 100 caregivers – 85 were mothers and 15 were fathers – participated in the survey; 21 caregivers joined focus group discussions. When asked about their intended course of action if the 9vHPV vaccine was out-of-stock, 74% chose to delay until the 9vHPV vaccine is available while 26% would consider 2vHPV or 4vHPV vaccines or seek alternative ways to procure the vaccine. Qualitative results confirmed that caregivers preferred delaying HPV vaccination for adolescent girls. The intent to delay was influenced by systemic barriers such as supply shortage, inadequate health communication, and individual-level factors such as a preference for the 9vHPV vaccine, safety concerns, and the belief that adolescents were unlikely to be sexually active. Conclusion: In urban areas, Chinese caregivers’ intent to delay vaccination in favour of 9vHPV vaccine over receiving the more accessible options was influenced by a mix of individual and contextual factors. Focussed health communication strategies are needed to accelerate HPV vaccination among adolescents.

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Section: Discussionsupporting

confidence: 75%

Between Now and Later: A Mixed Methods Study of HPV Vaccination Delay Among Chinese Caregivers in Urban Chengdu, China

Yim,

Wang,

et al. 2023

Preprint

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“…In the US, the authors found that parental confidence in the COVID-19 vaccines was critical to increasing the number of children and adolescents vaccinated [69]. This is similar to other countries and other vaccines for children, including HPV vaccines [84,92,[99][100][101]. These findings indicate a key role of parents and caregivers in improving the acceptance and uptake of COVID-19 vaccines among children and adolescents.…”

Section: Plos Global Public Healthmentioning

confidence: 55%

COVID-19 vaccine uptake and associated factors among adolescents and youths: Findings and implications for future vaccination programmes

Mudenda,

Meyer,

Fadare

et al. 2023

PLOS Glob Public Health

Self Cite

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Adolescents and youths are a key part of the population that needs to be protected against the coronavirus disease 2019 (COVID-19). This is because they are more likely to spread the virus to vulnerable individuals. In view of these concerns, this study investigated the uptake of COVID-19 vaccines and associated factors among adolescents and youths attending secondary schools in Zambia. This cross-sectional study was conducted among 1500 school-going adolescents in Lusaka from September 2022 to November 2022. Overall, 1409 participants took part giving a response rate of 94%. Only 29.2% (n = 411) of the participants were vaccinated against COVID-19 at the time of the study. Compared to their unvaccinated counterparts, vaccinated adolescents and youths scored higher for knowledge (66.2% vs 57.8%) and attitudes (76.7% vs 39.4%) regarding COVID-19 vaccines. Healthcare workers, family/friends and social media were key sources of information regarding the vaccine. Factors associated with increased vaccine uptake were positive attitudes (AOR = 33.62, 95% CI: 19.92–56.73), indicating it was stressful to follow COVID-19 preventive measures (AOR = 1.47, 95% CI: 1.09–1.99), participants in Grade 12 (AOR = 3.39, 95% CI: 1.94–5.91), Grade 11 (AOR = 2.59, 95% CI: 1.94–5.91), Grade 10 (AOR = 3.48, 95% CI: 1.98–6.11) and Grade 9 (AOR = 3.04, 95% CI: 1.74–5.32) compared to Grade 8. This study found a relatively low uptake of COVID-19 vaccines among adolescents and youths in Zambia. There is a need to provide adequate strategies to address knowledge and attitude gaps regarding COVID-19 vaccines to improve uptake and reduce future morbidity and mortality.

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“…Considering the problems most frequently described in recent international studies as the cause of non-vaccination [ 45 , 46 , 47 ], we note the lack of information and confusion regarding adverse effects, which can be solved through education. Recommendations for HPV vaccination coming from professional is also important [ 46 ].…”

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators of Romanian HPV (Human Papillomavirus) Vaccination

Manolescu

Zugravu

Zaharia³

et al. 2022

Vaccines

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Background: Many countries had initial success with HPV vaccination campaigns worldwide. The HPV vaccine coverage during the COVID-19 pandemic dropped consistently. The aim of our research is to assess the barriers and facilitators of the current Romanian HPV vaccination campaign. Methods: An analytical cross-sectional observational survey was conducted in the Romanian general population; a self-administered questionnaire was used. Results: 1122 responders were interviewed; 666 (59.36%) were parents, and 67 (5.97%) HPV vaccinated themselves. A multinominal logistic regression carried out in the parents’ category showed that women with university studies and informed from medical sources have greater chances to HPV vaccinate. Reticence regarding vaccination comes from the high cost of the vaccine and a lack of information. Only 118 (10.51%) vaccinated against HPV. From the logistic regression analysis, gender (ORa 0.461 = 95% CI: (0.196; 1.083)), geographic area of residence (ORa = 0.517; 95% CI: (0.331; 0.807)), and the inclusion of the HPV vaccine in the National Vaccination Program (ORa = 2.4; 95% CI: (1.361; 4.235)) were the factors found most associated with HPV vaccination. Conclusions: In the general population, the inclusion of HPV vaccination in the National Vaccination Program would be the most important facilitator of HPV vaccination in Romania. In parents that did not vaccinate their children, one important barrier to HPV vaccination was the high cost of the HPV vaccine and the lack of proper information. The acceptability of HPV vaccination in Romania is low; therefore, public health educational programs are needed.

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Impact of Parental Knowledge and Beliefs on HPV Vaccine Hesitancy in Kenya—Findings and Implications

Cited by 17 publications

References 76 publications

Between Now and Later: A Mixed Methods Study of HPV Vaccination Delay Among Chinese Caregivers in Urban Chengdu, China

Between Now and Later: A Mixed Methods Study of HPV Vaccination Delay Among Chinese Caregivers in Urban Chengdu, China

COVID-19 vaccine uptake and associated factors among adolescents and youths: Findings and implications for future vaccination programmes

Barriers and Facilitators of Romanian HPV (Human Papillomavirus) Vaccination

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