Multicenter Study of Human Papillomavirus and the Human Papillomavirus Vaccine: Knowledge and Attitudes among People of African Descent

Abstract

Objective. To compare knowledge and attitudes of human papillomavirus (HPV) and the vaccine between different cultures of African descent. Methods. A cross-sectional survey of 555 African-Americans and Afro-Caribbeans residing in the US and the Bahamas (BHM) was conducted. Results. General knowledge about HPV and the HPV vaccine differed between the two countries significantly. Bahamian respondents were less likely to have higher numbers of correct knowledge answers when compared to Americans (Adjusted Odds Ratio [Adj. OR] 0.47, 95% Confidence Interval [CI] 0.30–0.75). Older age, regardless of location, was also associated with answering fewer questions correctly (Adj. OR 0.61, 95% CI 0.40–0.92). Attitudes related to HPV vaccination were similar between the US and BHM, but nearly 80% of BHM respondents felt that children should not be able to receive the vaccine without parental consent compared to 57% of American respondents. Conclusions. Grave lack of knowledge, safety and cost concerns, and influence of parental restrictions may negatively impact vaccine uptake among African-American and Afro-Caribbean persons. Interventions to increase the vaccine uptake in the Caribbean must include medical provider and parental involvement. Effective strategies for education and increasing vaccine uptake in BHM are crucial for decreasing cervical cancer burden in the Caribbean.

An update on barriers to adolescent human papillomavirus vaccination in the USA

“…Parents whose children are not vaccinated continue to cite safety concerns as a reason to deny or delay this vaccine, including concerns about the possibility of lasting health problems for girls [31,56,59]. For example, concerns regarding side effects and fear that the HPV vaccine would be dangerous to her daughter were among the top three reasons given for not vaccinating their child among a national sample of mothers [25].…”

Kesediaan Mendapat Vaksinasi Human Papilloma Virus pada Remaja Putri Di Yogyakarta

“…1,14 Di Indonesia, 96,1% orang tua bersedia anaknya divaksinasi. 15,16 Para remaja di Yogyakarta beralasan perlu berdis- 10 Persetujuan orang tua adalah hal yang sangat penting. Hal ini sesuai budaya yang berlaku di Indonesia bahwa pemegang keputusan utama dalam tindakan anak adalah orang tua.…”

“…Beberapa kepustakaan menunjukkan bahwa kebanyakan orang tua akan memberikan persetujuan vaksinasi apabila telah memahami risiko dan manfaat vaksinasi. 15 Faktor lain yang dipertimbangkan adalah rekomendasi dari IDAI dan efektivitas vaksin HPV. Beberapa penelitian sebelumnya merangkum penolakan vaksinasi disebabkan oleh persepsi bahwa vaksin tidak diperlukan karena mereka tidak memiliki risiko, tidak memperoleh rekomendasi dari dokter atau tenaga medis lain untuk memberikan vaksinasi, khawatir akan keamanan dan efek samping vaksin, serta pengetahuan yang rendah tentang vaksin HPV.…”

“…Beberapa penelitian sebelumnya merangkum penolakan vaksinasi disebabkan oleh persepsi bahwa vaksin tidak diperlukan karena mereka tidak memiliki risiko, tidak memperoleh rekomendasi dari dokter atau tenaga medis lain untuk memberikan vaksinasi, khawatir akan keamanan dan efek samping vaksin, serta pengetahuan yang rendah tentang vaksin HPV. 14,15,21,22 Jumlah kunjungan ke tenaga kesehatan terbukti meningkatkan kesediaan vaksinasi.…”

Cervical cancer control in Latin America: A call to action

“…In Honduras, among 632 mothers interviewed in a primary care setting, only 13% had heard of HPV vaccination despite having received information regarding CC awareness . Survey studies from the Bahamas, Guatemala, and Puerto Rico have similarly identified a lack of awareness about HPV infection, its relationship to CC, and the role of the HPV vaccine …”