Parental perspective on human papillomavirus (HPV) vaccination in Serbia: Knowledge, attitudes and practice

Marić, Gorica; Birčanin, Đurđa; Kisić, Vesna; Dotlić, Jelena; Zaric, Milica; Kisić-Tepavčević, Darija; Gazibara, Tatjana

doi:10.1016/j.srhc.2018.04.010

Cited by 15 publications

(20 citation statements)

References 23 publications

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“…For instance, in the United States, 77.3% were aware that the vaccine can prevent HPV-related cancers 30 and in the already mentioned experience in Serbia 71% knew the vaccine. 27 Whereas, lower values were found among parents in the United States with slightly less than 50% correctly answered knowledge items 31 and even less among Chinese parents (38.3%) 32 and Korean American (31.4%) 33 .This finding highlights the need of implementing public educational campaigns on vaccination. Regarding the attitudes, 88% of parents considered the vaccination useful in order to prevent the HPV diseases.…”

Section: Discussionmentioning

confidence: 85%

“…25 Whereas higher values have been reported in Brazil, where parental acceptance of HPV vaccine was 92% for daughters and 86% for sons 26 and lower values were reported in Serbian population (2%). 27 It is clear that it is very important to understand the reasons why parents delayed or refused to vaccinate their children in order to implement adequate and effective educational program for the successful HPV vaccine coverage. In this investigation, the lack of recommendation by the physicians, concerns about side effects, and unavailable of the vaccine were the main justifications indicated by participants who have delayed or refused the vaccine.…”

Section: Discussionmentioning

confidence: 99%

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HPV vaccine hesitancy among parents in Italy: a cross-sectional study

Polla

Pelullo

Napolitano

et al. 2020

Human Vaccines & Immunotherapeutics

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This cross-sectional survey determined the vaccine hesitancy related to Human papillomavirus (HPV) and the determinants among parents of adolescents aged 12 and 13 years in Italy. Data was collected through a self-administered questionnaire. Two-thirds of the parents (66.7%) had heard of HPV infection and knew that the vaccination was a preventive measure. Parents who had vaccinated their child against the HPV were more likely to have this knowledge. The vast majority (88%) considered the immunization useful for the prevention of HPV-related cancers with an average value of 8.4. This positive attitude was higher among parents who had heard of HPV infection and knew that vaccination was a preventive measure, who had received information from physicians, who had vaccinated their child against the HPV, who were concerned that their child could contract the HPV infection, and who needed information on HPV vaccination. More than half (57.9%) self-reported that they had vaccinated their child against HPV and only 6.2% had delayed the administration of a dose. One-third (33.3%) were hesitant toward anti-HPV vaccination with a total Parent Attitudes about Childhood Vaccines Survey (PACV) score ≥50. Unmarried respondents, those who had not heard of HPV infection and did not know that the vaccination was a preventive measure, who did not believe that the vaccination was useful for the prevention of HPV-related cancers, and who needed information on HPV vaccination were more likely to be hesitant. Communication and education strategies must be undertaken to ensure that parents are fully informed and health-care professionals should provide materials with details regarding the risk of acquiring a HPV infection and vaccine usefulness.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

HPV vaccine hesitancy among parents in Italy: a cross-sectional study

Polla

Pelullo

Napolitano

et al. 2020

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

show abstract

“…The factor which was shown to be associated with the vaccination uptake among adolescents was also the maternal educational level, however, the effect of maternal education is not consistent across countries [13]. Except mother's educational level and parental acceptance of the vaccine in general [11,13], the facilitators of vaccination against HPV reported so far are the physician's recommendation, peer encouragement and health insurance coverage [13]). The main barriers reported are the vaccine price, parental beliefs that their children are at low risk of contracting an HPV infection and parental concerns regarding vaccine efficacy and safety [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Uptake of Human Papillomavirus Vaccine and Intention to Vaccinate Among Healthy Pregnant Women in Serbia: A Cross-Sectional Study on Awareness, Knowledge, and Attitudes

Marković-Denić

Milicević

Todorović

et al. 2021

Preprint

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We aimed to assess awareness, knowledge, and attitudes of healthy pregnant women towards human papillomavirus (HPV), to estimate factors associated with a positive attitude towards HPV immunization and to assess the uptake of the vaccine among their children. A cross-sectional study was conducted at the University Clinic of Gynecology and Obstetrics, Belgrade, Serbia among pregnant women attending their regular gynecological check-ups at the 12th gestational week. Knowledge about HPV and HPV vaccine was assessed using a specifically designed 12-item and 5-item questionnaires. Out of total 265 included women, 79.3% had heard of HPV, and 37.5% knew that HPV vaccine exists. HPV vaccine knowledge score was associated with higher odds for a positive attitude towards vaccination of both female (OR = 4.10, 95% CI 1.50-11.29) and male (OR = 3.71, 95% CI 1.52-9.01) child. The number of children (OR = 1.32, 95% CI 1.04-1.67) and high vaccine knowledge score (OR = 1.64 95% CI 1.13-2.39) were independent predictors associated with willingness to vaccinate child against HPV. The gynecologist was the preferable point of reference for information seeking about the HPV vaccine. Despite relatively high HPV awareness and knowledge among pregnant women in Serbia, about one-third of them are HPV vaccine aware, and are willing to vaccinate their children against HPV.

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“…According to the guidelines, it is recommended for all children aged 11 and 12, teenagers who have not been vaccinated, and young women up until the age of 26 and young men up until the age of 21 [ 10 ]. Yet, the HPV vaccine initiation coverage in Serbia is very low (2.0%) [ 11 ]. The main obstacle to the adequate implementation of vaccination against HPV is the lack of knowledge on HPV, on its epidemiological characteristics, modes of transmission, and association with malignant diseases which can have negative influence on effectiveness of vaccination programs [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Except mother’s educational level and parental acceptance of the vaccine in general [ 11 , 13 ], the facilitators of vaccination against HPV reported so far are the physician’s recommendation, peer encouragement, and health insurance coverage [ 13 ]. The main barriers reported are the vaccine price, parental beliefs that their children are at low risk of contracting an HPV infection, and parental concerns regarding vaccine efficacy and safety [ 13 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Uptake of Human Papillomavirus Vaccine and Intention to Vaccinate among Healthy Pregnant Women in Serbia: A Cross-Sectional Study on Awareness, Knowledge, and Attitudes

Marković-Denić

Milicević

Todorović

et al. 2021

Viruses

View full text Add to dashboard Cite

We aimed to assess awareness, knowledge, and attitudes of healthy pregnant women towards human papillomavirus (HPV), to estimate factors associated with a positive attitude towards HPV immunization and to assess the uptake of the vaccine among their children. A cross-sectional study was conducted at the University Clinic of Gynecology and Obstetrics, Belgrade, Serbia among pregnant women attending their regular gynecological check-ups at the 12th gestational week. Knowledge about HPV and HPV vaccine was assessed using a specifically designed 12-item and 5-item questionnaires. Out of total 265 included women, 79.3% had heard of HPV, and 37.5% knew that HPV vaccine exists. HPV vaccine knowledge score was associated with higher odds for a positive attitude towards vaccination of both female (OR = 4.10, 95% CI 1.50–11.29) and male (OR = 3.71, 95% CI 1.52–9.01) child. The number of children (OR = 1.32, 95% CI 1.04–1.67) and high vaccine knowledge score (OR = 1.64 95% CI 1.13–2.39) were independent predictors associated with willingness to vaccinate child against HPV. The gynecologist was the preferable point of reference for information seeking about the HPV vaccine. Despite relatively high HPV awareness and knowledge among pregnant women in Serbia, about one-third of them are HPV vaccine aware, and are willing to vaccinate their children against HPV.

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Parental perspective on human papillomavirus (HPV) vaccination in Serbia: Knowledge, attitudes and practice

Cited by 15 publications

References 23 publications

HPV vaccine hesitancy among parents in Italy: a cross-sectional study

HPV vaccine hesitancy among parents in Italy: a cross-sectional study

Uptake of Human Papillomavirus Vaccine and Intention to Vaccinate Among Healthy Pregnant Women in Serbia: A Cross-Sectional Study on Awareness, Knowledge, and Attitudes

Uptake of Human Papillomavirus Vaccine and Intention to Vaccinate among Healthy Pregnant Women in Serbia: A Cross-Sectional Study on Awareness, Knowledge, and Attitudes

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