Human Papillomavirus Vaccine Acceptability among Parents of Adolescent Girls in a Rural Area, Mysore, India

Abraham Degarege, Karl Krupp, Kristopher Fennie, Vijaya Srinivas, Tan Li, Dionne P. Stephens, Laura A.V. Marlow, Anjali Arun, Purnima Madhivanan

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Study Objective: The purpose of this study was to examine factors predicting human papillomavirus (HPV) vaccine acceptability among parents of adolescent girls in a rural area in Mysore district, India. Design: Cross-sectional. Setting: Mysore, India. Participants: Parents of school-going adolescent girls. Interventions: Parents completed a validated self-administered questionnaire. Main Outcome Measures: Parental willingness to vaccinate their daughters with HPV vaccine. Results: Of the 831 parents who participated in this study, 664 (79.9%) were willing to vaccinate their daughter with HPV vaccine sometime soon if they were invited to receive it. Higher odds of parental willingness to vaccinate their daughters with HPV vaccine was observed among those who believed that HPV vaccine is safe (adjusted odds ratio [aOR], 2.11; 95% confidence interval [CI], 1.01-4.45); their daughter might become sexually active (aOR, 1.84; 95% CI, 1.08-3.13); they have support of other family members to vaccinate their daughter (aOR, 2.86; 95% CI, 1.47-5.57); and that HPV infection causes severe health problems (aOR, 1.64; 95% CI, 1.04-2.57). In contrast, parents who believed that there is low risk that their daughter will get cervical cancer (aOR, 0.52; 95% CI, 0.29-0.95); that the family will disapprove of getting their daughter vaccinated (aOR, 0.45; 95% CI, 0.22-0.76); that the injection might cause pain (aOR, 0.53; 95% CI, 0.31-0.89), and were older-age parents (aOR, 0.96; 95% CI, 0.93-0.99) had lower odds of willingness to vaccinate daughters with HPV vaccine. Conclusion: Acceptance of HPV vaccination for daughters was high among rural parents in Mysore, India. However, health education to reduce the belief that injection is painful and that daughters are at low risk to get cervical cancer is important to further improve parental HPV vaccine acceptability in Mysore. Public health education should target older-aged parents and extended family members.

Original languageEnglish (US)
Pages (from-to)583-591
Number of pages9
JournalJournal of Pediatric and Adolescent Gynecology
Volume31
Issue number6
DOIs
StatePublished - Dec 2018

Fingerprint

Papillomavirus Vaccines
Nuclear Family
India
Parents
Odds Ratio
Confidence Intervals
Health Education
Uterine Cervical Neoplasms
Injections
Papillomavirus Infections
Vaccination
Public Health
Outcome Assessment (Health Care)

Keywords

  • Acceptability
  • HPV
  • India
  • Mysore
  • Parents
  • Rural
  • Vaccine

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Human Papillomavirus Vaccine Acceptability among Parents of Adolescent Girls in a Rural Area, Mysore, India. / Degarege, Abraham; Krupp, Karl; Fennie, Kristopher; Srinivas, Vijaya; Li, Tan; Stephens, Dionne P.; Marlow, Laura A.V.; Arun, Anjali; Madhivanan, Purnima.

In: Journal of Pediatric and Adolescent Gynecology, Vol. 31, No. 6, 12.2018, p. 583-591.

Research output: Contribution to journalArticle

Degarege, Abraham ; Krupp, Karl ; Fennie, Kristopher ; Srinivas, Vijaya ; Li, Tan ; Stephens, Dionne P. ; Marlow, Laura A.V. ; Arun, Anjali ; Madhivanan, Purnima. / Human Papillomavirus Vaccine Acceptability among Parents of Adolescent Girls in a Rural Area, Mysore, India. In: Journal of Pediatric and Adolescent Gynecology. 2018 ; Vol. 31, No. 6. pp. 583-591.
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abstract = "Study Objective: The purpose of this study was to examine factors predicting human papillomavirus (HPV) vaccine acceptability among parents of adolescent girls in a rural area in Mysore district, India. Design: Cross-sectional. Setting: Mysore, India. Participants: Parents of school-going adolescent girls. Interventions: Parents completed a validated self-administered questionnaire. Main Outcome Measures: Parental willingness to vaccinate their daughters with HPV vaccine. Results: Of the 831 parents who participated in this study, 664 (79.9{\%}) were willing to vaccinate their daughter with HPV vaccine sometime soon if they were invited to receive it. Higher odds of parental willingness to vaccinate their daughters with HPV vaccine was observed among those who believed that HPV vaccine is safe (adjusted odds ratio [aOR], 2.11; 95{\%} confidence interval [CI], 1.01-4.45); their daughter might become sexually active (aOR, 1.84; 95{\%} CI, 1.08-3.13); they have support of other family members to vaccinate their daughter (aOR, 2.86; 95{\%} CI, 1.47-5.57); and that HPV infection causes severe health problems (aOR, 1.64; 95{\%} CI, 1.04-2.57). In contrast, parents who believed that there is low risk that their daughter will get cervical cancer (aOR, 0.52; 95{\%} CI, 0.29-0.95); that the family will disapprove of getting their daughter vaccinated (aOR, 0.45; 95{\%} CI, 0.22-0.76); that the injection might cause pain (aOR, 0.53; 95{\%} CI, 0.31-0.89), and were older-age parents (aOR, 0.96; 95{\%} CI, 0.93-0.99) had lower odds of willingness to vaccinate daughters with HPV vaccine. Conclusion: Acceptance of HPV vaccination for daughters was high among rural parents in Mysore, India. However, health education to reduce the belief that injection is painful and that daughters are at low risk to get cervical cancer is important to further improve parental HPV vaccine acceptability in Mysore. Public health education should target older-aged parents and extended family members.",
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AU - Srinivas, Vijaya

AU - Li, Tan

AU - Stephens, Dionne P.

AU - Marlow, Laura A.V.

AU - Arun, Anjali

AU - Madhivanan, Purnima

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N2 - Study Objective: The purpose of this study was to examine factors predicting human papillomavirus (HPV) vaccine acceptability among parents of adolescent girls in a rural area in Mysore district, India. Design: Cross-sectional. Setting: Mysore, India. Participants: Parents of school-going adolescent girls. Interventions: Parents completed a validated self-administered questionnaire. Main Outcome Measures: Parental willingness to vaccinate their daughters with HPV vaccine. Results: Of the 831 parents who participated in this study, 664 (79.9%) were willing to vaccinate their daughter with HPV vaccine sometime soon if they were invited to receive it. Higher odds of parental willingness to vaccinate their daughters with HPV vaccine was observed among those who believed that HPV vaccine is safe (adjusted odds ratio [aOR], 2.11; 95% confidence interval [CI], 1.01-4.45); their daughter might become sexually active (aOR, 1.84; 95% CI, 1.08-3.13); they have support of other family members to vaccinate their daughter (aOR, 2.86; 95% CI, 1.47-5.57); and that HPV infection causes severe health problems (aOR, 1.64; 95% CI, 1.04-2.57). In contrast, parents who believed that there is low risk that their daughter will get cervical cancer (aOR, 0.52; 95% CI, 0.29-0.95); that the family will disapprove of getting their daughter vaccinated (aOR, 0.45; 95% CI, 0.22-0.76); that the injection might cause pain (aOR, 0.53; 95% CI, 0.31-0.89), and were older-age parents (aOR, 0.96; 95% CI, 0.93-0.99) had lower odds of willingness to vaccinate daughters with HPV vaccine. Conclusion: Acceptance of HPV vaccination for daughters was high among rural parents in Mysore, India. However, health education to reduce the belief that injection is painful and that daughters are at low risk to get cervical cancer is important to further improve parental HPV vaccine acceptability in Mysore. Public health education should target older-aged parents and extended family members.

AB - Study Objective: The purpose of this study was to examine factors predicting human papillomavirus (HPV) vaccine acceptability among parents of adolescent girls in a rural area in Mysore district, India. Design: Cross-sectional. Setting: Mysore, India. Participants: Parents of school-going adolescent girls. Interventions: Parents completed a validated self-administered questionnaire. Main Outcome Measures: Parental willingness to vaccinate their daughters with HPV vaccine. Results: Of the 831 parents who participated in this study, 664 (79.9%) were willing to vaccinate their daughter with HPV vaccine sometime soon if they were invited to receive it. Higher odds of parental willingness to vaccinate their daughters with HPV vaccine was observed among those who believed that HPV vaccine is safe (adjusted odds ratio [aOR], 2.11; 95% confidence interval [CI], 1.01-4.45); their daughter might become sexually active (aOR, 1.84; 95% CI, 1.08-3.13); they have support of other family members to vaccinate their daughter (aOR, 2.86; 95% CI, 1.47-5.57); and that HPV infection causes severe health problems (aOR, 1.64; 95% CI, 1.04-2.57). In contrast, parents who believed that there is low risk that their daughter will get cervical cancer (aOR, 0.52; 95% CI, 0.29-0.95); that the family will disapprove of getting their daughter vaccinated (aOR, 0.45; 95% CI, 0.22-0.76); that the injection might cause pain (aOR, 0.53; 95% CI, 0.31-0.89), and were older-age parents (aOR, 0.96; 95% CI, 0.93-0.99) had lower odds of willingness to vaccinate daughters with HPV vaccine. Conclusion: Acceptance of HPV vaccination for daughters was high among rural parents in Mysore, India. However, health education to reduce the belief that injection is painful and that daughters are at low risk to get cervical cancer is important to further improve parental HPV vaccine acceptability in Mysore. Public health education should target older-aged parents and extended family members.

KW - Acceptability

KW - HPV

KW - India

KW - Mysore

KW - Parents

KW - Rural

KW - Vaccine

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