University of Ibadan College of Medicine, Ibadan, Nigeria.
J Cancer Educ. 2022 Jun;37(3):748-754. doi: 10.1007/s13187-020-01876-1. Epub 2020 Sep 16.
Human papillomavirus (HPV) vaccine offers protection of between 80 and 100% for anogenital warts and 60-80% in reducing the incidence of pre-malignant lesions from cervical cancer. However, uptake remains low in Nigeria among adolescent girls. This study was a qualitative study that assessed mothers' acceptability and concerns regarding uptake of HPV vaccine by their adolescent daughters. In-depth interviews were conducted with 20 mothers of adolescents girls aged 9-15 years. A snowballing sampling technique was adopted to select the mothers within the community. Consent was obtained for the use of audiotapes, which were transcribed verbatim with thematic analysis of data. Mothers were between the ages of 30-49 years and most of them were traders. Almost all of the women have heard about cervical cancer, but their knowledge about cervical cancer and HPV vaccine was low. Despite their low knowledge, most of the mothers accepted that the vaccine is good and was willing for their adolescent daughters to take the HPV vaccine for the prevention of HPV. However, cost of the vaccine, side effects, and potential exposure of their daughters to promiscuity after taking the vaccine for protection were the major concerns expressed by the mothers as regards to HPV vaccine uptake by their daughters. Findings highlight the need for health promotion and education programs about cervical cancer, HPV, and HPV vaccine to increase awareness and knowledge among mothers of adolescent girls. Also, HPV vaccination should be included as part of routine immunization for female adolescents.
人乳头瘤病毒(HPV)疫苗对肛门生殖器疣的保护率为 80%至 100%,对降低宫颈癌前病变的发生率为 60%至 80%。然而,在尼日利亚,青少年女孩的 HPV 疫苗接种率仍然很低。这项研究是一项定性研究,评估了母亲对其青春期女儿接种 HPV 疫苗的可接受性和关注。对 20 名 9-15 岁青春期女孩的母亲进行了深入访谈。采用滚雪球抽样技术在社区内选择母亲。征得使用录音带的同意,将录音带逐字转录,并对数据进行主题分析。母亲的年龄在 30-49 岁之间,大多数是商人。几乎所有的女性都听说过宫颈癌,但她们对宫颈癌和 HPV 疫苗的知识水平较低。尽管她们的知识水平较低,但大多数母亲都认为疫苗是好的,并愿意让她们的青春期女儿接种 HPV 疫苗以预防 HPV。然而,疫苗的费用、副作用以及女儿接种疫苗以获得保护后可能会滥交,这些是母亲们对接种 HPV 疫苗的主要担忧。研究结果强调需要开展关于宫颈癌、HPV 和 HPV 疫苗的健康促进和教育计划,以提高青少年女孩母亲的认识和知识水平。此外,应将 HPV 疫苗接种纳入女性青少年常规免疫接种的一部分。