Wijayanti Kurnia Eka, Schütze Heike, MacPhail Catherine
School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, Australia.
Department of Physical Education, Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, Indonesia.
Prev Med Rep. 2021 Nov 27;24:101651. doi: 10.1016/j.pmedr.2021.101651. eCollection 2021 Dec.
The Indonesian government has provided free HPV vaccines for female students in years 5-6 in Jakarta since 2016. We examined parents' beliefs, attitudes and intentions to allow their daughters to receive the HPV vaccine, as well as the uptake of the vaccine. This cross-sectional study was conducted between September and November 2019 in Jakarta. We invited 680 parents or guardians of year 6 female students from 33 primary schools who were offered the free HPV vaccine to complete a questionnaire; 484 (71%) responded. Analysis was done in two groups: the 'Decided' Group (those parents who allowed or denied for their daughter to receive the HPV vaccination), and the 'Undecided' Group (those parents who did not recall being approached about the HPV vaccine or forgot their response). In the 'Decided' group, 295 (83.6%) parents allowed their daughters to receive the vaccination, while 58 (16.4%) parents refused it. In the 'Undecided' group, 49 (70%) parents reported a strong intention to allow their daughters to receive the vaccination; 21 (30%) had weak intention. Attitude, subjective norms and perceived behavioural control were shown to be significant predictors of HPV vaccine uptake when multilevel multivariate logistic regression analysis was undertaken. On the contrary, no independent variable was seen as a significant predictor for parents' intentions to vaccinate their daughter against HPV. No sociodemographic characteristic was significantly associated with parents' decisions or intentions regarding HPV vaccine for their daughters. Further qualitative research is needed to explore parents' knowledge and reasons behind their decision-making processes.
自2016年以来，印度尼西亚政府一直在为雅加达5至6年级的女学生提供免费的人乳头瘤病毒（HPV）疫苗。我们调查了家长对于允许其女儿接种HPV疫苗的信念、态度和意愿，以及疫苗的接种情况。这项横断面研究于2019年9月至11月在雅加达进行。我们邀请了来自33所小学的680名6年级女学生的家长或监护人，这些学生可获得免费的HPV疫苗，让他们填写一份问卷；484人（71%）做出了回应。分析分为两组：“已决定组”（那些允许或拒绝女儿接种HPV疫苗的家长）和“未决定组”（那些不记得曾被询问过HPV疫苗事宜或忘记自己回应的家长）。在“已决定组”中，295名（83.6%）家长允许女儿接种疫苗，而58名（16.4%）家长拒绝。在“未决定组”中，49名（70%）家长表示强烈打算让女儿接种疫苗；21名（30%）意愿较弱。在进行多水平多变量逻辑回归分析时，态度、主观规范和感知行为控制被证明是HPV疫苗接种的重要预测因素。相反，没有自变量被视为家长让女儿接种HPV疫苗意愿的重要预测因素。没有社会人口统计学特征与家长关于女儿HPV疫苗的决定或意愿显著相关。需要进一步开展定性研究，以探究家长的知识以及他们决策过程背后的原因。
