Department of Midwifery, College of Medicine and Health Sciences, Debre Tabor University, Debre Tabor Town, Ethiopia.
Reprod Health. 2022 Jun 10;19(1):136. doi: 10.1186/s12978-022-01444-4.
Cervical cancer is currently the second-leading cause of cancer death among women in Ethiopia. Vaccination against the human papillomavirus (HPV) is an effective primary prevention strategy for HPV-related illnesses. The knowledge and willingness of parents toward the HPV vaccine are crucial to increasing the uptake of the vaccine. The vaccine's acceptance by children and young adolescents is dependent on parental consent. Therefore, this study aimed to assess knowledge, willingness, and associated factors of the human papillomavirus vaccine among parents of girls aged 9-14 years at Debre Tabor Town.
A community-based cross-sectional study was conducted among participants from December 10, 2020, to January 15, 2021. A simple random sample technique was used to include 638 participants. A structured face-to-face interviewer-administered questionnaire was used to collect data. The data were entered and analyzed using Epi-Data and SPSS software, respectively. Bivariate and multivariable analyses were used to examine the association. The Odds Ratio (OR), 95% CI, and p-values less than 0.05 were used to determine the statistical association.
Thirty-five percent (35.4%, 95% CI = 31.4%, 38.8%) and 44.8% (95% CI = 40.40%, 48.67%) of participants were knowledgeable about HPV vaccination and willing to get it, respectively. Being government employees (AOR = 5.46, 95% CI = 2.42, 9.34), and having a family history of sexually transmitted diseases (STD) (AOR = 1.76, 95% CI = 1.14, 2.72) were significantly associated with knowledge of the human papilloma virus (HPV) vaccine. Participants' age (AOR = 1.43, 95% CI = 1.16, 2.87), secondary education and above (AOR = 1.70, 95% CI = 1.05, 2.74), fear of HPV infection (AOR = 2.29, 95% CI = 1.21, 4.32), and having good knowledge of the HPV vaccine (AOR = 3.30, 95% CI = 2.21, 4.93) were significantly associated with willingness to receive the HPV vaccine.
The knowledge and willingness of parents toward the HPV vaccine were low. Then, health officials should boost HPV vaccination promotion through public media. In schools, churches, mosques, and health facilities, health extension workers and health professionals provide information about the HPV vaccine for the parents. Mixed quantitative and qualitative studies are preferable for future research to address "why" issues.
宫颈癌是目前埃塞俄比亚女性癌症死亡的第二大原因。接种人乳头瘤病毒（HPV）疫苗是预防 HPV 相关疾病的有效一级预防策略。父母对 HPV 疫苗的了解和意愿对于增加疫苗接种率至关重要。疫苗能否被儿童和青少年接受取决于父母的同意。因此，本研究旨在评估 9-14 岁女孩父母对 HPV 疫苗的知识、意愿和相关因素，该研究在德布雷塔博镇进行。
这是一项基于社区的横断面研究，参与者于 2020 年 12 月 10 日至 2021 年 1 月 15 日期间入选。采用简单随机抽样技术纳入 638 名参与者。使用结构化的面对面访谈式问卷收集数据。使用 Epi-Data 和 SPSS 软件分别录入和分析数据。采用双变量和多变量分析来检查相关性。使用优势比（OR）、95%置信区间（CI）和 p 值<0.05 来确定统计学关联。
35%（35.4%，95%CI=31.4%，38.8%）和 44.8%（95%CI=40.40%，48.67%）的参与者分别表示了解 HPV 疫苗接种和愿意接种。政府雇员（OR=5.46，95%CI=2.42，9.34）和有性传播疾病（STD）家族史（OR=1.76，95%CI=1.14，2.72）与 HPV 疫苗知识显著相关。参与者的年龄（OR=1.43，95%CI=1.16，2.87）、中学及以上教育（OR=1.70，95%CI=1.05，2.74）、对 HPV 感染的恐惧（OR=2.29，95%CI=1.21，4.32）和对 HPV 疫苗的良好了解（OR=3.30，95%CI=2.21，4.93）与接种 HPV 疫苗的意愿显著相关。
父母对 HPV 疫苗的知识和意愿都很低。然后，卫生官员应通过大众媒体加强 HPV 疫苗推广。在学校、教堂、清真寺和卫生设施中，卫生推广人员和卫生专业人员向父母提供有关 HPV 疫苗的信息。未来的研究最好采用混合定量和定性研究来解决“为什么”的问题。
