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      Knowledge, Decision-Making and Acceptance of Human Papilloma Virus Vaccination among Parents of Primary School Students in Kota Bharu, Kelantan, Malaysia

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          Abstract

          Background:

          The incidence of cervical cancer in younger women remains high. This is worrisome as it affects future generations. Therefore Malaysia implements human papilloma virus (HPV) vaccination as a national vaccination program. Parents play an important role in determining the success of this HPV vaccination program among school-aged girls by their compliance. Objective: To assess parental knowledge, decision-making and acceptance of HPV vaccination.

          Methods:

          This cross sectional study was conducted among 280 randomly selected parents of primary school students aged 11 in Kota Bharu using a pre-validated self-administered questionnaire to assess knowledge and decision-making with regard to HPV vaccination.

          Results:

          Most parents (62%) were shown to have poor knowledge while most decision-making was shared. Age of respondents (adjusted odds ratio ‘AOR’= 1.09; 95% confidence interval ‘CI’= 1.04-1.14; p <0.001) and good knowledge of HPV vaccination (AOR= 16.32; 95% CI= 7.32-36.4; p <0.001) were significantly associated with HPV vaccine acceptance.

          conclusion:

          The majority of parents exhibited poor knowledge which may affect their decision-making and uptake of HPV vaccination among their children. This highlights the need to better educate parents on HPV vaccination.

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          Most cited references26

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          Sample size for pre-tests of questionnaires.

          To provide guidance regarding the desirable size of pre-tests of psychometric questionnaires, when the purpose of the pre-test is to detect misunderstandings, ambiguities, or other difficulties participants may encounter with instrument items (called «problems»).
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            FDA licensure of bivalent human papillomavirus vaccine (HPV2, Cervarix) for use in females and updated HPV vaccination recommendations from the Advisory Committee on Immunization Practices (ACIP).

            (2010)
            On October 16, 2009, the Food and Drug Administration (FDA) licensed bivalent human papillomavirus vaccine (HPV2; Cervarix, GlaxoSmithKline) for use in females aged 10 through 25 years. Cervarix is the second human papillomavirus (HPV) vaccine licensed for use in females in the United States. Quadrivalent HPV vaccine (HPV4; Gardasil, Merck & Co, Inc.) was licensed in 2006 for use in females aged 9 through 26 years, and the Advisory Committee on Immunization Practices (ACIP) recommended routine HPV4 vaccination of females aged 11 or 12 years, and catch-up vaccination for females aged 13 through 26 years. This report provides updated recommendations for routine and catch-up vaccination of females with either HPV2 or HPV4.
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              Future acceptance of adolescent human papillomavirus vaccination: a survey of parental attitudes.

              The main target group for vaccination against human papillomavirus (HPV), the sexually transmitted virus that causes cervical cancer, will be young adolescents. We undertook a population-based survey to assess parental consent and potential HPV vaccine uptake in eight secondary schools using stratified randomisation according to school type and ethnicity. Our results suggest that in socially and ethnically mixed populations such as Manchester, an HPV vaccine uptake rate of 80% may be achievable if the vaccine is perceived to be safe and effective. However, most parents lack knowledge about HPV and some are concerned about sexual health issues that would arise as part of a HPV vaccine programme. It will be important to raise general awareness of the role of HPV in cervical cancer without stigmatizing the vaccine.
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                Author and article information

                Journal
                Asian Pac J Cancer Prev
                Asian Pac. J. Cancer Prev
                Asian Pacific Journal of Cancer Prevention : APJCP
                West Asia Organization for Cancer Prevention (Iran )
                1513-7368
                2476-762X
                2018
                : 19
                : 6
                : 1509-1514
                Affiliations
                [1 ] Oncology and Radiology Science Cluster, Advanced Medical and Dental Institute, Kepala Batas, Pulau Pinang, Malaysia
                [2 ] Department of Family Medicine, School of Medical Sciences, University Sains Malaysia (USM), Kepala Batas, Pulau Pinang, Malaysia
                [3 ] Department of Community Medicine, School of Medical Sciences, University Sains Malaysia (USM), Kepala Batas, Pulau Pinang, Malaysia
                Author notes
                [* ] For Correspondence: mastura_sopian@ 123456usm.my
                Article
                APJCP-19-1509
                10.22034/APJCP.2018.19.6.1509
                6103591
                29936724
                a790a96f-b210-4686-ad95-330fd3a1e61e
                Copyright: © Asian Pacific Journal of Cancer Prevention

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

                History
                : 18 July 2017
                : 31 October 2017
                Categories
                Research Article

                hpv vaccination,knowledge,decision making,acceptance,parents

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