Parental Decision-Making Regarding HPV Vaccination for Adolescent Girls

Authors

  • Hamka Hamka STIKES Tanawali Takalar
  • Rezky Aulia Yusuf Universitas Muslim Indonesia
  • Sumarmi Sumarmi STIKES Tanawali Takalar

DOI:

https://doi.org/10.30651/jkm.v9i4.24967

Keywords:

Remaja, Human Papillomavirus, Theory of Planned Behavior, Vaccines

Abstract

Background: Cervical cancer ranks second in prevalence in women in Indonesia. Human Papillomavirus (HPV) vaccination has been proven effective in reducing the incidence and mortality from cervical cancer. HPV vaccination has been available in Indonesia since 2022 and the Indonesian Government is targeting 90% of girls to receive HPV immunization by 2030. The decision to vaccinate adolescent girls is generally left to parents. This study applies the Theory of Planned Behavior (TPB) to predict parents' desires and behaviors in carrying out HPV vaccination.

Objective: This study aims to predict HPV vaccination behavior in parents who have adolescent daughters.

Methods: A prospective study design was conducted for 3 months. 130 participants were recruited from 5 elementary schools in Takalar Regency, Indonesia by convenience sampling. Participants involved in this study were parents who have adolescent daughters, adolescent girls aged 11-12 years and are able to speak Indonesian, both literate and illiterate. The exclusion criteria were adolescent girls who were allergic to one of the ingredients in the HPV vaccination. Questionnaires used in this study such as the Health Behavior Survey HPV Vaccination Subscale, demographic data, and related health factors. Logistic regression was used to confirm the causal relationship of variables and to test the TPB constructs.

Results: The final logistic regression model of undergoing HPV vaccination included the variables: parental income (OR: 4.60, 95% CI: 1.10 - 9.01).

Conclusion: The results of this study indicate a relationship between parental income and HPV vaccination behavior.

References

Adeyanju, G. C., Sprengholz, P., Betsch, C., & Essoh, T.-A. (2021). Caregivers’ willingness to vaccinate their children against childhood diseases and human papillomavirus: A cross-sectional study on vaccine hesitancy in Malawi. Vaccines, 9(11), 1231.

Bednarczyk, R. A., Brewer, N. T., Gilkey, M. B., Zorn, S., Perkins, R. B., Oliver, K., & Saslow, D. (2023). Human papillomavirus vaccination at the first opportunity: An overview. Human Vaccines & Immunotherapeutics, 19(1), 2213603.

Boitano, T. K., Daniel, C., Kim, Y.-i., Straughn Jr, J. M., Peral, S., & Scarinci, I. (2021). Beyond words: parental perceptions on human papilloma virus vaccination recommendations and its impact on uptake. Preventive Medicine Reports, 24, 101596.

Brouwer, A. F., Delinger, R. L., Eisenberg, M. C., Campredon, L. P., Walline, H. M., Carey, T. E., & Meza, R. (2019). HPV vaccination has not increased sexual activity or accelerated sexual debut in a college-aged cohort of men and women. BMC Public Health, 19, 1-8.

Carpiano, R. M., Polonijo, A. N., Gilbert, N., Cantin, L., & Dubé, E. (2019). Socioeconomic status differences in parental immunization attitudes and child immunization in Canada: Findings from the 2013 Childhood National Immunization Coverage Survey (CNICS). Preventive medicine, 123, 278-287.

Carvalho, A. M. C. d., & Araújo, T. M. E. d. (2021). Factors associated with adolescent compliance with human papillomavirus vaccine: a cross-sectional study. Texto & Contexto-Enfermagem, 30, e20200362.

Cotache-Condor, C., Peterson, M., & Asare, M. (2021). Application of theoretical frameworks on human papillomavirus vaccine interventions in the United States: systematic review and meta-analysis. Cancer Causes & Control, 1-10.

Cunningham-Erves, J., Koyama, T., Huang, Y., Jones, J., Wilkins, C. H., Harnack, L., McAfee, C., & Hull, P. C. (2019). Providers’ perceptions of parental human papillomavirus vaccine hesitancy: cross-sectional study. JMIR cancer, 5(2), e13832.

Dereje, N., Ashenafi, A., Abera, A., Melaku, E., Yirgashewa, K., Yitna, M., Shewaye, S., Fasil, T., & Yoseph, Y. (2021). Knowledge and acceptance of HPV vaccination and its associated factors among parents of daughters in Addis Ababa, Ethiopia: a community-based cross-sectional study. Infectious Agents and Cancer, 16, 1-7.

Dike, S. N. (2021). Factors associated with African American mothers’ perceptions of human papillomavirus vaccination of their daughters: An integrated literature review. Number 4/July 2021, 48(4), 371-389.

Drolet, M., Bénard, É., Pérez, N., Brisson, M., Ali, H., Boily, M.-C., Baldo, V., Brassard, P., Brotherton, J. M., & Callander, D. (2019). Population-level impact and herd effects following the introduction of human papillomavirus vaccination programmes: updated systematic review and meta-analysis. The lancet, 394(10197), 497-509.

Escriva-Boulley, G., Mandrik, O., Préau, M., Herrero, R., & Villain, P. (2021). Cognitions and behaviours of general practitioners in France regarding HPV vaccination: a theory-based systematic review. Preventive medicine, 143, 106323.

Ferlay, J., Colombet, M., Soerjomataram, I., Mathers, C., Parkin, D. M., Piñeros, M., Znaor, A., & Bray, F. (2019). Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods. International journal of cancer, 144(8), 1941-1953.

Frianto, D., & Hidayah, H. (2020). Pengaruh Keyakinan Kesehatan Tentang Kanker Serviks Terhadap Penerimaan Vaksin Hpv Sdn Lemahduhur I Dan Tunggakjati Ii Di Kabupaten Karawang. Pharma Xplore: Jurnal Sains dan Ilmu Farmasi, 5(2), 49-56.

Frianto, D., Setiawan, D., Diantini, A., & Suwantika, A. A. (2022). Economic Evaluations of HPV Vaccination in Targeted Regions of Low-and Middle-Income Countries: A Systematic Review of Modelling Studies. International Journal of Women's Health, 1315-1322.

Gallego, L. S., Dominguez, A., & Parmar, M. (2024). Human papilloma virus vaccine. StatPearls.

Graaff, L. (2020). Maternal attitudes and factors associated with the Human Papillomavirus (HPV) vaccination uptake among daughters University of the Witwatersrand].

Kristina, S. A., Endarti, D., & Aditama, H. (2022). Prediction of productivity costs related to cervical cancer mortality in Indonesia 2018. The Malaysian Journal of Medical Sciences: MJMS, 29(1), 138.

López, N., Garcés-Sánchez, M., Panizo, M. B., de la Cueva, I. S., Artés, M. T., Ramos, B., & Cotarelo, M. (2020). HPV knowledge and vaccine acceptance among European adolescents and their parents: a systematic literature review. Public health reviews, 41, 1-24.

López, N., Salamanca de la Cueva, I., Vergés, E., Suarez Vicent, E., Sánchez, A., López, A. B., Panizo-Santos, M. B., Garcés-Sánchez, M., Montesdeoca, A., & Rivera, A. J. (2022). Factors influencing HPV knowledge and vaccine acceptability in parents of adolescent children: results from a survey-based study (KAPPAS study). Human Vaccines & Immunotherapeutics, 18(1), 2024065.

Markowitz, L. E., & Unger, E. R. (2023). Human papillomavirus vaccination. New England journal of medicine, 388(19), 1790-1798.

Mihretie, G. N., Liyeh, T. M., Ayele, A. D., Belay, H. G., Yimer, T. S., & Miskr, A. D. (2022). Knowledge and willingness of parents towards child girl HPV vaccination in Debre Tabor Town, Ethiopia: a community-based cross-sectional study. Reproductive Health, 19(1), 136.

Nguyen, K. H., Santibanez, T. A., Stokley, S., Lindley, M. C., Fisher, A., Kim, D., Greby, S., Srivastav, A., & Singleton, J. (2021). Parental vaccine hesitancy and its association with adolescent HPV vaccination. Vaccine, 39(17), 2416.

O’leary, S. T., Maldonado, Y. A., & Kimberlin, D. W. (2019). Update from the advisory committee on immunization practices. In: Oxford University Press US.

Okunade, K. S. (2020). Human papillomavirus and cervical cancer. Journal of Obstetrics and Gynaecology, 40(5), 602-608.

Setiawan, D., Andrijono, Hadinegoro, S. R., Meyta, H., Sitohang, R. V., Tandy, G., Perwitasari, D. A., & Postma, M. J. (2020). Cervical cancer prevention in Indonesia: An updated clinical impact, cost-effectiveness and budget impact analysis. PloS one, 15(3), e0230359.

Sitaresmi, M. N., Rozanti, N. M., Simangunsong, L. B., & Wahab, A. (2020). Improvement of Parent’s awareness, knowledge, perception, and acceptability of human papillomavirus vaccination after a structured-educational intervention. BMC Public Health, 20, 1-9.

Taylor, J., Nailer, E., Cohen, C. R., Redman, C. W., & Sherman, S. M. (2024). HPV vaccination and cervical screening: the knowledge and attitudes of mothers of adolescent girls. Psychology & Health, 39(4), 499-516.

Voidăzan, T. S., Budianu, M. A., Rozsnyai, F. F., Kovacs, Z., Uzun, C. C., & Neagu, N. (2022). Assessing the level of knowledge, beliefs and acceptance of HPV Vaccine: A cross-sectional study in Romania. International journal of environmental research and public health, 19(11), 6939.

Wahidin, M., & Febrianti, R. (2021). Gambaran pelaksanaan program vaksinasi human papilloma virus (HPV) di dua puskesmas di Kota Jakarta Pusat Tahun 2020. Buletin Penelitian Sistem Kesehatan, 24(3), 182-191.

Wahidin, M., Febrianti, R., & Susanty, F. (2020). Burden of cervical cancer in Indonesia: Findings from the global burden of disease study 1990–2017. 4th International Symposium on Health Research (ISHR 2019),

Wijayanti, K. E., Schütze, H., MacPhail, C., & Braunack-Mayer, A. (2021). Parents’ knowledge, beliefs, acceptance and uptake of the HPV vaccine in members of The Association of Southeast Asian Nations (ASEAN): A systematic review of quantitative and qualitative studies. Vaccine, 39(17), 2335-2343.

Xie, Z. (2020). The correlation between HPV vaccination rate and income inequality. Health Inform.-Int. J, 9, 17-27.

Yohannes, E., Beyen, M. W., Bulto, G. A., Chaka, E. E., Debelo, B. T., Erena, M. M., & Tasu, T. L. (2023). Knowledge and attitude toward human papillomavirus vaccination and associated factors among adolescent school girls in Ambo town, Ethiopia, 2021: A multicenter cross‐sectional study. Health Science Reports, 6(6), e1305.

Yousefi, Z., Aria, H., & Eskandari, N. (2022). An update on human papilloma virus vaccines: history, types, protection, and efficacy. Frontiers in immunology, 12, 805695.

Zhou, M., Qu, S., Zhao, L., Campy, K. S., & Wang, S. (2019). Parental perceptions of human papillomavirus vaccination in central China: the moderating role of socioeconomic factors. Human Vaccines & Immunotherapeutics, 15(7-8), 1688-1696.

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Published

2024-12-25

Issue

Vol. 9 No. 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH

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