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Cited by 29Cervical Cancer and HPV ResearchWomen's cancer prevention and managementVaccine Coverage and Hesitancy

Urban-rural inequities in the parental attitudes and beliefs towards human papillomavirus infection, cervical cancer, and human papillomavirus vaccine in Mysore, India

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Degarege, Abraham, Krupp, Karl, Fennie, Kristopher, Li, Tan, Stephens, Dionne P., Marlow, Laura A.V., Srinivas, Vijaya, Arun, Anjali +1 more·2018·Journal of Pediatric and Adolescent Gynecology
DOI 10.1016/j.jpag.2018.03.008PMC PMC6119521
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Abstract

Study objective The aim of this study was to compare the parental attitudes and beliefs about human papillomavirus (HPV), cervical cancer, and HPV vaccine between urban and rural areas, India. Design Cross-sectional. Setting Mysore, India. Participants Parents of school-going adolescent girls. Interventions Parents completed a self-administered questionnaire. Main outcome measures Attitudes and beliefs about HPV, cervical cancer, and HPV vaccine. Results A total of 1609 parents from urban (n = 778) and rural (n = 831) areas participated in this study. Most of the parents had never heard about HPV (73.6%), did not know that their daughters could get an HPV infection (62.7%) or cervical cancer (64.1%) in the future, and believed that HPV vaccine was not effective (67.1%). Parents living in the urban area were more likely to believe that HPV infection (adjusted odds ratio [aOR], 2.69; 95% confidence interval [CI], 1.43-5.06) and cervical cancer (aOR, 2.68; 95% CI, 1.83-3.91) could cause serious health problems than those living in the rural area. The odds of agreeing that HPV vaccination will make girls sexually active was lower among urban than rural parents (aOR, 0.55; 95% CI, 0.33-0.94). There was no significant difference among parents in the urban and rural areas in their beliefs about susceptibility of their daughter to HPV infection or cervical cancer, and beliefs about the safety and ability of HPV vaccine to protect against cervical cancer. Conclusion Rural parents might be reluctant to recommend behaviors that can help prevent HPV infection and cervical cancer such as HPV vaccination for their daughters.

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Authors
Degarege, A., Krupp, K., Fennie, K., Li, T., Stephens, D. P., Marlow, L. A. V., Srinivas, V., Arun, A., & Madhivanan, P.
Affiliations
  • Florida International University (US)
  • University College London (GB)
  • Public Health Research Institute Of India (IN)
Corresponding author
Madhivanan, Purnima
ORCID
Venue
Journal of Pediatric and Adolescent Gynecology
Publisher
Elsevier BV
Published
2018-10
Volume
31
Issue
5
Pages
494-502
ISSN
  • 0932-8610 (ISSN-L)
  • 1083-3188
DOI
10.1016/j.jpag.2018.03.008
PMC
PMC6119521
OpenAlex
W2792632480
Cited by
29
References
1
Citations by year
2026: 4 · 2025: 7 · 2024: 4 · 2023: 4 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 4
FWCI
1.37
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Pediatric and Adolescent Gynecology (acceptedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
Funders
  • National Institutes of Health
  • National Institute of Allergy and Infectious Diseases (R15AI128714)
  • Fogarty International Center (R25TW009338, D43TW010540)
Topics
  • Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
  • Social Sciences › Health › Vaccine Coverage and Hesitancy
Keywords
human papillomavirus, cervical cancer, HPV vaccine, parental attitudes, parental beliefs, urban-rural disparities, adolescent girls, vaccine hesitancy, Mysore
MeSH terms
Adolescent, Adult, Uterine Cervical Neoplasms, Child, Cross-Sectional Studies, Female, Humans, India, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Parents, Patient Acceptance of Health Care, Surveys and Questionnaires, Rural Population, Schools, Urban Population, Papillomavirus Infections, Papillomavirus Vaccines, Young Adult

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