Attitudes toward HPV vaccination among parents of adolescent girls in Mysore, India
Abstract
This study investigates attitudes toward human papillomavirus (HPV) vaccination among parents of adolescent girls in Mysore, India. Seven focus group discussions were held among parents of adolescent girls stratified by sex, religion and region to explore attitudes about cervical cancer and HPV vaccination. The study found that while parents have limited knowledge about HPV or cervical cancer, most are still highly accepting an HPV vaccine. In addition, high acceptability levels appear to reflect positive attitudes toward the government universal immunization program in general, rather than to the HPV vaccine in particular. The results highlight the need for additional education and health promotion regarding HPV and cervical cancer prevention in India.
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A study reported higher levels of knowledge about general vaccination issues among parents who lived in rural than urban areas of the same district where the current study was conducted.
“Indeed, a study reported higher levels of knowledge about general issues related to vaccination among parents who lived in rural than urban areas of the same district, where the current study was conducted.11”
From Human Papillomavirus Vaccine Acceptability among Parents of Adolescent Girls in a Rural Area, Mysore, India (2018) · cites this paper as [11]
Much of the research to date about HPV vaccine acceptability in India has been limited to urban areas, with very limited information available from rural India where 60% of the Indian population resides.
“Much of the research to date about HPV vaccine acceptability in India has been limited to urban areas with very limited information being available from rural India where 60% of the Indian population resides.”
From Human Papillomavirus Vaccine Acceptability among Parents of Adolescent Girls in a Rural Area, Mysore, India (2018) · cites this paper as [11]
Uptake of HPV vaccination in general has been low in India due to misperceptions about HPV infection, cervical cancer and HPV vaccine, and due to cultural reasons.
“However, uptake of HPV vaccination in general has been low due to misperceptions about HPV infection, cervical cancer and HPV vaccine, and due to cultural reasons in India.”
From Human Papillomavirus Vaccine Acceptability among Parents of Adolescent Girls in a Rural Area, Mysore, India (2018) · cites this paper as [11]
Most parents in the qualitative study felt that younger girls were unlikely to be sexually active and therefore should not receive an HPV vaccination until they were adolescents or young adults.
“Most felt that younger girls were unlikely to be sexually active and therefore should not receive an HPV vaccination until they were adolescents or young adults (Madhivanan et al., 2009).”
From Indian Parents Prefer Vaccinating their Daughters against HPV at Older Ages (2014) · cites this paper as Madhivanan et al., 2009
A qualitative study in the same population suggested that many parents preferred vaccinating girls against HPV after puberty.
“A qualitative study carried out in the same population suggested that many parents preferred vaccinating girls against HPV after puberty.”
From Indian Parents Prefer Vaccinating their Daughters against HPV at Older Ages (2014) · cites this paper as Madhivanan et al., 2009
Exclusion of the HPV vaccine from India's national immunization schedule has stymied uptake, especially among marginalized groups.
“Multiple studies emphasized that the exclusion of the HPV vaccine from India’s national immunization schedule had stymied uptake, especially among marginalized groups15,21,25,26.”
From Barriers to HPV vaccination among adolescent girls in India: A scoping review (2026) · cites this paper as [15]
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Madhivanan, P., Li, T., Srinivas, V., Marlow, L., Mukherjee, S., & Krupp, K. (2014) · Preventive Medicine · doi:10.1016/j.ypmed.2014.04.002 · Cited by 52 · see citing works
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Self-citationIndian Parents Prefer Vaccinating their Daughters against HPV at Older Ages
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“Most felt that younger girls were unlikely to be sexually active and therefore should not receive an HPV vaccination until they were adolescents or young adults (Madhivanan et al., 2009).”
BackgroundSelf-citationBarriers to HPV vaccination among adolescent girls in India: A scoping review
Josten, K., Rose Dhar, R., Reshmi, B., Natti Krishna, V., & Vennila, J. (2026) · The Indian Journal of Medical Research · doi:10.25259/ijmr_1834_2025 · Cited by 6 · see citing works
“At the individual level, limited knowledge, cultural misconceptions, and attitudinal barriers, such as fear of side effects or concerns about morality were key problems, especially among less educated or rural populations 12,14,17,19,28,37,38 .”
- Authors
- Madhivanan, P., Krupp, K., Yashodha, M. N., Marlow, L., Klausner, J. D., & Reingold, A. L.
- Affiliations
- San Francisco Department of Public Health (US)
- Public Health Research Institute Of India (IN)
- University College London (GB)
- University of California, Berkeley (US)
- Corresponding author
- Madhivanan, Purnima
- Venue
- Vaccine
- Publisher
- Elsevier BV
- Published
- 2009-08
- Volume
- 27
- Issue
- 38
- Pages
- 5203-5208
- ISSN
- 0264-410X (ISSN-L)
- OpenAlex
- W2152629268
- Semantic Scholar
- 1eeb1738f6e10d1148ef10b15242a6e32632f762
- Cited by
- 94
- References
- 32
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 4 · 2023: 4 · 2021: 6 · 2020: 3 · 2019: 9 · 2018: 8 · 2016: 6 · 2014: 8 · 2013: 15 · 2012: 8
- FWCI
- 4.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Vaccine (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- HPV vaccination, parental attitudes, adolescent girls, cervical cancer prevention, vaccine acceptance, Universal Immunization Programme, health education, Mysore
- MeSH terms
- Adolescent, Adult, Uterine Cervical Neoplasms, Child, Female, Humans, India, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Parents, Patient Acceptance of Health Care, Sexually Transmitted Diseases, Viral, Immunization Programs, Papillomavirus Infections, Papillomavirus Vaccines
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