Parental acceptance of human papillomavirus (HPV) vaccination in Indonesia: a cross-sectional study
Abstract
Background Cervical cancer ranks the second most frequent cancer in Indonesian women. In Indonesia, human papillomavirus (HPV) vaccine acceptance has not been studied before. Objective To determine parental HPV vaccine acceptance in Indonesia, and factors that influence their decision. Factors include sociodemographic factors, knowledge of HPV, HPV vaccination and cervical cancer, health beliefs about cervical cancer, and attitudes towards vaccination in general. Methods 746 parents, with at least 1 daughter aged 0-14, were interviewed using questionnaires based on published and adjusted interviews. Interviews were done in sub district public health centers, general governmental hospitals, and via house-visits, in 5 Indonesian provinces. Results Parental HPV vaccine acceptance was 96.1%. Logistic regression revealed that age, beliefs regarding cervical cancer, and attitudes towards vaccination in general were significantly associated with HPV vaccine acceptance. Of the participants, 66.0%, 16.6%, and 15.8% had heard about cervical cancer, HPV, and HPV vaccination respectively. The mean total knowledge score was 1.91(Standard Deviation 2.31) on a 0-8 scale. Health beliefs about cervical cancer and attitudes towards vaccination in general were positive. Participants named the high cost of the vaccine, fear for side-effects, and chosen vaccination locations as possible barriers towards HPV vaccine implementation. Discussion Parental HPV vaccine acceptance is high, but knowledge…
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A previous report from Indonesia showed lower HPV vaccine acceptance among older parents compared to younger ones.
“This finding is consistent with a previous report from Indonesia, which showed lower HPV vaccine acceptance among older age parents compared to the younger ones.34”
From Human Papillomavirus Vaccine Acceptability among Parents of Adolescent Girls in a Rural Area, Mysore, India (2018) · cites this paper as [34]
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Degarege, A., Krupp, K., Fennie, K., Srinivas, V., Li, T., Stephens, D. P., Marlow, L. A. V., Arun, A., & Madhivanan, P. (2018) · Journal of Pediatric and Adolescent Gynecology · doi:10.1016/j.jpag.2018.07.008 · Cited by 34 · see citing works
- Authors
- Jaspers, L., Budiningsih, S., Wolterbeek, R., Henderson, F. C., & Peters, A. A. W.
- Affiliations
- Leiden University Medical Center (NL)
- University of Indonesia (ID)
- Corresponding author
- Jaspers, L.
- Venue
- Vaccine
- Publisher
- Elsevier BV
- Published
- 2011-10
- Volume
- 29
- Issue
- 44
- Pages
- 7785-7793
- ISSN
- 0264-410X (ISSN-L)
- OpenAlex
- W2033726766
- Cited by
- 113
- References
- 0
- Citations by year
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- FWCI
- 5.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Vaccine (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Leiden Repository (Leiden University) (submittedVersion)
- Funders
- Universitas Udayana
- Universitas Sumatera Utara
- 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, vaccine acceptance, parental attitudes, cervical cancer, HPV knowledge, health beliefs, barriers to vaccination, vaccine cost, vaccine side effect concerns, adolescent girls, Indonesia
- MeSH terms
- Adolescent, Adult, Uterine Cervical Neoplasms, Child, Child, Preschool, Cross-Sectional Studies, Female, Humans, Indonesia, Infant, Infant, Newborn, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Parents, Patient Acceptance of Health Care, Surveys and Questionnaires, Vaccination, Papillomavirus Infections, Papillomavirus Vaccines, Young Adult
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