CoChat
Sign Up
Cited by 52Cervical Cancer and HPV ResearchVaccine Coverage and HesitancyWomen's cancer prevention and management

Human papillomavirus vaccine acceptability among parents of adolescent girls: Obstacles and challenges in Mysore, India

Madhivanan, Purnima, Li, Tan, Srinivas, Vijaya, Marlow, Laura, Mukherjee, Soumyadeep, Krupp, Karl·2014·Preventive Medicine
DOI 10.1016/j.ypmed.2014.04.002
Open this paper in CoChat — free account

Abstract

Objective Worldwide, 530,000 women are diagnosed with cervical cancer and 275,000 die annually. India bears the greatest burden of the disease with 132,000 cases and 74,000 deaths yearly. Widespread uptake of human papillomavirus (HPV) vaccine could reduce incidence and mortality by two-thirds. This study explored obstacles and facilitators of parental acceptability of HPV vaccine. Methods In 2010, questionnaires were sent home with a random sample of 800 girls attending 12 schools in Mysore city to be completed by a parent. Data were analyzed using multivariable logistic regression with generalized estimating equation to account for potential clustering by school. Results Of the 797 completed surveys; 71% reported willingness to accept HPV vaccine for their daughters. The adjusted odds of acceptance was higher among participants who received recommendation from their parents, perceived cervical cancer as a serious disease, believed that HPV vaccine was safe, or felt that vaccination was a good way to protect against cervical cancer. Parents who had concerns about vaccine side-effects or thought that it would cause pain had lower odds of acceptance. Conclusion Future promotion of vaccine should emphasize safety of immunization and involve promotion to the extended family, so that they actively recommend immunization of young adolescent girls.

Integrity signals

Registry

Crossref · 10.1016/j.ypmed.2014.04.002

Cites

31 of 31 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • 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 [14]

  • The questionnaire was validated in Kannada (the local language in the study area) and had been used in another study before it was used in this study.

    “The questionnaire was validated in Kannada (local language in the study area) and has been used in another study14 before it was used in this study.”

    From Human Papillomavirus Vaccine Acceptability among Parents of Adolescent Girls in a Rural Area, Mysore, India (2018) · cites this paper as [14]

  • 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 [14]

  • HPV vaccine acceptance in this rural Mysore population was higher than reported among parents in other regions of India (46-74%) and other south Asian countries (26.5-84.0%).

    “There was a higher rate of HPV vaccine acceptance in this population as compared to that reported among parents in the other regions of India (Range: 46% to 74%) 13,14,22 and other countries in south Asia (Range: 26.5% to 84.0%).23-26”

    From Human Papillomavirus Vaccine Acceptability among Parents of Adolescent Girls in a Rural Area, Mysore, India (2018) · cites this paper as [14]

  • Within the same district, vaccine acceptance in this rural study population was greater than among parents living in the urban region (71.1%).

    “Even within the same district, vaccine acceptance in this rural study population was greater than among parents living in the urban region (71.1%).14”

    From Human Papillomavirus Vaccine Acceptability among Parents of Adolescent Girls in a Rural Area, Mysore, India (2018) · cites this paper as [14]

Cites

Flagged first, then by citations

Research works printed but not linked: 2

  1. Cohen, 2007, A long and winding road: getting the HPV vaccine to women in the developing world, Guttmacher Policy Rev., 10
  2. Tricco, 2007, International acceptability of human papillomavirus vaccines: a systematic review

Cited by

Sorted by citations

Related

Authors
Madhivanan, P., Li, T., Srinivas, V., Marlow, L., Mukherjee, S., & Krupp, K.
Affiliations
  • Florida International University (US)
  • Public Health Research Institute Of India (IN)
  • University College London (GB)
Corresponding author
Madhivanan, Purnima
ORCID
Venue
Preventive Medicine
Publisher
Elsevier BV
Published
2014-07
Volume
64
Pages
69-74
ISSN
0091-7435 (ISSN-L)
DOI
10.1016/j.ypmed.2014.04.002
OpenAlex
W1966238437
Semantic Scholar
8255c38e0e3c75232202fbcf5529002c34bb3ffa
Cited by
52
References
31
Citations by year
2026: 4 · 2025: 4 · 2024: 9 · 2023: 6 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 7 · 2018: 7 · 2017: 2 · 2016: 4 · 2014: 2
FWCI
1.80
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
Funders
Merck & Co., Inc.
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 vaccine, vaccine acceptance, parental attitudes, adolescent girls, cervical cancer prevention, vaccine safety beliefs, vaccine side effect concerns, barriers to vaccination, Mysore
MeSH terms
Adolescent, Adult, Uterine Cervical Neoplasms, Child, Educational Status, Employment, Female, Humans, India, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Parents, Patient Acceptance of Health Care, Religion, School Health Services, Urban Population, Logistic Models, Marital Status, Papillomavirus Infections, Parental Consent, Papillomavirus Vaccines

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review