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Cited by 10Cervical Cancer and HPV ResearchWomen's cancer prevention and managementVaccine Coverage and Hesitancy

Determinants of attitudes and beliefs toward human papillomavirus infection, cervical cancer and human papillomavirus vaccine among parents of adolescent girls in Mysore, India

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Degarege, Abraham, Krupp, Karl, Srinivas, Vijaya, Ibrahimou, Boubakari, Marlow, Laura A. V., Arun, Anjali, Madhivanan, Purnima·2018·Journal of Obstetrics and Gynaecology Research
DOI 10.1111/jog.13765PMC PMC6996479
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Abstract

Aim: This study examined the determinants of attitudes and beliefs about human papillomavirus (HPV) infection, cervical cancer and HPV vaccine among parents of adolescent girls in Mysore, India. Methods: A random sample of 800 parents who had at least one adolescent‐aged daughter attending school were recruited for a survey. Results: Most parents (n = 778; 97.3%) completed the survey. Compared to Hindus, Muslims were more likely to perceive that their daughters are susceptible to HPV infection (adjusted odds ratio [aOR]: 4.94; 95% confidence interval [CI]: 2.87, 8.49) or cervical cancer (aOR: 2.73; 95% CI: 1.55, 4.80). However, the likelihood of perceiving that daughters are susceptible to HPV infection (aOR: 0.94; 95% CI: 0.90, 0.98) or cervical cancer (aOR: 0.95; 95% CI: 0.92, 0.99) decreased with an increase in the age of the parents. Perceived severity of HPV infection (aOR: 0.36; 95% CI: 0.14, 0.97) and cervical cancer (aOR: 0.33; 95% CI: 0.15, 0.74) was lower among Muslims than Hindus. Muslims had lower odds of believing that HPV vaccine is safe (aOR: 0.47; 95% CI: 0.25, 0.89) or could protect against cervical cancer (aOR: 0.27; 95% CI: 0.16, 0.48), but were more likely to feel that HPV vaccination may cause girls to become more sexually active (aOR: 1.92; 95% CI: 1.09, 3.39). The odds of believing that HPV vaccine is effective increased with an increase in the age of the parents (aOR: 1.03; 95% CI: 1.003, 1.06). Conclusion: Among Indian parents, age and religion of parents are associated with parental attitudes and beliefs about the threat of HPV and cervical cancer as well as the risks and benefits of HPV vaccine.

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  • 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.

    “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 populations12,14,17,19,28,37,38.”

    From Barriers to HPV vaccination among adolescent girls in India: A scoping review (2026) · cites this paper as [28]

    The Discussion (page unavailable) reports that 71.6% of surveyed parents had never heard of HPV, and the Results > Beliefs about HPV vaccine describe concerns that vaccination might make girls more sexually active. The paper does not establish fear of side effects as a key problem. Its sample was urban, so it cannot support the claim about rural populations; its education finding also does not show greater concern among less-educated parents. (LLM, conf=0.87)

    Experimental — accuracy not yet measured

  • Community-level factors, including stigma, cultural norms, and religious beliefs, often reinforced vaccine hesitancy, though engagement with local leaders and culturally tailored interventions showed promise.

    “Community-level factors, including stigma, cultural norms, and religious beliefs, often reinforced vaccine hesitancy, though engagement with local leaders and culturally tailored interventions showed promise 28,30,34,36.”

    From Barriers to HPV vaccination among adolescent girls in India: A scoping review (2026) · cites this paper as [28]

    The Results (Beliefs about HPV vaccine; page unavailable) link parents’ religion with differing beliefs about vaccine safety, effectiveness, and sexual activity. The Discussion recommends education directed particularly toward older parents and some religious minorities. It does not report stigma as a factor or show that engagement with local leaders or culturally tailored interventions improved vaccine acceptance. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • Demographic characteristics such as age, gender, educational level, place of residence, socioeconomic status, and religion were found to influence both HPV awareness and vaccine acceptance.

    “Demographic characteristics such as age, gender, educational level, place of residence, socioeconomic status, and religion were found to influence both HPV awareness and vaccine acceptance18,27,28,30,36.”

    From Barriers to HPV vaccination among adolescent girls in India: A scoping review (2026) · cites this paper as [28]

    The Results (‘Beliefs about HPV vaccine’; page unavailable) associate age, education and religion with specific parental beliefs about the vaccine. The Methods treat HPV awareness as a measured variable, but the cited passages do not show that these demographics influence awareness or vaccine acceptance. Place of residence and socioeconomic status were not among the demographic variables analyzed, so the claim extends beyond this study. (LLM, conf=0.87)

    Experimental — accuracy not yet measured

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Cites

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Research works printed but not linked: 24

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Authors
Degarege, A., Krupp, K., Srinivas, V., Ibrahimou, B., Marlow, L. A. V., Arun, A., & Madhivanan, P.
Affiliations
  • Florida International University (US)
  • Public Health Research Institute Of India (IN)
  • University College London (GB)
Corresponding author
Madhivanan, Purnima
ORCID
Venue
Journal of Obstetrics and Gynaecology Research
Publisher
Wiley
Published
2018-08-16
Volume
44
Issue
11
Pages
2091-2100
ISSN
  • 1341-8076 (ISSN-L)
  • 1447-0756
DOI
10.1111/jog.13765
PMC
PMC6996479
OpenAlex
W2885025732
Cited by
10
References
0
Citations by year
2026: 3 · 2025: 1 · 2024: 3 · 2022: 2 · 2019: 1
FWCI
0.20
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of obstetrics and gynaecology research (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
Funders
  • Investigator Initiated Award from Merck & Co.,
  • Fogarty International Center and National Heart Lung and Blood Institute at the National Institutes of Health (D43 TW010540)
  • Dissertation Year Fellowship from Florida International University
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, adolescent girls, perceived susceptibility, perceived severity, vaccine safety beliefs, vaccine effectiveness beliefs, India, parental age, cervical cancer screening, HPV testing, cervical cancer prevention
MeSH terms
Adolescent, Adult, Uterine Cervical Neoplasms, Female, Humans, India, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Parents, Papillomavirus Infections, Papillomavirus Vaccines

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