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

Impact of indirect education on knowledge and perception on cervical cancer and its prevention among the parents of adolescent girls: An interventional school-based study

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Jacob, Rony Abraham, Abraham, Priya Srambical, Thomas, Feba Rachel, Navya, Vytila, Sebastian, Juny, Ravi, Mandyam Dhati, Gurumurthy, Parthasarathi·2021·Therapeutic Advances in Vaccines and Immunotherapy
DOI 10.1177/2515135521990268PMC PMC7882753
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Abstract

Background: India has almost 225 million adolescent girls and they seem to be at a disadvantage, both economically and by their lack of knowledge on human papilloma virus (HPV) vaccine, when compared to adolescent girls of other Asian countries. Aim: To assess the prevalence of HPV vaccination and to identify the impact of education in improving the knowledge and perception about the HPV infection and vaccination among the parents of adolescent girls. Methodology: The prospective interventional study was conducted in four schools within a South Indian City, Mysuru. The informed consent form and the questionnaire were sent home with the identified adolescent girls during the pre-interventional phase. Educational sessions were conducted for the students in their school and an education leaflet was distributed to their parents. Three weeks later, questionnaires were re-administered to the parents via the enrolled girls and their responses were collected. Results: The prevalence of HPV vaccination in the study population was 4.4%. There was a statistically significant improvement in knowledge in the post-interventional phase of the study ( p = 0.001), but could not identify a significant change in their perception ( p = 0.479). Parents belonging to the socioeconomic class of upper middle and upper lower showed better improvement at the end of the study, with a percentage improvement of 58.93% and 48.44%, respectively. Conclusion: The study proved that the healt care professional can target school children to communicate effectively to their parents on the importance of HPV vaccine as the study clearly observed a positive behavioral change among the study population.

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  • Institutional settings, particularly schools and health centres, proved effective for vaccine delivery when adequately supported, yet out-of-school girls remained underserved.

    “Institutional settings, particularly schools and health centres, proved effective for vaccine delivery when adequately supported, yet out-of-school girls remained underserved33,35,40.”

    From Barriers to HPV vaccination among adolescent girls in India: A scoping review (2026) · cites this paper as [33]

    The Conclusion (page unavailable) says schools may be effective for communicating and educating adolescent girls about HPV vaccination. It does not establish that schools or health centres effectively delivered vaccines when adequately supported, or that out-of-school girls remained underserved. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • Both Jacob et al and Joshi et al demonstrated notable improvements in awareness scores, with post-intervention knowledge gains exceeding 50 per cent in some groups.

    “Both studies demonstrated notable improvements in awareness scores, with post-intervention knowledge gains exceeding 50 per cent in some groups.”

    From Barriers to HPV vaccination among adolescent girls in India: A scoping review (2026) · cites this paper as [33]

  • Education-led interventions increase intent to vaccinate, but hesitancy remains.

    “Although awareness using education-led interventions showed promise in increasing intent to vaccinate, there existed a hesitancy13,32,33.”

    From Barriers to HPV vaccination among adolescent girls in India: A scoping review (2026) · cites this paper as [33]

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Research works printed but not linked: 22

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Cited by

Sorted by citations

Authors
Jacob, R. A., Abraham, P. S., Thomas, F. R., Navya, V., Sebastian, J., Ravi, M. D., & Gurumurthy, P.
Affiliations
  • JSS Academy of Higher Education and Research (IN)
  • Pharmacovigilance and Clinical Trials, Botswana Medicines Regulatory Authority, Gaborone, Botswana
Corresponding author
Sebastian, Juny
ORCID
Venue
Therapeutic Advances in Vaccines and Immunotherapy
Publisher
SAGE Publications
Published
2021-01
Volume
9
Pages
2515135521990268-2515135521990268
ISSN
  • 2515-1355 (ISSN-L)
  • 2515-1363
DOI
10.1177/2515135521990268
PMC
PMC7882753
OpenAlex
W3130274984
Cited by
10
References
0
Citations by year
2026: 2 · 2024: 6 · 2022: 2
FWCI
1.44
Type
journal article
Language
en
Open access
Licence
Locations
  • Therapeutic Advances in Vaccines and Immunotherapy (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
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
HPV vaccination, cervical cancer prevention, human papillomavirus, adolescent girls, parental knowledge, parental attitudes, school-based health education, socioeconomic status, Mysore

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