Intention and Concerns about HPV Vaccination among In-school Adolescents in Ibadan, Oyo State, Nigeria https://doi.org/10.60787/NMJ-64-3-171
Main Article Content
Keywords
HPV vaccine, Knowledge, Perception, Intention, Concerns, Uptake
Abstract
Background: Human papillomavirus (HPV) is a very common sexually transmitted infection responsible for some cancers including cervical cancer. Despite nearly half of the Nigerian population being at risk (women <25), vaccination uptake against the infection is still less than 5%.
Methodology: This cross-sectional descriptive survey was conducted using a multi-stage sampling technique. A semi-structured questionnaire was administered to 300 in-school adolescents aged 15-19 years, across 15 private and public secondary schools in Ibadan-North and Ibadan North-West of Oyo State, whose parents gave consent. The data were analysed using descriptive and inferential statistics in SPSS v21. Cronbach’s alpha coefficient was used to measure internal consistency reliability while categorical tables were compared using chi-square and regression analysis with a p-value <0.05.
Results: The mean age of respondents was 15.8 ± 0.84 years. Half of them were females (52.3%) and also attended private schools (56.3%). Very few of the respondents had heard about HPV (21.0%) and HPV vaccine (12.7%), however, more than half had heard about cervical cancer (55.3%). Few respondents had good knowledge (11.0%) and positive perception (27.0%) of HPV, cervical cancer and HPV vaccine. The major source of information was social media (46.2%). Half of the respondents reported intention to take the vaccine if recommended by their family doctor (56.3%) and if given parental approval (52.0%), however, many (60.7%) were concerned about the vaccine’s side effects.
Conclusion: Findings show that parents and health workers influence adolescents’ HPV vaccination uptake. The study thus recommends the prioritization of parental involvement in HPV vaccination. Parents and health workers should therefore be targeted as key stakeholders in driving the awareness of HPV and uptake of the HPV vaccine among adolescents.
References
2.Centre for Disease Control and Prevention. Human Papillomavirus. 2015. Retrieved from https://www.cdc.gov>downloads>hpv. Accessed on March2021.
3.World Health Organization. Weekly epidemiological record. 2021;19: 92, 241–268. http://www.who.int/wer. Accessed on March2021.
4.Sabageh A, Fatusi A, Sabageh D and Aluko J. Sexual behavior of in-school adolescents in Osun State, Southwest Nigeria: a comparative study. Int J Adolesc Med Health. 2014; 26:225–231.
5.UNFP. Generation of Change: Young People and Culture. Youth Supplement to UNFPA's State of the World Population Report 2008.
6.de Sanjosé S, Diaz M, Castellsagué X, Clifford G, Bruni L, Muñoz N, Bosch FX. Worldwide prevalence and genotype distribution of cervical human papillomavirus DNA in women with normal cytology: a meta-analysis. Lancet Infect Dis. 2007; 7:453–459.
7.ICO/IARC Information Centre on HPV and Cancer. HPV and HPV related Cancers. 2018.
8.NejoY.T, OlaleyeD.O and OdaiboG.N. Prevalence and risk factors for genital human papillomavirus infections among women in Southwest Nigeria. Arch Basic Applied Medicine. 2018; 6:105-112.
9.HPV information centre, 2019. Available at www.ema.europa.eu. Accessed on March2021.
10.Ndikom CM, Oboh PI. Perception, acceptance,and uptake of human papillomavirus vaccine among female adolescents in selected secondary schools in Ibadan, Nigeria. African Journal of Biomedical Research. 2017 Dec 5;20:237-44.
11.Azuogu BN, Umeokonkwo CD, Azuogu VC, Onwe OE, Okedo-Alex IN, Egbuji CC. Appraisal of willingness to vaccinate daughters with human papilloma virus vaccine and cervical cancer screening uptake among mothers of adolescent students in Abakaliki, Nigeria. Nigerian journal of clinical practice. 2019;22:1286.
12.Oluwole EO, Idowu OM, Adejimi AA, Balogun MR, Osanyin GE. Knowledge, attitude,and uptake of human papillomavirus vaccination among female undergraduates in Lagos State, Nigeria. Journal of Family Medicine and Primary Care. 2019;8:3627.
13.Akanbi, O. A., Iyanda, A., Osundare, F., and Opaleye, O. O. Perceptions of Nigerian Women about Human Papilloma Virus, Cervical Cancer, and HPV Vaccine. Scientifica, Article ID 285702.
14.Fairuz F. M. J., Mohd D. M. R., Ilina I., Muhammad S. M. A., Nuruliza R. Knowledge, Attitude and Practice of Human Papillomavirus (HPV) Vaccination among Secondary School Students in Rural Areas of Negeri Sembilan, Malaysia.International Journal of Collaborative Research on Internal Medicine & Public Health. 2016;8:420-434.
15.Rashwan, H. H., Saat, N.Z. and Manan, D. N. Knowledge, Attitude and Practice of Malaysian Medical and Pharmacy Students Towards Human Papillomavirus Vaccination. Asian Pacific Journal of Cancer Prevention. 2012;13:2279-83.
16.Constantine N. A., JermanP. Acceptance of human papillomavirus vaccination among Californian parents of daughters: a representative statewide analysis.Journal of Adolescent Health2007;40:108-15.
17.Ojeleye OA, Adejumo PO. Knowledge and acceptance of HPV vaccination among Lagos students. African Journal of Midwifery and Women's Health. 2019;13:1-8.
18.Ezeanochie M, Olasimbo P. Awareness,and uptake of human papilloma virus vaccines among female secondary school students in Benin City, Nigeria. African health sciences. 2020;20:45-50.
19.Audu BM, Bukar M, Ibrahim AI, Swende TZ. Awareness and perception of human papilloma virus vaccine among healthcare professionals in Nigeria. Journal of obstetrics and gynaecology. 2014 Nov 1;34:714-7.
20.Loke AY, Chan AC, Wong YT. Facilitators and barriers to the acceptance of human papillomavirus (HPV) vaccination among adolescent girls: a comparison between mothers and their adolescent daughters in Hong Kong. BMC Research Notes. 2017;10:1-3.
21.Ambali RT, John-Akinola YO, Oluwasanu MM. Indepth interviews on acceptability and concerns for human papilloma virus vaccine uptake among mothers of adolescent girls in community settings in Ibadan, Nigeria. Journal of Cancer Education. 2022;37:748–754.
22.Oluwole, E. O., Idowu, O. M., Adejimi, A. A., Balogun, M. R., &Osanyin, G. E. Knowledge, attitude and uptake of human papillomavirus vaccination among female undergraduates in Lagos State, Nigeria.Journal of family medicine and primary care. 2019; 8:3627–3633.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
This is an open-access journal and articles are distributed under the terms of the Creative Commons Attribution Non-Commercial Share-Alike License 4.0. This licence allows users to download and share, remix, tweak and build upon the article for non-commercial purposes, so long as the original authorship is acknowledged and the new creations are licensed under identical terms.