Awareness of Mothers Referring to the Health Center of Yazd City Regarding Human Papillomavirus (HPV) and Its Vaccination, 2023

Document Type : Original Article

Authors

1 M.Sc. of Consultation in Midwifery, Nursing and Midwifery Care Research Center, Non-Communicable Diseases Institute, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

2 M.Sc. of Midwifery Education, Nursing and Midwifery Care Research Center, Non-Communicable Diseases Institute, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

3 Ph.D in Epidemiology, Yazd Cardiovascular Research Center, Non-Communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

4 Ph.D student in Reproductive Health, Nursing and Midwifery Care Research Center, Non-Communicable Diseases Institute, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Abstract

Introduction: Human papillomavirus (HPV) as one of the main causes of infections in the female genital tract is considered a serious threat for public health risk, particularly youth health. Since increasing the level of awareness of mothers as the main support systems of their children can play a key role in preventing HPV infections and reducing the incidence of related cancers, the present study was conducted with aim to investigate the awareness of mothers referring to the health centers in Yazd city regarding the human papilloma virus and its vaccination.
Methods: This descriptive-analytical study was conducted in 2023 on 220 mothers of children aged 9-18 years who visited the health and treatment centers in Yazd city. Data were collected using a researcher-made questionnaire that was validated for reliability and accuracy. This questionnaire investigated the knowledge of mothers about human papilloma virus and the stimulating and inhibiting factors of mothers regarding vaccination of their children against human papilloma virus. Data analysis was performed using SPSS software (version 19) and Mann-Whitney and Chi-square tests. P<0.05 was considered significant.
Results: The mean score of awareness regarding human papillomavirus among mothers was 3.2±3.1, while awareness of its vaccination was 1.6±1.1, indicating an unfavorable level of knowledge. Only 79 mothers (35.9%) expressed a willingness to vaccinate their children. The main inhibiting factor was insufficient knowledge (74.5%), while the most significant facilitating factor was recommendations of doctors and health staff (77.2%). Mothers with greater awareness regarding human papillomavirus (4.5±3.4) and its vaccine (1.7±1.9) exhibited a more positive acceptance of vaccinating their children (P<0.001).
Conclusion: The findings of the present study indicated inadequate awareness of mothers regarding HPV and its vaccination, which adversely impacts their decision to vaccinate their children. Enhancing awareness through education and recommendations of doctors can foster a greater willingness toward vaccination and alleviate associated concerns.

Keywords

Main Subjects


  1. Al-Daraji WI, Smith JH. Infection and cervical neoplasia: facts and fiction. International journal of clinical and experimental pathology 2009; 2(1):48.
  2. Vafaeinezhad Z, Kazemi Z, Mirmoeini M, Piroti H, Sadeghian E, Mohammad Ali-Vajari M, et al. Trends in cervical cancer incidence in Iran according to national cancer registry. Journal of Mazandaran University of Medical Sciences 2018; 28(161):108-14.
  3. Sadeghi A, Sobhani AR, Etaati Z, Jahanlou A, Shiroudi M. Prevalence of human papilloma virus among women with cervical intraepithelial neoplasia III and invasive cervical cancer from 2001 to 2006 in Bandarabas. iranian Journal of Pathology2008; 3(4):183-185.
  4. Azh N, Hosseinzadeh K, Javadi A, Gholami-Toranposhti S. Factors predicting mothers' intention toward human papilloma virus vaccination of adolescents: A cross-sectional study among Iranian Families. Iranian Journal of Nursing and Midwifery Research 2021; 26(6):495-9.
  5. Wang CC, Palefsky JM. Human papillomavirus (HPV) infections and the importance of HPV vaccination. Current epidemiology reports 2015; 2:101-9.
  6. Pooyanmehr M, Sarmadi A. Evaluation of students' knowledge and health attitude about HPV and human papilloma virus vaccination, a case study in Kermanshah province. Journal of Health in the Field 2022; 10(2).
  7. Trim K, Nagji N, Elit L, Roy K. Parental knowledge, attitudes, and behaviours towards human papillomavirus vaccination for their children: a systematic review from 2001 to 2011. Obstetrics and gynecology international 2012; 2012(1):921236.
  8. Roberts JR, Thompson D, Rogacki B, Hale JJ, Jacobson RM, Opel DJ, et al. Vaccine hesitancy among parents of adolescents and its association with vaccine uptake. Vaccine 2015; 33(14):1748-55.
  9. Rashid H, Yin JK, Ward K, King C, Seale H, Booy R. Assessing interventions to improve influenza vaccine uptake among health care workers. Health Affairs 2016; 35(2):284-92.
  10. de Koning R, Utrilla MG, Spanaus E, Moore M, Lomazzi M. Strategies used to improve vaccine uptake among healthcare providers: A systematic review. Vaccine: X 2024; 19:100519.
  11. Bogani G, Maggiore UL, Signorelli M, Martinelli F, Ditto A, Sabatucci I, et al. The role of human papillomavirus vaccines in cervical cancer: Prevention and treatment. Critical Reviews in Oncology/Hematology 2018; 122:92-7.
  12. Sonawane K, Lin YY, Damgacioglu H, Zhu Y, Fernandez ME, Montealegre JR, et al. Trends in human papillomavirus vaccine safety concerns and adverse event reporting in the United States. JAMA Network Open 2021; 4(9):e2124502-.
  13. Seddiq S, Khalili F, Abdoli A, Azarkish F, Abdolmohammadi K. Human papilloma virus (HPV) vaccine, prevention of cervical cancer: a review article. Tehran University Medical Journal 2022; 80(3):161-167.
  14. Bruni L, Serrano B, Roura E, Alemany L, Cowan M, Herrero R, et al. Cervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide: a review and synthetic analysis. The Lancet Global Health 2022; 10(8):e1115-27.
  15. Smolarczyk K, Duszewska A, Drozd S, Majewski S. Parents’ knowledge and attitude towards HPV and HPV vaccination in Poland. Vaccines 2022; 10(2):228.
  16. Larebo YM, Elilo LT, Abame DE, Akiso DE, Bawore SG, Anshebo AA, et al. Awareness, acceptance, and associated factors of human papillomavirus vaccine among parents of daughters in Hadiya Zone, Southern Ethiopia: a cross-sectional study. Vaccines 2022; 10(12):1988.
  17. Rehman A, Srivastava S, Garg PR, Garg R, Kurian K, Shumayla S, et al. Awareness about human papillomavirus vaccine and its uptake among women from North India: evidence from a cross-sectional study. Asian Pacific Journal of Cancer Prevention: APJCP 2022; 23(12):4307.
  18. Widjaja Awareness, knowledge and attitudes of human papillomavirus (HPV) among private university students-Malaysia perspective. Asian Pacific Journal of Cancer Prevention: APJCP 2019; 20(7):2045.
  19. Xie H, Zhu HY, Jiang NJ, Yin YN. Awareness of HPV and HPV vaccines, acceptance to vaccination and its influence factors among parents of adolescents 9 to 18 years of age in China: a cross-sectional study. Journal of Pediatric Nursing 2023; 71:73-8.
  20. Aragaw GM, Anteneh TA, Abiy SA, Bewota MA, Aynalem GL. Parents’ willingness to vaccinate their daughters with human papillomavirus vaccine and associated factors in Debretabor town, Northwest Ethiopia: a community-based cross-sectional study. Human vaccines & immunotherapeutics 2023; 19(1):2176082.
  21. Tavassoli Factors related to domestic violence against pregnant women referring to hospitals and vaccination centers in Tehran. Nursing and Midwifery Journal 2019; 17(5):379-91.