Factors Associated with Non-Adherence to the HPV Vaccine by Parents of Girls Aged of 9 to 14 in the MIFI Health District, Cameroon
Armand Tiotsia Tsapi*, Ange Jordane Kapche Kuate, Eric Defo Tamgno, Aimé Césaire Momo, Dahoumien Nelson Momo, Hermann Michel Pidjou, Lucien Dias Nzali Mpeunguem, Ketchadji Allice, Charles Kouanfack, Richard Tagne Simo, Vittorio Colizzi and Russo Gianluca
October 27, 2023
DOI : 10.56831/PSMPH-03-099
Introduction: HPV infection is the leading cause of cervical cancer and cancer deaths among women in Cameroon. It constitutes a real public health problem. The aim of this research was to study the factors associated with non-adherence to the HPV vaccine by the parents of young girls aged 9 to 14 in the MIFI Health District.
Methodology: This was a descriptive cross-sectional study with an analytical aim. This study was carried out among the parents of young girls aged 9 to 14 living in the Mifi Health District. The data was collected over the period of May to July 2023; using a face to face administered questionnaire. Questionnaires were administered after obtaining an informed consent from each participant. The data were subsequently compiled using Excel software, then analyzed using SPSS version 25 software. Descriptive and inferential statistics were used to present the results; with a significance threshold set at 0.05.
Results: A total of 430 parents were accessed, of which 83.5% (359/430) of them were female. 34 parents declared to have vaccinated their children against HPV, for a vaccination coverage of 7.9%. 81.6% (351/430) of parents admitted to know about cervical cancer. 55.1% (237/430) of them had never heard of HPV and only 48.6% (209/430) of parents knew that this virus constitutes a risk for their health and that of their daughters. Regression analyzes showed a significant association between vaccination status and knowledge of the disease by parents/guardians [aOR=4.30(3.18-6.76); pvalue =0.001], the fact of not have received information on vaccination [aOR=3.02(1.51-5.65); pvalue =0.003], not having confidence in the vaccine [ORa =5.21(4.33-6.12); pvalue ≤0.001], having never heard of HPV [ORa =5.85 (4.43-6.88); pvalue ≤0.001], fear of side effects [ORa =5.79 (3.17-6.91); pvalue≤0.001], and parent's profession [ORa =4.98(3.35-6.77)); pvalue =0.004)].
Conclusion: Strengthening communication around the importance of vaccination against HPV becomes essential to reduce the incidence of cases of cervical cancer.
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