article · Cancer Management and Research
A cross-sectional study in the Minjar-Shenkora district of Ethiopia assessed human papillomavirus vaccination uptake and associated factors among primary school female students. Data gathered from 591 participants showed that 66.5 percent had received the vaccine. Uptake was strongly linked to awareness and perceptions: students knowledgeable about the vaccine were significantly more likely to be vaccinated, as were those with a positive attitude towards it. Conversely, place of residence presented a major barrier, with students living in rural areas being 88 percent less likely to be vaccinated than urban peers. The findings suggest that collaborative efforts between families, healthcare providers, and educational institutions are needed to boost knowledge and foster positive attitudes, particularly within rural school environments to improve coverage.
Human papillomavirus is a primary cause of cervical cancer, which remains a critical threat to women globally. Understanding local barriers and drivers of vaccination uptake helps public health authorities and educators design targeted outreach programmes. Addressing rural disparities and raising community awareness are essential steps towards achieving international cervical cancer elimination targets.
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BACKGROUND: Human papillomavirus infection, a causative factor for cervical cancer, remains a topic of great interest. About 80% of sexually active women are at risk of acquiring HPV infection while having a 70% global target to eliminate intensive cervical cancer. OBJECTIVE: This study aimed to assess the practice of human papillomavirus vaccination and associated factors among primary school female students in Minjar-Shenkora district, 2020. METHODS: A school-based quantitative cross-sectional study was conducted from February 1 to 30 2020, in primary school female students of Minjar-Shenkora district, North Shoa zone, Ethiopia. A structured self-administered questionnaire was used for data collection. Associations between dependent and independent variables tested in binary and multiple logistic regression and variables with p-value ≤0.25 were entered into multiple logistic regression with considered significant level of P-value ≤0.05 and at 95% confidence interval (CI). RESULTS: A total of 591 students participated in the study with a response rate of 96.3%. Of the total, 393 (66.5%) (CI 0.63-0.7) participants have been vaccinated for HPV. The factors associated with the practice of vaccination were; being knowledgeable about HPV vaccination (AOR, 8.65, CI=5.2-14.3) and a positive attitude towards HPV vaccination (AOR, 1.85, CI=1.18-3). Students in rural areas were 88% less likely to practice HPV vaccine than students in urban areas (AOR, 0.12, CI=0.07 0.21). CONCLUSION AND RECOMMENDATION: Overall, HPV vaccination practice was relatively good (66.5%). Knowledge on HPV vaccination, positive attitude towards HPV vaccination, and being a rural residence were associated with HPV vaccination practice. Families, health-care workers, and schools should work together to improve the knowledge and attitude of the community towards HPV vaccination.
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DOI: 10.2147/cmar.s324078
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