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National HPV Immunisation Programme: Knowledge and Acceptance of Mothers Attending an Obstetrics Clinic at a Teaching Hospital, Kuala Lumpur

  • Ezat, Sharifa Wan Puteh (Department of Community Health, National University of Malaysia Medical Centre) ;
  • Hod, Rozita (Department of Community Health, National University of Malaysia Medical Centre) ;
  • Mustafa, Jamsiah (Department of Community Health, National University of Malaysia Medical Centre) ;
  • Mohd Dali, Ahmad Zailani Hatta (Department of Obstetrics and Gynaecology, National University of Malaysia Medical Centre) ;
  • Sulaiman, Aqmar Suraya (Department of Obstetrics and Gynaecology, National University of Malaysia Medical Centre) ;
  • Azman, Azlin (Department of Community Health, National University of Malaysia Medical Centre)
  • 발행 : 2013.05.30

초록

Background: Introduction of the HPV vaccine is a forefront primary prevention method in reducing the incidence of carcinogenic human papillomavirus (HPV) and cervical cancer. The Malaysia government has implemented the National HPV immunisation programme since 2010, supplying HPV vaccine free to targeted 13 year olds. This study aimed to explore the level of knowledge among mothers on cervical cancer, HPV, HPV vaccine and National HPV (NHPV) immunisation programme since its' implementation. It also assessed acceptance of mothers towards HPV vaccine being administered to their daughter, son or themselves. Materials and Methods: A cross sectional study was conducted on 155 respondents using self-administered questionnaires; conducted in December 2012 at the Obstetrics and Gynaecology Clinic in a teaching hospital in Kuala Lumpur. Respondents were selected using a multistage sampling technique. Results: A response rate of 100% was obtained. Overall, 51.0% of mothers had good knowledge, with 55% having good knowledge of cervical cancer, 54.2% for both HPV and the National HPV immunisation programme and 51.0% for the HPV vaccine. Regression analyses showed that ethnicity was associated with knowledge on cervical cancer (p=0.003) while education was associated with knowledge on HPV (p=0.049). Three factors are associated with knowledge of the National HPV immunisation programme; ethnicity (p=0.017), mothers' education (p=0.0005) and number of children (p=0.020). The acceptance of HPV vaccine to be administered among daughter was the highest at 87.1%, followed by for mothers themselves at 73.5%, and the least is for sons 62.6%. Conclusions: This study found that the overall level of knowledge was moderate. Adequate information on cervical cancer, HPV, HPV vaccination and the National HPV immunisation programme should be provided to mothers in order to increase acceptance of the HPV vaccine which can reduce the disease burden in the future.

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피인용 문헌

  1. Awareness of Turkish Female Adolescents and Young Women about HPV and their Attitudes Towards HPV Vaccination vol.14, pp.8, 2013, https://doi.org/10.7314/APJCP.2013.14.8.4877
  2. Vaccine Misconceptions and Low HPV Vaccination Take-up Rates in Singapore vol.16, pp.12, 2015, https://doi.org/10.7314/APJCP.2015.16.12.5119
  3. Knowledge of Human Papillomavirus Infection, Cervical Cancer and Willingness to pay for Cervical Cancer Vaccination among Ethnically Diverse Medical Students in Malaysia vol.16, pp.14, 2015, https://doi.org/10.7314/APJCP.2015.16.14.5733
  4. Knowledge and Beliefs of Malaysian Adolescents Regarding Cancer vol.16, pp.3, 2015, https://doi.org/10.7314/APJCP.2015.16.3.1097
  5. Knowledge and Acceptability of Human Papillomavirus Vaccination among Women Attending the Gynaecological Outpatient Clinics of a University Teaching Hospital in Lagos, Nigeria vol.2017, pp.1687-9694, 2017, https://doi.org/10.1155/2017/8586459
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  7. Knowledge, understanding, attitude, perception and views on HPV infection and vaccination among health care students and professionals in Malaysia pp.2164-554X, 2018, https://doi.org/10.1080/21645515.2018.1518843