Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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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)
  • Published : 2013.05.30
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Abstract

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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References

  1. Arrossi S, Maceira V, Paolino M, Sankaranarayanan R (2012). Acceptability and uptake of HPV vaccine in Argentina before its inclusion in the immunization programme: a populationbased survey. Vaccine, 30, 2467-74. https://doi.org/10.1016/j.vaccine.2012.01.032
  2. Awodele O, Adeyomoye AAA, Awodele DF, et al (2011). A study on cervical cancer screening amongst nurses in Lagos University Teaching Hospital Lagos, Nigeria. J Canc Educ, 26, 497-504. https://doi.org/10.1007/s13187-010-0187-6
  3. Bendik MK, Majo RM, Parker VG (2011). Knowledge, perception and motivations related to HPV vaccination among college women. J Canc Educ, 26, 459-64. https://doi.org/10.1007/s13187-011-0200-8
  4. Caiyan X, Wieyua Z, Minghui W, et al (2011). Knowledge on cervical cancer among 25-54 years old women in Beijing. J Canc Educ, 26, 555-9. https://doi.org/10.1007/s13187-011-0228-9
  5. Cates JR, Brewer NT, Fazekas KI, Mitchell CE, Smith JS (2009). Racial differences in HPV knowledge, HPV vaccine acceptability and related beliefs among rural Southern women. J Rural Health, 25, 93-7. https://doi.org/10.1111/j.1748-0361.2009.00204.x
  6. Cervical Cancer Action (2012). Progress in cervical cancer prevention: The CCA Report Card. http://www.cervicalcanceraction.org/pubs/CCA_reportcard_low-res.pdf [4 May 2012].
  7. Chung LK, Strahan T, Rashid AK, Zakaria UU, Suraya M, et al (2011). Awareness of cervical cancer and hpv vaccination and its affordability among rural folks in Penang Malaysia. Asia Pac J Cancer Prev, 12, 1429-33.
  8. Delphine MB, Silvia F, Martyn P (2008). International correlation between human papillomavirus prevalence and cervical cancer incidence. Cancer Epidemiol Biomarkers Prev, 17, 717-20. https://doi.org/10.1158/1055-9965.EPI-07-2691
  9. Dobson S, Duval B, Embree J, et al (2007). An Advisory Committee Statement (ACS). National Advisory Committee on Immunization (NACI): statement on human papillomavirus vaccine.Canada Communicable Disease Report, 33, 1-32. http://www.phac-aspc.gc.ca/publicat/ccdrrmtc/07pdf/acs33-02.pdf [4 May 2012].
  10. Ferris D, Horn L, Waller JL (2010). Parent acceptance of a mandatory human papillomarivus (HPV) vaccination programme. J Am Board Family Medicine, 23, 220-9. https://doi.org/10.3122/jabfm.2010.02.090091
  11. Gilbert, Donders GG, Maria G, et al (2008). Knowledge of cervical cancer, human papillomavirus and HPV vaccination at the moment of introduction of vaccine in women in Belgium. Arch Gynecol Obsttet, 277, 291-8. https://doi.org/10.1007/s00404-007-0487-1
  12. Haesebaert J, Lutringer-Magnin D, Kalecinski J, et al (2012). French women's knowledgeof and attitudes towards cervical cancer prevention and the acceptability of HPV vaccination among those with 14-18 year old daughters: a quantitativequalitative study. BMC Public Health, 12, 1034-44. https://doi.org/10.1186/1471-2458-12-1034
  13. Hanisch R, Gustat J, Hagensee ME, et al (2007). Knowledge of pap screening and human papillomavirus among women attending clinics in Medellin, Colombia. Int J Gynecol Cancer, 18, 1020-6.
  14. Hesham R, Syarif HL, Kiat AN (2011). Knowledge o cervical cancer and acceptance of HPV vaccination among secondary school students in Sarawak Malaysia. Asian Pac J Cancer Prev, 12, 1837-41.
  15. Hsu YY, Fetzer SJ, Hsu KF, et al (2009). Intention to obtain human papillomavirus vaccination among Taiwanese undergraduate women. Sex Transm Dis, 36, 686-92. https://doi.org/10.1097/OLQ.0b013e3181ad28d3
  16. Malaysia Ministry of Health (2012). Annual Report 2011. http://www.moh.gov.my/images/gallery/publications/md/ar/2011_en.pdf [22 April 2013].
  17. Marc SMD, Montreal QC (2007). Chapter 4: prevention. J Obstetrics and Gynaecology Canada, 29, 23-6.
  18. Markowitz LE, Hariri S, Unger ER, et al (2010). Post-licensure monitoring of HPV vaccine in the United States. Vaccine. 28, 4731-7. https://doi.org/10.1016/j.vaccine.2010.02.019
  19. Marlow L, Waller J, Wardle J (2007). Public awareness that HPV is a risk factor for cervical cancer. British Journal of Cancer. 97(5), 691-4. https://doi.org/10.1038/sj.bjc.6603927
  20. Moraros J, Bird Y, Barney DD, King SC, Banegas M, et al (2006). A pilot study: HPV infection knowledge and HPV vaccine acceptance among women residing in Ciudad Juarez, Mexico. California J Health Promotion, 4, 177-86.
  21. Oh JK, Lim MK, Yun EH, et al (2010). Awareness of and attitude towards human papillomavirus infection and vaccination for cervical cancer prevention among adults males and females in Korea: a nationwide interview survey. Vaccine, 28, 1850-60.
  22. Poole D, Tracy K, Levitz L, et al (2012). Knowledge/attitude/practices of HPV and cervical cancer, willingness to participate in vaccine trial in preparation for HIV and HPV vaccine trials in Mali. Retrovirology, 9, 27. https://doi.org/10.1186/1742-4690-9-27
  23. Tiro JA, Meissner HI, Korbin S, Chollette V (2007). What do women in the US know about human papillomavirus and cervical cancer? Cancer Epidemiol Biomarker Prev, 16, 288-94. https://doi.org/10.1158/1055-9965.EPI-06-0756
  24. WHO/ICO HPV Information Centre. Malaysia: Human papillomavirus and related cancer, Fact Sheet 2010. http://www.who.int/hpvcentre [22 April 2013].
  25. WHO/ICO HPV Information Centre. Human papillomavirus and related cancers in world. Summary Report 2010.http://www.who.int/hpvcentre [22 April 2013].
  26. Wong LP (2008). Young multiethnic women's attitudes toward the HPV vaccine and HPV vaccination. Int J Gynecology and Obstetrics, 103, 131-5. https://doi.org/10.1016/j.ijgo.2008.07.005
  27. Woodhall SC, Lehtinen M, Verho T, et al (2007). Anticipated acceptance of HPV vaccination at the baseline of implementation: a survey of parental and adolescent knowledge and attitudes in Finland. J Adolescent Health, 40, 466-9. https://doi.org/10.1016/j.jadohealth.2007.01.005
  28. Yanikkerem E, Goker A, Piro N, Dikayak S, Koyuncu FM (2012). Knowledge on cervical cancer, pap test and barriers towards cervical screening of women in Turkey. J Canc Educ, 28, 375-83.

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