Determinants of attitudes and beliefs toward human papillomavirus infection, cervical cancer and human papillomavirus vaccine among parents of adolescent girls in Mysore, India

Abraham Degarege; Karl Krupp; Vijaya Srinivas; Boubakari Ibrahimou; Laura A V Marlow; Anjali Arun; Purnima Madhivanan

doi:10.1111/jog.13765

Determinants of attitudes and beliefs toward human papillomavirus infection, cervical cancer and human papillomavirus vaccine among parents of adolescent girls in Mysore, India

Abraham Degarege, Karl Krupp, Vijaya Srinivas, Boubakari Ibrahimou, Laura A V Marlow, Anjali Arun, Purnima Madhivanan

Comprehensive Cancer Centre

Research output: Contribution to journal › Article › peer-review

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Abstract

AIM: This study examined the determinants of attitudes and beliefs about human papillomavirus (HPV) infection, cervical cancer and HPV vaccine among parents of adolescent girls in Mysore, India.

METHODS: A random sample of 800 parents who had at least one adolescent-aged daughter attending school were recruited for a survey.

RESULTS: Most parents (n = 778; 97.3%) completed the survey. Compared to Hindus, Muslims were more likely to perceive that their daughters are susceptible to HPV infection (adjusted odds ratio [aOR]: 4.94; 95% confidence interval [CI]: 2.87, 8.49) or cervical cancer (aOR: 2.73; 95% CI: 1.55, 4.80). However, the likelihood of perceiving that daughters are susceptible to HPV infection (aOR: 0.94; 95% CI: 0.90, 0.98) or cervical cancer (aOR: 0.95; 95% CI: 0.92, 0.99) decreased with an increase in the age of the parents. Perceived severity of HPV infection (aOR: 0.36; 95% CI: 0.14, 0.97) and cervical cancer (aOR: 0.33; 95% CI: 0.15, 0.74) was lower among Muslims than Hindus. Muslims had lower odds of believing that HPV vaccine is safe (aOR: 0.47; 95% CI: 0.25, 0.89) or could protect against cervical cancer (aOR: 0.27; 95% CI: 0.16, 0.48), but were more likely to feel that HPV vaccination may cause girls to become more sexually active (aOR: 1.92; 95% CI: 1.09, 3.39). The odds of believing that HPV vaccine is effective increased with an increase in the age of the parents (aOR: 1.03; 95% CI: 1.003, 1.06).

CONCLUSION: Among Indian parents, age and religion of parents are associated with parental attitudes and beliefs about the threat of HPV and cervical cancer as well as the risks and benefits of HPV vaccine.

Original language	English
Pages (from-to)	2091-2100
Number of pages	10
Journal	Journal of Obstetrics and Gynaecology Research
Volume	44
Issue number	11
DOIs	https://doi.org/10.1111/jog.13765
Publication status	Published - Nov 2018

Keywords

Adolescent
Adult
Female
Health Knowledge, Attitudes, Practice/ethnology
Humans
India/ethnology
Male
Middle Aged
Papillomavirus Infections
Papillomavirus Vaccines
Parents
Uterine Cervical Neoplasms

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/jog.13765

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Degarege, A., Krupp, K., Srinivas, V., Ibrahimou, B., Marlow, L. A. V., Arun, A., & Madhivanan, P. (2018). Determinants of attitudes and beliefs toward human papillomavirus infection, cervical cancer and human papillomavirus vaccine among parents of adolescent girls in Mysore, India. Journal of Obstetrics and Gynaecology Research, 44(11), 2091-2100. https://doi.org/10.1111/jog.13765

@article{4da60b85c94c4c08aabf9b2db7d5cf97,

title = "Determinants of attitudes and beliefs toward human papillomavirus infection, cervical cancer and human papillomavirus vaccine among parents of adolescent girls in Mysore, India",

abstract = "AIM: This study examined the determinants of attitudes and beliefs about human papillomavirus (HPV) infection, cervical cancer and HPV vaccine among parents of adolescent girls in Mysore, India.METHODS: A random sample of 800 parents who had at least one adolescent-aged daughter attending school were recruited for a survey.RESULTS: Most parents (n = 778; 97.3%) completed the survey. Compared to Hindus, Muslims were more likely to perceive that their daughters are susceptible to HPV infection (adjusted odds ratio [aOR]: 4.94; 95% confidence interval [CI]: 2.87, 8.49) or cervical cancer (aOR: 2.73; 95% CI: 1.55, 4.80). However, the likelihood of perceiving that daughters are susceptible to HPV infection (aOR: 0.94; 95% CI: 0.90, 0.98) or cervical cancer (aOR: 0.95; 95% CI: 0.92, 0.99) decreased with an increase in the age of the parents. Perceived severity of HPV infection (aOR: 0.36; 95% CI: 0.14, 0.97) and cervical cancer (aOR: 0.33; 95% CI: 0.15, 0.74) was lower among Muslims than Hindus. Muslims had lower odds of believing that HPV vaccine is safe (aOR: 0.47; 95% CI: 0.25, 0.89) or could protect against cervical cancer (aOR: 0.27; 95% CI: 0.16, 0.48), but were more likely to feel that HPV vaccination may cause girls to become more sexually active (aOR: 1.92; 95% CI: 1.09, 3.39). The odds of believing that HPV vaccine is effective increased with an increase in the age of the parents (aOR: 1.03; 95% CI: 1.003, 1.06).CONCLUSION: Among Indian parents, age and religion of parents are associated with parental attitudes and beliefs about the threat of HPV and cervical cancer as well as the risks and benefits of HPV vaccine.",

keywords = "Adolescent, Adult, Female, Health Knowledge, Attitudes, Practice/ethnology, Humans, India/ethnology, Male, Middle Aged, Papillomavirus Infections, Papillomavirus Vaccines, Parents, Uterine Cervical Neoplasms",

author = "Abraham Degarege and Karl Krupp and Vijaya Srinivas and Boubakari Ibrahimou and Marlow, {Laura A V} and Anjali Arun and Purnima Madhivanan",

note = "{\textcopyright} 2018 Japan Society of Obstetrics and Gynecology.",

year = "2018",

month = nov,

doi = "10.1111/jog.13765",

language = "English",

volume = "44",

pages = "2091--2100",

journal = "Journal of Obstetrics and Gynaecology Research",

issn = "1341-8076",

publisher = "Blackwell Publishing Asia",

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}

Degarege, A, Krupp, K, Srinivas, V, Ibrahimou, B, Marlow, LAV, Arun, A & Madhivanan, P 2018, 'Determinants of attitudes and beliefs toward human papillomavirus infection, cervical cancer and human papillomavirus vaccine among parents of adolescent girls in Mysore, India', Journal of Obstetrics and Gynaecology Research, vol. 44, no. 11, pp. 2091-2100. https://doi.org/10.1111/jog.13765

Determinants of attitudes and beliefs toward human papillomavirus infection, cervical cancer and human papillomavirus vaccine among parents of adolescent girls in Mysore, India. / Degarege, Abraham; Krupp, Karl; Srinivas, Vijaya et al.

In: Journal of Obstetrics and Gynaecology Research, Vol. 44, No. 11, 11.2018, p. 2091-2100.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Determinants of attitudes and beliefs toward human papillomavirus infection, cervical cancer and human papillomavirus vaccine among parents of adolescent girls in Mysore, India

AU - Degarege, Abraham

AU - Krupp, Karl

AU - Srinivas, Vijaya

AU - Ibrahimou, Boubakari

AU - Marlow, Laura A V

AU - Arun, Anjali

AU - Madhivanan, Purnima

PY - 2018/11

Y1 - 2018/11

N2 - AIM: This study examined the determinants of attitudes and beliefs about human papillomavirus (HPV) infection, cervical cancer and HPV vaccine among parents of adolescent girls in Mysore, India.METHODS: A random sample of 800 parents who had at least one adolescent-aged daughter attending school were recruited for a survey.RESULTS: Most parents (n = 778; 97.3%) completed the survey. Compared to Hindus, Muslims were more likely to perceive that their daughters are susceptible to HPV infection (adjusted odds ratio [aOR]: 4.94; 95% confidence interval [CI]: 2.87, 8.49) or cervical cancer (aOR: 2.73; 95% CI: 1.55, 4.80). However, the likelihood of perceiving that daughters are susceptible to HPV infection (aOR: 0.94; 95% CI: 0.90, 0.98) or cervical cancer (aOR: 0.95; 95% CI: 0.92, 0.99) decreased with an increase in the age of the parents. Perceived severity of HPV infection (aOR: 0.36; 95% CI: 0.14, 0.97) and cervical cancer (aOR: 0.33; 95% CI: 0.15, 0.74) was lower among Muslims than Hindus. Muslims had lower odds of believing that HPV vaccine is safe (aOR: 0.47; 95% CI: 0.25, 0.89) or could protect against cervical cancer (aOR: 0.27; 95% CI: 0.16, 0.48), but were more likely to feel that HPV vaccination may cause girls to become more sexually active (aOR: 1.92; 95% CI: 1.09, 3.39). The odds of believing that HPV vaccine is effective increased with an increase in the age of the parents (aOR: 1.03; 95% CI: 1.003, 1.06).CONCLUSION: Among Indian parents, age and religion of parents are associated with parental attitudes and beliefs about the threat of HPV and cervical cancer as well as the risks and benefits of HPV vaccine.

AB - AIM: This study examined the determinants of attitudes and beliefs about human papillomavirus (HPV) infection, cervical cancer and HPV vaccine among parents of adolescent girls in Mysore, India.METHODS: A random sample of 800 parents who had at least one adolescent-aged daughter attending school were recruited for a survey.RESULTS: Most parents (n = 778; 97.3%) completed the survey. Compared to Hindus, Muslims were more likely to perceive that their daughters are susceptible to HPV infection (adjusted odds ratio [aOR]: 4.94; 95% confidence interval [CI]: 2.87, 8.49) or cervical cancer (aOR: 2.73; 95% CI: 1.55, 4.80). However, the likelihood of perceiving that daughters are susceptible to HPV infection (aOR: 0.94; 95% CI: 0.90, 0.98) or cervical cancer (aOR: 0.95; 95% CI: 0.92, 0.99) decreased with an increase in the age of the parents. Perceived severity of HPV infection (aOR: 0.36; 95% CI: 0.14, 0.97) and cervical cancer (aOR: 0.33; 95% CI: 0.15, 0.74) was lower among Muslims than Hindus. Muslims had lower odds of believing that HPV vaccine is safe (aOR: 0.47; 95% CI: 0.25, 0.89) or could protect against cervical cancer (aOR: 0.27; 95% CI: 0.16, 0.48), but were more likely to feel that HPV vaccination may cause girls to become more sexually active (aOR: 1.92; 95% CI: 1.09, 3.39). The odds of believing that HPV vaccine is effective increased with an increase in the age of the parents (aOR: 1.03; 95% CI: 1.003, 1.06).CONCLUSION: Among Indian parents, age and religion of parents are associated with parental attitudes and beliefs about the threat of HPV and cervical cancer as well as the risks and benefits of HPV vaccine.

KW - Adolescent

KW - Adult

KW - Female

KW - Health Knowledge, Attitudes, Practice/ethnology

KW - Humans

KW - India/ethnology

KW - Male

KW - Middle Aged

KW - Papillomavirus Infections

KW - Papillomavirus Vaccines

KW - Parents

KW - Uterine Cervical Neoplasms

U2 - 10.1111/jog.13765

DO - 10.1111/jog.13765

M3 - Article

C2 - 30117218

SN - 1341-8076

VL - 44

SP - 2091

EP - 2100

JO - Journal of Obstetrics and Gynaecology Research

JF - Journal of Obstetrics and Gynaecology Research

IS - 11

ER -

Determinants of attitudes and beliefs toward human papillomavirus infection, cervical cancer and human papillomavirus vaccine among parents of adolescent girls in Mysore, India

Abstract

Keywords

UN SDGs

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