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Indepth Interviews’ on Acceptability and Concerns for Human Papilloma Virus Vaccine Uptake among Mothers of Adolescent Girls in Community Settings in Ibadan, Nigeria

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Abstract

Human papillomavirus (HPV) vaccine offers protection of between 80 and 100% for anogenital warts and 60–80% in reducing the incidence of pre-malignant lesions from cervical cancer. However, uptake remains low in Nigeria among adolescent girls. This study was a qualitative study that assessed mothers’ acceptability and concerns regarding uptake of HPV vaccine by their adolescent daughters. In-depth interviews were conducted with 20 mothers of adolescents girls aged 9–15 years. A snowballing sampling technique was adopted to select the mothers within the community. Consent was obtained for the use of audiotapes, which were transcribed verbatim with thematic analysis of data. Mothers were between the ages of 30–49 years and most of them were traders. Almost all of the women have heard about cervical cancer, but their knowledge about cervical cancer and HPV vaccine was low. Despite their low knowledge, most of the mothers accepted that the vaccine is good and was willing for their adolescent daughters to take the HPV vaccine for the prevention of HPV. However, cost of the vaccine, side effects, and potential exposure of their daughters to promiscuity after taking the vaccine for protection were the major concerns expressed by the mothers as regards to HPV vaccine uptake by their daughters. Findings highlight the need for health promotion and education programs about cervical cancer, HPV, and HPV vaccine to increase awareness and knowledge among mothers of adolescent girls. Also, HPV vaccination should be included as part of routine immunization for female adolescents.

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Data Availability

All data sets are available for researcher eligible access upon request.

References

  1. World Health Organization (2018) Cervical Cancer. Retrieved; https//www.who.int.diagnosis.screening. Accessed on June 2, 2019

  2. Bardají A, Mindu C, Augusto OJ, Casellas A, Cambaco O, Simbine E, Matsinhe G, Macete E, Menéndez C, Sevene E, Munguambe K (2018) Awareness of cervical cancer and willingness to be vaccinated against human papillomavirus in Mozambican adolescent girls. Papillomavirus Research 5:156–162. https://doi.org/10.1016/j.pvr.2018.04.004

    Article  PubMed  PubMed Central  Google Scholar 

  3. Center for Disease Control and Prevention. Human Papillomavirus. 2015. Retrieved from https://www.cdc.gov > downloads>hpv. Accessed on June 2, 2019

  4. Denny L, Adewole I, Dreyer G, Moodley M, Smith T, Synman L, Wiredu E, Molijn A, Quint W, Ramakrishnan G, Schmidt J (2014) Human papillomavirus prevalence and type distribution in invasive cervical cancer in sub-Saharan Africa. Int J Cancer 134:1389–1398

    Article  CAS  Google Scholar 

  5. HPV information centre (2019). Available at www.ema.europa.eu

  6. Nejo YT, Olaleye DO, Odaibo GN (2018) Prevalence and risk factors for genital human papillomavirus infections among women in Southwest Nigeria. Arch Basic Applied Medicine 6(1):105–112

    CAS  Google Scholar 

  7. Denny L, Anorlu R (2012) Cervical Cancer in Africa. Cancer epidemiology and prevention. Biomakers 21(9):1434–1438

    Google Scholar 

  8. World Health Organization (2013) Comprehensive cervical cancer control: a guide to essential practice

  9. Onoka CA, Onwujekwe OE, Uzochukwu BS, Ezumah NN (2013) Promoting universal financial protection: constraints and enabling factors in scaling-up coverage with social health insurance in Nigeria. Health Res Policy Syst 11(1):20

    Article  Google Scholar 

  10. FMOH (2020) Ehanire flags off 2020 World Cancer Day [Internet]. Available from: https://www.health.gov.ng/index.php?option=com_k2&view=item&id=600:ehanire-flags-off-2020-world-cancer-day

  11. Turiho AK, Okello ES, Muhwezi WW, Katahoire AR (2017) Perceptions of human papillomavirus vaccination of adolescent schoolgirls in western Uganda and their implications for acceptability of HPV vaccination: a qualitative study. BMC Research Notes 10(1):431

    Article  Google Scholar 

  12. Remes P, Selestine V, Changalucha J, Ross DA, Wight D, de Sanjosé S, Kapiga S, Hayes RJ, Watson-Jones D (2012) A qualitative study of HPV vaccine acceptability among health workers, teachers, parents, female pupils, and religious leaders in Northwest Tanzania. Vaccine 30(36):5363–5367

    Article  Google Scholar 

  13. Agida T, Akaba G, Isah A, Ekele B (2015) Knowledge and perception of human papillomavirus vaccine among the antenatal women in a Nigerian tertiary hospital. Nigerian Medical Journal 56(1):23–27

    Article  Google Scholar 

  14. Umeh I, Nduka S, Ekwunife O (2016) Mothers’ willingness to pay for HPV vaccines in Anambra state, Nigeria: a cross sectional contingent valuation study. Cost Effectiveness and Resource Allocation 14(8):1–8

    Google Scholar 

  15. Kyong-No L, Chang K, Cho S, Park S, Park S (2017) Attitudes regarding HPV vaccinations of children among mothers with adolescent daughters in Korea. J Korean Med Sci 32:130–134

    Article  Google Scholar 

  16. Adesina KT, Saka A, Isiaka-Lawal SA, Adesiyun OO, Gobir A, Olarinoye AO, Ezeoke GG (2018) Knowledge, practice and acceptability of HPV vaccine by mothers of adolescent girls in Ilorin, Nigeria. Sudan Journal of Medical Sciences 13(1):33–49

    Article  Google Scholar 

  17. Mortensen GL (2010) Drivers and barriers to acceptance of human-papillomavirus vaccination among young women: a qualitative and quantitative study. BMC public health, 10(1), p.68. Retrieved from http://www.biomedcentral.com/1471–2458/10/68. Accessed on September 8, 2019

  18. Endarti D, Satibi SAK, Farida MA, Rahmawanti Y, Andriani T (2018) Knowledge, perception, and acceptance of HPV vaccination and screening for cervical cancer among women in Yogyakarta Province, Indonesia. Asian Pacific journal of cancer prevention: APJCP 19(4):1105

    PubMed  PubMed Central  Google Scholar 

  19. Vielot NA, Goldberg SK, Zimet G, Smith SB, McDonald MA, Ramos S, Morgan K, Kim CJ, Richter KL, Peris M and Whaley KJ (2017). Acceptability of multipurpose human papillomavirus vaccines among providers and mothers of adolescent girls: a mixed-methods study in five countries. Papillomavirus Research, 3, pp.126–133. Retrieved from https://doi.org/10.1016/j.pvr.2017.04.001. Accessed on July 22, 2020

  20. Spagnoletti BRM, Bennett LR, Wahdi AE, Wilopo SA, Keenan CA (2019) A qualitative study of parental knowledge and perceptions of human papillomavirus and cervical cancer prevention in rural Central Java, Indonesia: understanding community readiness for prevention interventions. Asian Pacific journal of cancer prevention: APJCP 20(8):2429

    Article  Google Scholar 

  21. Tran BX, Than PTQ, Doan TTN, Nguyen HLT, Mai HT, Nguyen THT, Le HT, Latkin CA, Zhang MW and Ho RC (2018) Knowledge, attitude, and practice on and willingness to pay for human papillomavirus vaccine: a cross-sectional study in Hanoi, Vietnam. Patient preference and adherence, 12, p.945. Retrieved from https://dovepress.com/. Accessed on September 9, 2019

  22. Loke A, Chan A, Wong Y (2017) Facilitators and barriers to the acceptance of humanpapillomavirus (HPV) vaccination among adolescent girls: a comparison between mothers and their adolescent daughters in Hong Kong. BMC Res Notes 10:390. https://doi.org/10.1186/s13104-017-2734-2

    Article  PubMed  PubMed Central  Google Scholar 

  23. Sousa P, Takiuti A, Baracat E, Sorpreso, Carlos de Abreu L (2018) Knowledge and acceptance of HPV vaccine among adolescents, parents and health professionals: construct development for collection and database composition. J Hum Growth Dev 28(1):58–68

    Article  Google Scholar 

  24. FMOH (2018) Nigeria, National Cancer Control Plan, 2018–2022 [Internet]. Federal Ministry of Health, Nigeria; Available from: https://www.iccp-portal.org/system/files/plans/NCCP_Final%20%5B1%5D.pdf

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Acknowledgments

We acknowledge all the mothers for their contributions to the conduct of the study. We are grateful to the ethical committee who provided approval for this study.

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Authors and Affiliations

  1. University of Ibadan College of Medicine, Ibadan, Nigeria

    Risqiyat T. Ambali, Yetunde O. John-Akinola & Mojisola M. Oluwasanu

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  1. Risqiyat T. Ambali
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  2. Yetunde O. John-Akinola
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  3. Mojisola M. Oluwasanu
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Contributions

Material preparation was done by Yetunde O. John-Akinola and Risqiyat Tolulope Ambali. Data collection and analysis were guided and supervised by Yetunde O. John-Akinola and performed by Risqiyat Tolulope Ambali. The first draft of the manuscript was written by Ambali, Risqiyat and all authors (Yetunde O. John-Akinola, Risqiyat Tolulope Ambali and Mojisola M. Oluwasanu) commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Yetunde O. John-Akinola.

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The authors declare that they have no competing interests.

Ethical Approval

Ethical approval was obtained from the Ministry of Health, Oyo State Research Ethical Review Committee with the ethical approval number ‘AD13/479/1385.’

Consent to Participate

Verbal informed consent was obtained from the participants before the commencement of the interviews.

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Ambali, R.T., John-Akinola, Y.O. & Oluwasanu, M.M. Indepth Interviews’ on Acceptability and Concerns for Human Papilloma Virus Vaccine Uptake among Mothers of Adolescent Girls in Community Settings in Ibadan, Nigeria. J Canc Educ 37, 748–754 (2022). https://doi.org/10.1007/s13187-020-01876-1

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