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Improvement of Parent's awareness, knowledge, perception, and acceptability of human papillomavirus vaccination after a structured-educational intervention.
BMC Public Health. 2020 Dec 01; 20(1):1836.BP

Abstract

BACKGROUND

Regardless of the disease burden of human papillomavirus (HPV), the vaccine has not been included in the Indonesia National Immunization Program. Since 2017 there was a demonstration program of the HPV vaccination in Yogyakarta Province. This vaccine was given free to female primary school students in the 5th and 6th grades (11-13 years old). This study aimed to assess whether a structured-educational intervention focus on HPV increases the parental awareness, knowledge, and perceptions toward HPV and the vaccine acceptability.

METHODS

We conducted a pre-post structured-educational intervention study from July to August 2017 before the implementation of the HPV vaccination demonstration program, in Kulon Progo District, Yogyakarta Province, Indonesia. Parents of female primary school students grades 5th and 6th were selected using a school-based proportional random sampling. A pediatric resident provided a structured-educational intervention, which consists of the burden and risk of HPV disease, as well as the benefit and safety of the vaccine. Parents were required to complete validated self-administered questionnaires before and after the structured-educational intervention.

RESULTS

A total of 506 parents participated. Before receiving the structured-educational intervention, parents' awareness of HPV infection and the vaccines were low. Only 49.2% of parents had heard HPV infection, and 48.8% had heard about the vaccine. After the structured-educational intervention, there were significant improvements in parent's awareness, knowledge, and perceptions of HPV infection, cervical cancer, and HPV vaccination (all p < 0.001). HPV vaccine's acceptability increased from 74.3 to 87.4% (p < 0.001). There was a significant correlation between increasing HPV vaccine acceptability with the improvement of awareness, knowledge, and perception toward HPV infection, cervical cancer and HPV vaccination (r = 0.32 to 0.53, p < 0.001). After the structured-educational intervention, better knowledge and positive perceptions of HPV vaccination were predictive of HPV vaccine's acceptability with OR 1.90 (95%CI:1.40-2.57) and OR 1.31(95%CI,1.05-1.63), respectively.

CONCLUSIONS

A structured-educational intervention may improve parental awareness, knowledge, and perceptions toward HPV and the acceptability of the vaccine. Further study, a randomized control trial with longer follow-up are needed to evaluate the long-term and actual effectiveness of improving parents' knowledge, perceptions and HPV vaccine acceptability.

Links

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Authors+Show Affiliations

Sitaresmi MN
Department of Pediatrics, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada/ DR. Sardjito Hospital, Jalan Gejayan CT X no 18 Pelemkecut, Yogyakarta, 55281, Indonesia. msitaresmi@ugm.ac.id.
Rozanti NM
School of Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Simangunsong LB
Department of Pediatrics, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada/ DR. Sardjito Hospital, Jalan Gejayan CT X no 18 Pelemkecut, Yogyakarta, 55281, Indonesia.
Wahab A
Department of Biostatistics, Epidemiology and Population Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.

MeSH

AdolescentAdultAlphapapillomavirusChildFemaleHealth EducationHealth Knowledge, Attitudes, PracticeHumansImmunization ProgramsIndonesiaPapillomavirus InfectionsPapillomavirus VaccinesParentsPatient Acceptance of Health CarePerceptionSchoolsStudentsSurveys and QuestionnairesUterine Cervical NeoplasmsVaccination

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33256697

Citation

Sitaresmi, Mei Neni, et al. "Improvement of Parent's Awareness, Knowledge, Perception, and Acceptability of Human Papillomavirus Vaccination After a Structured-educational Intervention." BMC Public Health, vol. 20, no. 1, 2020, p. 1836.
Sitaresmi MN, Rozanti NM, Simangunsong LB, et al. Improvement of Parent's awareness, knowledge, perception, and acceptability of human papillomavirus vaccination after a structured-educational intervention. BMC Public Health. 2020;20(1):1836.
Sitaresmi, M. N., Rozanti, N. M., Simangunsong, L. B., & Wahab, A. (2020). Improvement of Parent's awareness, knowledge, perception, and acceptability of human papillomavirus vaccination after a structured-educational intervention. BMC Public Health, 20(1), 1836. https://doi.org/10.1186/s12889-020-09962-1
Sitaresmi MN, et al. Improvement of Parent's Awareness, Knowledge, Perception, and Acceptability of Human Papillomavirus Vaccination After a Structured-educational Intervention. BMC Public Health. 2020 Dec 1;20(1):1836. PubMed PMID: 33256697.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Improvement of Parent's awareness, knowledge, perception, and acceptability of human papillomavirus vaccination after a structured-educational intervention. AU - Sitaresmi,Mei Neni, AU - Rozanti,Nisrina Maulida, AU - Simangunsong,Lamria Besty, AU - Wahab,Abdul, Y1 - 2020/12/01/ PY - 2020/05/14/received PY - 2020/11/23/accepted PY - 2020/12/1/entrez PY - 2020/12/2/pubmed PY - 2021/3/6/medline KW - Acceptability KW - Cervical cancer KW - HPV KW - Parents KW - Vaccination SP - 1836 EP - 1836 JF - BMC public health JO - BMC Public Health VL - 20 IS - 1 N2 - BACKGROUND: Regardless of the disease burden of human papillomavirus (HPV), the vaccine has not been included in the Indonesia National Immunization Program. Since 2017 there was a demonstration program of the HPV vaccination in Yogyakarta Province. This vaccine was given free to female primary school students in the 5th and 6th grades (11-13 years old). This study aimed to assess whether a structured-educational intervention focus on HPV increases the parental awareness, knowledge, and perceptions toward HPV and the vaccine acceptability. METHODS: We conducted a pre-post structured-educational intervention study from July to August 2017 before the implementation of the HPV vaccination demonstration program, in Kulon Progo District, Yogyakarta Province, Indonesia. Parents of female primary school students grades 5th and 6th were selected using a school-based proportional random sampling. A pediatric resident provided a structured-educational intervention, which consists of the burden and risk of HPV disease, as well as the benefit and safety of the vaccine. Parents were required to complete validated self-administered questionnaires before and after the structured-educational intervention. RESULTS: A total of 506 parents participated. Before receiving the structured-educational intervention, parents' awareness of HPV infection and the vaccines were low. Only 49.2% of parents had heard HPV infection, and 48.8% had heard about the vaccine. After the structured-educational intervention, there were significant improvements in parent's awareness, knowledge, and perceptions of HPV infection, cervical cancer, and HPV vaccination (all p < 0.001). HPV vaccine's acceptability increased from 74.3 to 87.4% (p < 0.001). There was a significant correlation between increasing HPV vaccine acceptability with the improvement of awareness, knowledge, and perception toward HPV infection, cervical cancer and HPV vaccination (r = 0.32 to 0.53, p < 0.001). After the structured-educational intervention, better knowledge and positive perceptions of HPV vaccination were predictive of HPV vaccine's acceptability with OR 1.90 (95%CI:1.40-2.57) and OR 1.31(95%CI,1.05-1.63), respectively. CONCLUSIONS: A structured-educational intervention may improve parental awareness, knowledge, and perceptions toward HPV and the acceptability of the vaccine. Further study, a randomized control trial with longer follow-up are needed to evaluate the long-term and actual effectiveness of improving parents' knowledge, perceptions and HPV vaccine acceptability. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/33256697/Improvement_of_Parent's_awareness_knowledge_perception_and_acceptability_of_human_papillomavirus_vaccination_after_a_structured_educational_intervention_ DB - PRIME DP - Unbound Medicine ER -