Determinants for hesitancy in human papillomavirus (HPV) vaccine uptake among school girls in Jimma Town, Ethiopia. A mixed approach: quantitative and qualitative

Abstract Background The human papillomavirus (HPV) vaccination helps the body fight off certain types of the virus. Despite being one of the top 10 health hazards in the world, vaccination hesitancy has received little attention in Ethiopia. In Jimma Town, Ethiopia, the current study aims to identif...

Full description

Bibliographic Details
Main Authors: Meron Dera, Abigiya Wondimagegnehu, Zeytu G. Asfaw
Format: Article
Language:English
Published: BMC 2023-12-01
Series:Reproductive Health
Subjects:
Online Access:https://doi.org/10.1186/s12978-023-01711-y
_version_ 1827603523733291008
author Meron Dera
Abigiya Wondimagegnehu
Zeytu G. Asfaw
author_facet Meron Dera
Abigiya Wondimagegnehu
Zeytu G. Asfaw
author_sort Meron Dera
collection DOAJ
description Abstract Background The human papillomavirus (HPV) vaccination helps the body fight off certain types of the virus. Despite being one of the top 10 health hazards in the world, vaccination hesitancy has received little attention in Ethiopia. In Jimma Town, Ethiopia, the current study aims to identify the variables that affect HPV vaccine resistance and evaluate HPV uptake resistance and related variables among female school students. Methods A mixed study of quantitative and qualitative data collection and analysis were considered. An institution-based cross-sectional study was conducted from December 2022 to June 2023. Following a thorough random sampling process, 373 respondents were selected using stratified sampling techniques. The necessary information was gathered using an in-depth interview, a structured questionnaire administered using Kobotoolbox tools, and an interviewer who had undergone training. Models of multivariable and bivariate logistic regression were both used. Result A total of 369 respondents participated in the study and the response rate was 98.9%. The hesitancy of the HPV vaccine in Jimma Town female school students was 39.02%. Female students who have a mobile phone, (OR = 0.46, 95% CI (1.16, 45.89), mothers educational status ( $$\ge$$ ≥ Secondary) (OR = 0.53, 95% CI (1.11, 2.44), older sister vaccinated (OR = 0.19, 95% CI (0.004, 0.42), previously vaccinated two doses of HPV (OR=0.64, 95% CI (0.006, 0.137), Confidence (worried in safety and efficacy of vaccine) (OR = 3.42, 95% CI (0.30, 0.87), Not Belief in rumors (HPV vaccine ruins girls fertility) (OR = 0.21, 95% CI (0.43, 0.96), and Complacency (Distrust in health care information ) (OR = 0.24, 95% CI (0.37, 0.94), were found to be statistically significant with HPV Vaccine Hesitancy. Conclusion Due to widespread misinformation in the community, both schoolgirls and parents had high levels of hesitancy for the HPV vaccine in this study compared to a similar study. As a result, the HPV vaccine program, with the help of the appropriate health care professionals, should work hard to maximize community awareness in order to significantly increase the uptake of the HPV vaccine.
first_indexed 2024-03-09T05:40:54Z
format Article
id doaj.art-17533221a96d4209854808a260eded98
institution Directory Open Access Journal
issn 1742-4755
language English
last_indexed 2024-03-09T05:40:54Z
publishDate 2023-12-01
publisher BMC
record_format Article
series Reproductive Health
spelling doaj.art-17533221a96d4209854808a260eded982023-12-03T12:24:52ZengBMCReproductive Health1742-47552023-12-0120111310.1186/s12978-023-01711-yDeterminants for hesitancy in human papillomavirus (HPV) vaccine uptake among school girls in Jimma Town, Ethiopia. A mixed approach: quantitative and qualitativeMeron Dera0Abigiya Wondimagegnehu1Zeytu G. Asfaw2Department of Epidemiology and Biostatistics, School of Public Health, Addis Ababa UniversityDepartment of Epidemiology and Biostatistics, School of Public Health, Addis Ababa UniversityDepartment of Epidemiology and Biostatistics, School of Public Health, Addis Ababa UniversityAbstract Background The human papillomavirus (HPV) vaccination helps the body fight off certain types of the virus. Despite being one of the top 10 health hazards in the world, vaccination hesitancy has received little attention in Ethiopia. In Jimma Town, Ethiopia, the current study aims to identify the variables that affect HPV vaccine resistance and evaluate HPV uptake resistance and related variables among female school students. Methods A mixed study of quantitative and qualitative data collection and analysis were considered. An institution-based cross-sectional study was conducted from December 2022 to June 2023. Following a thorough random sampling process, 373 respondents were selected using stratified sampling techniques. The necessary information was gathered using an in-depth interview, a structured questionnaire administered using Kobotoolbox tools, and an interviewer who had undergone training. Models of multivariable and bivariate logistic regression were both used. Result A total of 369 respondents participated in the study and the response rate was 98.9%. The hesitancy of the HPV vaccine in Jimma Town female school students was 39.02%. Female students who have a mobile phone, (OR = 0.46, 95% CI (1.16, 45.89), mothers educational status ( $$\ge$$ ≥ Secondary) (OR = 0.53, 95% CI (1.11, 2.44), older sister vaccinated (OR = 0.19, 95% CI (0.004, 0.42), previously vaccinated two doses of HPV (OR=0.64, 95% CI (0.006, 0.137), Confidence (worried in safety and efficacy of vaccine) (OR = 3.42, 95% CI (0.30, 0.87), Not Belief in rumors (HPV vaccine ruins girls fertility) (OR = 0.21, 95% CI (0.43, 0.96), and Complacency (Distrust in health care information ) (OR = 0.24, 95% CI (0.37, 0.94), were found to be statistically significant with HPV Vaccine Hesitancy. Conclusion Due to widespread misinformation in the community, both schoolgirls and parents had high levels of hesitancy for the HPV vaccine in this study compared to a similar study. As a result, the HPV vaccine program, with the help of the appropriate health care professionals, should work hard to maximize community awareness in order to significantly increase the uptake of the HPV vaccine.https://doi.org/10.1186/s12978-023-01711-yHPVVaccineHesitancy
spellingShingle Meron Dera
Abigiya Wondimagegnehu
Zeytu G. Asfaw
Determinants for hesitancy in human papillomavirus (HPV) vaccine uptake among school girls in Jimma Town, Ethiopia. A mixed approach: quantitative and qualitative
Reproductive Health
HPV
Vaccine
Hesitancy
title Determinants for hesitancy in human papillomavirus (HPV) vaccine uptake among school girls in Jimma Town, Ethiopia. A mixed approach: quantitative and qualitative
title_full Determinants for hesitancy in human papillomavirus (HPV) vaccine uptake among school girls in Jimma Town, Ethiopia. A mixed approach: quantitative and qualitative
title_fullStr Determinants for hesitancy in human papillomavirus (HPV) vaccine uptake among school girls in Jimma Town, Ethiopia. A mixed approach: quantitative and qualitative
title_full_unstemmed Determinants for hesitancy in human papillomavirus (HPV) vaccine uptake among school girls in Jimma Town, Ethiopia. A mixed approach: quantitative and qualitative
title_short Determinants for hesitancy in human papillomavirus (HPV) vaccine uptake among school girls in Jimma Town, Ethiopia. A mixed approach: quantitative and qualitative
title_sort determinants for hesitancy in human papillomavirus hpv vaccine uptake among school girls in jimma town ethiopia a mixed approach quantitative and qualitative
topic HPV
Vaccine
Hesitancy
url https://doi.org/10.1186/s12978-023-01711-y
work_keys_str_mv AT merondera determinantsforhesitancyinhumanpapillomavirushpvvaccineuptakeamongschoolgirlsinjimmatownethiopiaamixedapproachquantitativeandqualitative
AT abigiyawondimagegnehu determinantsforhesitancyinhumanpapillomavirushpvvaccineuptakeamongschoolgirlsinjimmatownethiopiaamixedapproachquantitativeandqualitative
AT zeytugasfaw determinantsforhesitancyinhumanpapillomavirushpvvaccineuptakeamongschoolgirlsinjimmatownethiopiaamixedapproachquantitativeandqualitative