Barriers and Facilitators of Romanian HPV (Human Papillomavirus) Vaccination

Background: Many countries had initial success with HPV vaccination campaigns worldwide. The HPV vaccine coverage during the COVID-19 pandemic dropped consistently. The aim of our research is to assess the barriers and facilitators of the current Romanian HPV vaccination campaign. Methods: An analyt...

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Main Authors: Loredana Sabina Cornelia Manolescu, Corina Zugravu, Corneliu Nicolae Zaharia, Anca Irina Dumitrescu, Irina Prasacu, Mihaela Corina Radu, Goraneanu Draghici Letiția, Irina Nita, Corina Marilena Cristache, Laurentia Nicoleta Gales
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Vaccines
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Online Access:https://www.mdpi.com/2076-393X/10/10/1722
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author Loredana Sabina Cornelia Manolescu
Corina Zugravu
Corneliu Nicolae Zaharia
Anca Irina Dumitrescu
Irina Prasacu
Mihaela Corina Radu
Goraneanu Draghici Letiția
Irina Nita
Corina Marilena Cristache
Laurentia Nicoleta Gales
author_facet Loredana Sabina Cornelia Manolescu
Corina Zugravu
Corneliu Nicolae Zaharia
Anca Irina Dumitrescu
Irina Prasacu
Mihaela Corina Radu
Goraneanu Draghici Letiția
Irina Nita
Corina Marilena Cristache
Laurentia Nicoleta Gales
author_sort Loredana Sabina Cornelia Manolescu
collection DOAJ
description Background: Many countries had initial success with HPV vaccination campaigns worldwide. The HPV vaccine coverage during the COVID-19 pandemic dropped consistently. The aim of our research is to assess the barriers and facilitators of the current Romanian HPV vaccination campaign. Methods: An analytical cross-sectional observational survey was conducted in the Romanian general population; a self-administered questionnaire was used. Results: 1122 responders were interviewed; 666 (59.36%) were parents, and 67 (5.97%) HPV vaccinated themselves. A multinominal logistic regression carried out in the parents’ category showed that women with university studies and informed from medical sources have greater chances to HPV vaccinate. Reticence regarding vaccination comes from the high cost of the vaccine and a lack of information. Only 118 (10.51%) vaccinated against HPV. From the logistic regression analysis, gender (ORa 0.461 = 95% CI: (0.196; 1.083)), geographic area of residence (ORa = 0.517; 95% CI: (0.331; 0.807)), and the inclusion of the HPV vaccine in the National Vaccination Program (ORa = 2.4; 95% CI: (1.361; 4.235)) were the factors found most associated with HPV vaccination. Conclusions: In the general population, the inclusion of HPV vaccination in the National Vaccination Program would be the most important facilitator of HPV vaccination in Romania. In parents that did not vaccinate their children, one important barrier to HPV vaccination was the high cost of the HPV vaccine and the lack of proper information. The acceptability of HPV vaccination in Romania is low; therefore, public health educational programs are needed.
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spelling doaj.art-d98a24108814413ba551396a6f873c422023-11-24T03:04:54ZengMDPI AGVaccines2076-393X2022-10-011010172210.3390/vaccines10101722Barriers and Facilitators of Romanian HPV (Human Papillomavirus) VaccinationLoredana Sabina Cornelia Manolescu0Corina Zugravu1Corneliu Nicolae Zaharia2Anca Irina Dumitrescu3Irina Prasacu4Mihaela Corina Radu5Goraneanu Draghici Letiția6Irina Nita7Corina Marilena Cristache8Laurentia Nicoleta Gales9Department of Microbiology, Parasitology and Virology, Faculty of Midwifery and Nursing, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaDepartment of Fundamental Sciences, Faculty of Midwifery and Nursing, University of Medicine and Pharmacy, Carol Davila, 37 Dionisie Lupu St., 020021 Bucharest, RomaniaDepartment of Virology, Institute of Virology “Stefan S. Nicolau”, 030304 Bucharest, RomaniaDepartment of Fundamental Sciences, Faculty of Pharmacy, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaDepartment of Fundamental Sciences, Faculty of Pharmacy, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaDepartment of Microbiology, Parasitology and Virology, Faculty of Midwifery and Nursing, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaDepartment of Birth, Obstetrics and Gynecology Hospital, 100409 Ploiesti, RomaniaMedical Oncology Department, Monza Oncology Hospital, 011461 Bucharest, RomaniaDepartment of Dental Techniques, Faculty of Midwifery and Nursing (FMAM), “Carol Davila” University of Medicine and Pharmacy, 8 Eroilor Sanitari Blvd., 050474 Bucharest, RomaniaDepartment of Oncology, Institute of Oncology “Prof. Dr. Al. Trestioreanu” Bucharest, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaBackground: Many countries had initial success with HPV vaccination campaigns worldwide. The HPV vaccine coverage during the COVID-19 pandemic dropped consistently. The aim of our research is to assess the barriers and facilitators of the current Romanian HPV vaccination campaign. Methods: An analytical cross-sectional observational survey was conducted in the Romanian general population; a self-administered questionnaire was used. Results: 1122 responders were interviewed; 666 (59.36%) were parents, and 67 (5.97%) HPV vaccinated themselves. A multinominal logistic regression carried out in the parents’ category showed that women with university studies and informed from medical sources have greater chances to HPV vaccinate. Reticence regarding vaccination comes from the high cost of the vaccine and a lack of information. Only 118 (10.51%) vaccinated against HPV. From the logistic regression analysis, gender (ORa 0.461 = 95% CI: (0.196; 1.083)), geographic area of residence (ORa = 0.517; 95% CI: (0.331; 0.807)), and the inclusion of the HPV vaccine in the National Vaccination Program (ORa = 2.4; 95% CI: (1.361; 4.235)) were the factors found most associated with HPV vaccination. Conclusions: In the general population, the inclusion of HPV vaccination in the National Vaccination Program would be the most important facilitator of HPV vaccination in Romania. In parents that did not vaccinate their children, one important barrier to HPV vaccination was the high cost of the HPV vaccine and the lack of proper information. The acceptability of HPV vaccination in Romania is low; therefore, public health educational programs are needed.https://www.mdpi.com/2076-393X/10/10/1722human papillomavirusHPV vaccinationchildren vaccination
spellingShingle Loredana Sabina Cornelia Manolescu
Corina Zugravu
Corneliu Nicolae Zaharia
Anca Irina Dumitrescu
Irina Prasacu
Mihaela Corina Radu
Goraneanu Draghici Letiția
Irina Nita
Corina Marilena Cristache
Laurentia Nicoleta Gales
Barriers and Facilitators of Romanian HPV (Human Papillomavirus) Vaccination
Vaccines
human papillomavirus
HPV vaccination
children vaccination
title Barriers and Facilitators of Romanian HPV (Human Papillomavirus) Vaccination
title_full Barriers and Facilitators of Romanian HPV (Human Papillomavirus) Vaccination
title_fullStr Barriers and Facilitators of Romanian HPV (Human Papillomavirus) Vaccination
title_full_unstemmed Barriers and Facilitators of Romanian HPV (Human Papillomavirus) Vaccination
title_short Barriers and Facilitators of Romanian HPV (Human Papillomavirus) Vaccination
title_sort barriers and facilitators of romanian hpv human papillomavirus vaccination
topic human papillomavirus
HPV vaccination
children vaccination
url https://www.mdpi.com/2076-393X/10/10/1722
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