Parents' knowledge, beliefs, and acceptance of the HPV vaccination in relation to their socio-demographics and religious beliefs: A cross-sectional study in Thailand
Parents' knowledge, beliefs, and acceptance of the HPV vaccination in relation to their socio-demographics and religious beliefs: A cross-sectional study in Thailand
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DOI：
10.1371/journal.pone.0193054
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发表时间：
2018-02-15
期刊：
影响因子：
3.7
通讯作者：
Lundberg, Pranee
中科院分区：
文献类型：
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作者：
Grandahl, Maria;Paek, Seung Chun;Lundberg, Pranee
泰国是世界上宫颈癌患病率最高的国家之一，主要由人乳头瘤病毒（HPV）引起。 HPV感染可以通过疫苗接种成功预防，疫苗接种需要付费，但尚未在国家疫苗接种计划中实施。父母在决定是否为孩子接种 HPV 疫苗方面发挥着关键作用。因此，目的是考虑父母的社会人口特征和宗教信仰，考察父母的知识、信仰和对女儿接种 HPV 疫苗的接受程度之间的关系。泰国的三所学校采用了横断面设计：那空拍统府（郊区）和曼谷（城市）。 9-12岁女儿的家长在健康信念模型的指导下填写了问卷。共有359名家长填写了问卷；其中，301 个被纳入最终分析。普通最小二乘（OLS）回归分析显示，HPV和HPV疫苗的背景知识与HPV和宫颈癌的知识呈正相关。对于信念而言，知识与易感性（即父母感知的 HPV 感染/相关疾病的风险）、严重程度和益处呈正相关。然而，知识与障碍并没有显着相关。对于接受度而言，较高的敏感性和效益与较高的接受度相关，而更多的知识与较高的接受度相关。因此，考虑到父母的社会人口特征和宗教信仰，我们发现父母的知识、信仰和对女儿接种 HPV 疫苗的接受程度之间存在关联。认为宗教很重要的父母比那些不这么认为的父母更支持 HPV 疫苗接种。十分之四的母亲从未接受过宫颈癌筛查，但大多数母亲都曾在儿童时期为女儿接种过疫苗。该疫苗的整体接受度很高，我们相信我们的结果对于未来在泰国国家儿童疫苗接种计划中实施 HPV 疫苗接种是有希望的。
Thailand has one of the world's highest prevalence of cervical cancer, mainly caused by the human papillomavirus (HPV). HPV infections can successfully be prevented by vaccination, which is available at a cost but not yet implemented in the national vaccination program. Parents play a critical role in deciding whether to vaccinate their child against HPV. Thus, the aim was to examine the association between parents' knowledge, beliefs, and acceptance of the HPV vaccination for their daughters, considering their socio-demographics and religious beliefs. A cross-sectional design was used among three schools in Thailand: Nakorn Phatom province (suburban) and Bangkok (urban). Parents of 9-12-year-old daughters completed the questionnaires, guided by the Health Belief Model. In total, 359 parents completed the questionnaires; of those, 301 were included in the final analyses. The ordinary least squares (OLS) regression analysis showed that background knowledge of HPV and the HPV vaccine was positively related to knowledge of HPV and cervical cancer. For beliefs, knowledge was positively associated with susceptibility (i.e., parents' perceived risk of an HPV infection/related disease), severity, and benefit. However, knowledge was not significantly related to barriers. For acceptance, higher susceptibility and benefit were related to higher acceptance, and greater knowledge was associated with higher acceptance. Thus, we found associations between parents' knowledge, beliefs, and acceptance of the HPV vaccination for their daughters, considering their socio-demographics and religious beliefs. Parents, who reported religion as important, as opposed to those who did not, were more favorable toward the HPV vaccination. Four out of ten mothers had never undergone a cervical cancer screening, but most had accepted previous childhood vaccinations for their daughters. The overall acceptance of the vaccine was high, and we believe our results are promising for future implementation of the HPV vaccination in the national childhood vaccination program in Thailand.