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Willingness to vaccinate their daughters against human papillomavirus among parents of Ethiopian adolescent girls: a systematic review and meta-analysis
INTRODUCTION: HPV vaccination of adolescent girls is the primary strategy for cervical cancer prevention but in Ethiopia, it lacks emphasis. Despite different studies done and found a highly variable level of parents’ willingness to vaccinate their daughter for HPV; however, there was no summarized...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599018/ https://www.ncbi.nlm.nih.gov/pubmed/37875991 http://dx.doi.org/10.1186/s40545-023-00639-9 |
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author | Zewdie, Amare Kasahun, Abebaw Wasie Adane, Haimanot Abebe Mose, Ayenew |
author_facet | Zewdie, Amare Kasahun, Abebaw Wasie Adane, Haimanot Abebe Mose, Ayenew |
author_sort | Zewdie, Amare |
collection | PubMed |
description | INTRODUCTION: HPV vaccination of adolescent girls is the primary strategy for cervical cancer prevention but in Ethiopia, it lacks emphasis. Despite different studies done and found a highly variable level of parents’ willingness to vaccinate their daughter for HPV; however, there was no summarized evidence of parents' willingness as a nation. Thus this systematic review and meta-analysis aimed to assess the pooled prevalence of parents' willingness to HPV vaccination of their daughters and associated factors in Ethiopia. METHODS: A systematic review and meta-analysis were conducted using PRISMA guidelines. Comprehensive literature was searched in international databases. A weighted inverse variance random effect model was used to estimate pooled prevalence. Cochrane Q test and I(2) statistics were computed to assess heterogeneity. Funnel plot and Eggers test were done to assess publication bias. Review manager software was used to identify determinants of parents’ willingness. RESULTS: Overall, 172 articles were retrieved and finally 7 articles were included in this review. The pooled prevalence of parents' willingness to HPV vaccination of their daughters was 71.82% (95% CI 57.73–85.91%). Knowledge about HPV vaccination (AOR = 2.80, 95% CI (2.10–3.73)), attitude (AOR = 4.93, 95% CI (3.48–6.99)), educational status (AOR = 2.19, 95% CI 1.54–3.10) and income (AOR = 3.13, 95% CI 1.96–5.02)) were significantly associated with parents' willingness. CONCLUSIONS: Parents' willingness to HPV vaccination of their daughters in Ethiopia was low. Knowledge, attitude, educational status, and income were positively associated with parents' willingness. Therefore, policymakers and program planners should target those important stakeholders (parents) in increasing their awareness and changing their attitude to enhance their vaccine acceptance specifically focusing on those who are lower in economic and educational status so as to prevent the lethal cervical cancer. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40545-023-00639-9. |
format | Online Article Text |
id | pubmed-10599018 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-105990182023-10-26 Willingness to vaccinate their daughters against human papillomavirus among parents of Ethiopian adolescent girls: a systematic review and meta-analysis Zewdie, Amare Kasahun, Abebaw Wasie Adane, Haimanot Abebe Mose, Ayenew J Pharm Policy Pract Review INTRODUCTION: HPV vaccination of adolescent girls is the primary strategy for cervical cancer prevention but in Ethiopia, it lacks emphasis. Despite different studies done and found a highly variable level of parents’ willingness to vaccinate their daughter for HPV; however, there was no summarized evidence of parents' willingness as a nation. Thus this systematic review and meta-analysis aimed to assess the pooled prevalence of parents' willingness to HPV vaccination of their daughters and associated factors in Ethiopia. METHODS: A systematic review and meta-analysis were conducted using PRISMA guidelines. Comprehensive literature was searched in international databases. A weighted inverse variance random effect model was used to estimate pooled prevalence. Cochrane Q test and I(2) statistics were computed to assess heterogeneity. Funnel plot and Eggers test were done to assess publication bias. Review manager software was used to identify determinants of parents’ willingness. RESULTS: Overall, 172 articles were retrieved and finally 7 articles were included in this review. The pooled prevalence of parents' willingness to HPV vaccination of their daughters was 71.82% (95% CI 57.73–85.91%). Knowledge about HPV vaccination (AOR = 2.80, 95% CI (2.10–3.73)), attitude (AOR = 4.93, 95% CI (3.48–6.99)), educational status (AOR = 2.19, 95% CI 1.54–3.10) and income (AOR = 3.13, 95% CI 1.96–5.02)) were significantly associated with parents' willingness. CONCLUSIONS: Parents' willingness to HPV vaccination of their daughters in Ethiopia was low. Knowledge, attitude, educational status, and income were positively associated with parents' willingness. Therefore, policymakers and program planners should target those important stakeholders (parents) in increasing their awareness and changing their attitude to enhance their vaccine acceptance specifically focusing on those who are lower in economic and educational status so as to prevent the lethal cervical cancer. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40545-023-00639-9. BioMed Central 2023-10-24 /pmc/articles/PMC10599018/ /pubmed/37875991 http://dx.doi.org/10.1186/s40545-023-00639-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Review Zewdie, Amare Kasahun, Abebaw Wasie Adane, Haimanot Abebe Mose, Ayenew Willingness to vaccinate their daughters against human papillomavirus among parents of Ethiopian adolescent girls: a systematic review and meta-analysis |
title | Willingness to vaccinate their daughters against human papillomavirus among parents of Ethiopian adolescent girls: a systematic review and meta-analysis |
title_full | Willingness to vaccinate their daughters against human papillomavirus among parents of Ethiopian adolescent girls: a systematic review and meta-analysis |
title_fullStr | Willingness to vaccinate their daughters against human papillomavirus among parents of Ethiopian adolescent girls: a systematic review and meta-analysis |
title_full_unstemmed | Willingness to vaccinate their daughters against human papillomavirus among parents of Ethiopian adolescent girls: a systematic review and meta-analysis |
title_short | Willingness to vaccinate their daughters against human papillomavirus among parents of Ethiopian adolescent girls: a systematic review and meta-analysis |
title_sort | willingness to vaccinate their daughters against human papillomavirus among parents of ethiopian adolescent girls: a systematic review and meta-analysis |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599018/ https://www.ncbi.nlm.nih.gov/pubmed/37875991 http://dx.doi.org/10.1186/s40545-023-00639-9 |
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