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Awareness, acceptability and uptake of cervical cancer vaccination services among female secondary school teachers in Enugu, Nigeria: a cross-sectional study.
Enebe, Joseph Tochukwu; Enebe, Nympha Onyinye; Agunwa, Chuka Chike; Nduagubam, Obinna Chukwuebuka; Okafor, Innocent Igwebeze; Aniwada, Elias Chike; Aguwa, Emmanuel Nwabueze.
Affiliation
  • Enebe JT; Department of Obstetrics and Gynaecology, Enugu State University of Science and Technology College of Medicine/Teaching Hospital, Parklane, Enugu, Nigeria.
  • Enebe NO; Department of Community Medicine, University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria.
  • Agunwa CC; Department of Community Medicine, University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria.
  • Nduagubam OC; Department of Paediatrics, Enugu State University of Science and Technology College of Medicine/Teaching Hospital, Parklane, Enugu, Nigeria.
  • Okafor II; Department of Obstetrics and Gynaecology, Enugu State University of Science and Technology College of Medicine/Teaching Hospital, Parklane, Enugu, Nigeria.
  • Aniwada EC; Department of Community Medicine, University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria.
  • Aguwa EN; Department of Community Medicine, University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria.
Pan Afr Med J ; 39: 62, 2021.
Article in En | MEDLINE | ID: mdl-34422185
ABSTRACT

INTRODUCTION:

cervical cancer is a major cause of morbidity and mortality in women and vaccination of adolescents with human papilloma virus (HPV) vaccines is a major preventive strategy for this cancer. Despite the usefulness of cervical cancer vaccines, significant gaps still exist in the level of awareness and acceptability of the vaccine among women. This study aimed to determine the level of awareness, acceptability, and identify the factors associated with the uptake of this vaccine by female secondary school teachers in Enugu, Nigeria.

METHODS:

a cross-sectional study of 377 female teachers in Enugu metropolis was undertaken between July and October 2017. A structured interviewer-administered pretested questionnaire was used for data collection and SPSS used for analysis.

RESULTS:

less than half (41.9%) of the respondents had good knowledge of the cervical cancer vaccine. The majority of the respondents (93.6%) accepted the vaccine and will recommend it for their children and students. Only 14.6% and 9.0% of the respondents have taught their students about cervical cancer or HPV vaccines and had a programme in their school that addresses cervical cancer or cervical cancer vaccination respectively. Only 3.4% of the respondents have been vaccinated while 5.6% of their children or relatives have received the HPV vaccine. Previous vaccination of participants (p = 0.000), existing programmes addressing cervical cancer in schools of respondents (p = 0.000), participants having taught students about cervical cancer (p = 0.025) and high economic status (p = 0.013) significantly increased the likelihood of participants vaccinating their adolescent daughters/relatives. Extremes of age (p = 0.001) and being the head of their families (p = 0.002) significantly reduced the likelihood of the daughters/relatives to be vaccinated. Only previous history of vaccination of the respondents predicted the vaccination of their children and relatives (AOR = 6.069; 95% CI; < 0.0001-0.041).

CONCLUSION:

the overall knowledge of the HPV vaccine was low but the acceptability was high among respondents who were aware of the vaccines. Vaccine uptake among children/family members of the respondents was low. The introduction of cervical cancer vaccination education of the teachers in the secondary schools will help improve cervical cancer vaccination and the uptake among adolescent´s populations in the country.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Uterine Cervical Neoplasms / Papillomavirus Infections / Papillomavirus Vaccines / School Teachers Type of study: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspects: Implementation_research Limits: Adolescent / Adult / Female / Humans / Middle aged Country/Region as subject: Africa Language: En Journal: Pan Afr Med J Year: 2021 Document type: Article Affiliation country: Nigeria

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Uterine Cervical Neoplasms / Papillomavirus Infections / Papillomavirus Vaccines / School Teachers Type of study: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspects: Implementation_research Limits: Adolescent / Adult / Female / Humans / Middle aged Country/Region as subject: Africa Language: En Journal: Pan Afr Med J Year: 2021 Document type: Article Affiliation country: Nigeria