Parental acceptance of HPV vaccines in Chiang Mai, Thailand

Abstract

© 2018 International Federation of Gynecology and Obstetrics Objective: To identify variables associated with the acceptance of HPV vaccination among Thai parents/primary caregivers. Methods: The present prospective cross-sectional study recruited the parents/caregivers of female adolescents aged 12–18 years from schools in Chiang Mai, Thailand, between January 1 and February 29, 2016. A four-part questionnaire was distributed to assess demographics, HPV vaccine acceptance, knowledge, and beliefs toward HPV and cervical cancer. Predictors of HPV vaccine acceptance were determined by logistic regression analysis. Results: The study enrolled 331 parents; more than half (195 [61.1%]) had heard of HPV vaccines. Their knowledge related to HPV and cervical cancer was moderate. A majority of parents (266/313 [85.0%]) indicated they would accept HPV vaccination if the costs were subsidized by the government. Acceptance of HPV vaccines was associated with perceived benefits of HPV vaccination (odds ratio [OR] 1.49; 95% confidence interval [CI] 1.18–1.88), perceived susceptibility to disease (OR 1.42; 95% CI 1.11–1.81), and household income (OR 1.35; 95% CI 1.02–1.78). Conclusion: Parental beliefs have an important role in their acceptance to vaccinate their daughters. These potentially modifiable beliefs offer strategies for future interventions designed to increase uptake for future HPV vaccination campaigns.