Knowledge, Attitude and Practice towards Human Papillomavirus Vaccine and Associated Factors among Parents of Daughter in Nekemte town, West Ethiopia

Abstract

Background: - In Ethiopia, the human papillomavirus (HPV) vaccine has been introduced since 2018. The vaccination program targets girls age 9-14 years; the success of vaccination depends on the parental decision to vaccinate their daughters. However most of the parents not want HPV vaccination for their daughters as they not have sufficient knowledge and unfavorable attitude towards the HPV vaccine. Therefore, this study aimed to assess the level of knowledge, attitude and practice towards HPV vaccine and associated factors among parents of daughter in Nekemte town, West Ethiopia, 2022 Method: -Community-based cross-sectional study was conducted among 561 parents of daughter and selected by simple random sampling technique from January 5-February 28, 2022. The data were collected by using face-to-face interview administration and entered into Epi data version 3.1 then, exported to SPSS version 25 for analysis. Descriptive statistics were used to describe the variable of the study. Bivariable and multivariable binary logistic regression analyses were used to examine the association. The Odds Ratio (OR), 95% CI, and p-values less than 0.05 were used to determine the statistical association. Results: A total of 561 study participants with a response rate of 97% were included in the study. Among participants in this study, 267(47.5%) have good knowledge, 285(50.8%) have favorable attitude towards HPV vaccine and 268(47.8%) got their daughters vaccinated. Favorable attitude towards HPV vaccine (AOR=3.868, 95% CI= 2.31, 6.4) was associated with the knowledge of parents. Attitude of parents towards HPV vaccine was affected by good knowledge about HPV vaccine (AOR=2.81,95% CI1.78,4.45). Being government employee (AOR = 2.67, 95% CI=1.21, 5.89), higher monthly income (AOR = 4.93, 95% CI= 2.19, 11.08), good knowledge on HPV (AOR = 1.78, 95% CI= 1.1, 2.8) and favorable attitude towards the vaccine (AOR = 2.71, 95% CI=1.64, 4.48) were significantly associated with the practice of HPV vaccine Conclusions: The knowledge, attitude and practice of parents towards the HPV vaccine were low. Good knowledge on HPV and positive attitude towards the vaccine were associated with practice of HPV vaccine. Therefore, it is necessary to educate the community members on HPV and HPV vaccine as HPV vaccination is the most effective way to prevent cervical cancer and its related diseases.