Predictors, barriers and motivating factors for human papillomavirus vaccination and testing as preventive measures for cervical cancer: A study of urban women in Lagos, Nigeria

Human papillomavirus (HPV) vaccination and HPV based cervical screening are scientifically proven ways to prevent and eliminate cervical cancer (CC). Unfortunately, these measures are yet to be widely accepted or utilized. Our study aimed to explore the individual-related factors that predict HPV va...

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Autores principales: Adeyemi A. Okunowo, Aloy O. Ugwu, Jubril O. Kuku, Adaiah P. Soibi-Harry, Bolanle O. Okunowo, Nneoma K. Ani-Ugwu, Benedetto O. Osunwusi, Muisi A. Adenekan
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:2e0c08e69f8d4ed4b68604b0537a6dc72021-11-22T04:24:20ZPredictors, barriers and motivating factors for human papillomavirus vaccination and testing as preventive measures for cervical cancer: A study of urban women in Lagos, Nigeria2211-335510.1016/j.pmedr.2021.101643https://doaj.org/article/2e0c08e69f8d4ed4b68604b0537a6dc72021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S221133552100334Xhttps://doaj.org/toc/2211-3355Human papillomavirus (HPV) vaccination and HPV based cervical screening are scientifically proven ways to prevent and eliminate cervical cancer (CC). Unfortunately, these measures are yet to be widely accepted or utilized. Our study aimed to explore the individual-related factors that predict HPV vaccination and testing, its motivating factors and barriers among urban women in Lagos, Nigeria. This was a descriptive cross-sectional study among 208 consenting women who attended a community health awareness program in Surulere, Lagos, Nigeria, in September 2019. Structured questionnaires were interviewer administered and analysis was done using SPSS version 23. The uptake of HPV vaccination and testing was 29.0% and 3.0% respectively. Being employed [adjusted odds ratio (AOR) = 60.45, CI = 10.64–343.46, P < 0.001] and unmarried (AOR = 33.33, CI = 12.5–100.0, P < 0.001) predicted HPV vaccination uptake while being unmarried was the only predictor of uptake of HPV testing [crude odds ratio (COR) = 7.69, CI = 1.01–100.00, P = 0.039]. Knowing someone with CC (AOR = 21.64, CI = 4.87–96.16, P < 0.001) and being unmarried (AOR = 5.56, CI = 1.45–20.00, P = 0.012) predicted increased willingness to be vaccinated. Being unmarried (AOR = 5.26, CI = 1.89–14.29, P = 0.002) and knowing someone with CC (AOR = 6.41, CI = 2.68–15.33, P < 0.001) predicted willingness to do HPV testing. Recommendation by healthcare provider (HCP), friends/relatives and media were major motivators for HPV vaccination &amp; testing while fear, cost, no recommendation by HCP, inaccessibility &amp; lack of awareness were major barriers. There is need to urgently address these identified factors that affect HPV vaccination and testing in order to improve its acceptability and uptake rate in our environment.Adeyemi A. OkunowoAloy O. UgwuJubril O. KukuAdaiah P. Soibi-HarryBolanle O. OkunowoNneoma K. Ani-UgwuBenedetto O. OsunwusiMuisi A. AdenekanElsevierarticleHPV vaccinationHPV testingPredictorsMotivatorsBarriersCervical cancerMedicineRENPreventive Medicine Reports, Vol 24, Iss , Pp 101643- (2021)
institution DOAJ
collection DOAJ
language EN
topic HPV vaccination
HPV testing
Predictors
Motivators
Barriers
Cervical cancer
Medicine
R
spellingShingle HPV vaccination
HPV testing
Predictors
Motivators
Barriers
Cervical cancer
Medicine
R
Adeyemi A. Okunowo
Aloy O. Ugwu
Jubril O. Kuku
Adaiah P. Soibi-Harry
Bolanle O. Okunowo
Nneoma K. Ani-Ugwu
Benedetto O. Osunwusi
Muisi A. Adenekan
Predictors, barriers and motivating factors for human papillomavirus vaccination and testing as preventive measures for cervical cancer: A study of urban women in Lagos, Nigeria
description Human papillomavirus (HPV) vaccination and HPV based cervical screening are scientifically proven ways to prevent and eliminate cervical cancer (CC). Unfortunately, these measures are yet to be widely accepted or utilized. Our study aimed to explore the individual-related factors that predict HPV vaccination and testing, its motivating factors and barriers among urban women in Lagos, Nigeria. This was a descriptive cross-sectional study among 208 consenting women who attended a community health awareness program in Surulere, Lagos, Nigeria, in September 2019. Structured questionnaires were interviewer administered and analysis was done using SPSS version 23. The uptake of HPV vaccination and testing was 29.0% and 3.0% respectively. Being employed [adjusted odds ratio (AOR) = 60.45, CI = 10.64–343.46, P < 0.001] and unmarried (AOR = 33.33, CI = 12.5–100.0, P < 0.001) predicted HPV vaccination uptake while being unmarried was the only predictor of uptake of HPV testing [crude odds ratio (COR) = 7.69, CI = 1.01–100.00, P = 0.039]. Knowing someone with CC (AOR = 21.64, CI = 4.87–96.16, P < 0.001) and being unmarried (AOR = 5.56, CI = 1.45–20.00, P = 0.012) predicted increased willingness to be vaccinated. Being unmarried (AOR = 5.26, CI = 1.89–14.29, P = 0.002) and knowing someone with CC (AOR = 6.41, CI = 2.68–15.33, P < 0.001) predicted willingness to do HPV testing. Recommendation by healthcare provider (HCP), friends/relatives and media were major motivators for HPV vaccination &amp; testing while fear, cost, no recommendation by HCP, inaccessibility &amp; lack of awareness were major barriers. There is need to urgently address these identified factors that affect HPV vaccination and testing in order to improve its acceptability and uptake rate in our environment.
format article
author Adeyemi A. Okunowo
Aloy O. Ugwu
Jubril O. Kuku
Adaiah P. Soibi-Harry
Bolanle O. Okunowo
Nneoma K. Ani-Ugwu
Benedetto O. Osunwusi
Muisi A. Adenekan
author_facet Adeyemi A. Okunowo
Aloy O. Ugwu
Jubril O. Kuku
Adaiah P. Soibi-Harry
Bolanle O. Okunowo
Nneoma K. Ani-Ugwu
Benedetto O. Osunwusi
Muisi A. Adenekan
author_sort Adeyemi A. Okunowo
title Predictors, barriers and motivating factors for human papillomavirus vaccination and testing as preventive measures for cervical cancer: A study of urban women in Lagos, Nigeria
title_short Predictors, barriers and motivating factors for human papillomavirus vaccination and testing as preventive measures for cervical cancer: A study of urban women in Lagos, Nigeria
title_full Predictors, barriers and motivating factors for human papillomavirus vaccination and testing as preventive measures for cervical cancer: A study of urban women in Lagos, Nigeria
title_fullStr Predictors, barriers and motivating factors for human papillomavirus vaccination and testing as preventive measures for cervical cancer: A study of urban women in Lagos, Nigeria
title_full_unstemmed Predictors, barriers and motivating factors for human papillomavirus vaccination and testing as preventive measures for cervical cancer: A study of urban women in Lagos, Nigeria
title_sort predictors, barriers and motivating factors for human papillomavirus vaccination and testing as preventive measures for cervical cancer: a study of urban women in lagos, nigeria
publisher Elsevier
publishDate 2021
url https://doaj.org/article/2e0c08e69f8d4ed4b68604b0537a6dc7
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