Abstract
Study Objective
The aim of this study was to compare the parental attitudes and beliefs about human
papillomavirus (HPV), cervical cancer, and HPV vaccine between urban and rural areas,
India.
Design
Cross-sectional.
Setting
Mysore, India.
Participants
Parents of school-going adolescent girls.
Interventions
Parents completed a self-administered questionnaire.
Main Outcome Measures
Attitudes and beliefs about HPV, cervical cancer, and HPV vaccine.
Results
A total of 1609 parents from urban (n = 778) and rural (n = 831) areas participated
in this study. Most of the parents had never heard about HPV (73.6%), did not know
that their daughters could get an HPV infection (62.7%) or cervical cancer (64.1%)
in the future, and believed that HPV vaccine was not effective (67.1%). Parents living
in the urban area were more likely to believe that HPV infection (adjusted odds ratio
[aOR], 2.69; 95% confidence interval [CI], 1.43-5.06) and cervical cancer (aOR, 2.68;
95% CI, 1.83-3.91) could cause serious health problems than those living in the rural
area. The odds of agreeing that HPV vaccination will make girls sexually active was
lower among urban than rural parents (aOR, 0.55; 95% CI, 0.33-0.94). There was no
significant difference among parents in the urban and rural areas in their beliefs
about susceptibility of their daughter to HPV infection or cervical cancer, and beliefs
about the safety and ability of HPV vaccine to protect against cervical cancer.
Conclusion
Rural parents might be reluctant to recommend behaviors that can help prevent HPV
infection and cervical cancer such as HPV vaccination for their daughters.
Key Words
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Article info
Publication history
Published online: March 26, 2018
Footnotes
The authors indicate no conflicts of interest.
This study was funded by Investigator Initiated Award from Merck & Co.
Identification
Copyright
© 2018 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
