Human papillomavirus (HPV) vaccination intent and its associated factors: A study of ethnically diverse married women aged 27 to 45 in Malaysia, a Southeast Asian country

Wong, Li Ping and Alias, Haridah and Seheli, Farhana Nishat and Zimet, Gregory D. and Hu, Zhijian and Lin, Yulan (2022) Human papillomavirus (HPV) vaccination intent and its associated factors: A study of ethnically diverse married women aged 27 to 45 in Malaysia, a Southeast Asian country. Human Vaccines & Immunotherapeutics, 18 (5). ISSN 2164-5515, DOI https://doi.org/10.1080/21645515.2022.2076525.

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Abstract

This study aimed to investigate HPV vaccination intention among adult married women aged 27 to 45 years and its associated factors, and their spouse/partner's influence on HPV vaccination decision-making. Methods This is a cross-sectional, questionnaire-based study. Study participants were recruited through simple random sampling of patients attending obstetrics and gynecology outpatient clinics in a university teaching hospital.Participants were selected based on a computer-generated list of a random list of patients attending the clinic. Results A total of 794 complete responses were received (response rate 88.2%). The mean age of the respondents was 32.2 years with a standard deviation (SD) of +/- 3.9 years.The vast majority (85.3%) would communicate with their spouse/partner with regard to HPV vaccination decision-making. Nearly 30% (over half were of the Malay ethnic group) perceived their spouse/partner would not consent to their HPV vaccination. Over half (54.9%) reported joint decision-making, and 9.1% (the majority of whom were Malay) reported that HPV vaccination was dependent on their spouse/partner's decision. Intention to vaccinate against HPV was high (74.5%). Factors influencing HPV vaccination intention were spouse/partner's consent to HPV vaccination (odds ratio OR] = 4.51; 95% confidence interval CI], 3.08-6.62), being a postgraduate student (OR = 4.55 ; 95% CI, 2.13-9.72 vs. unemployed/housewife), average household income MYR2000-4000 (OR = 2.09 ; 95%CI, 1.16-3.78 vs. below MYR2000), and an HPV-related knowledge score of 9-20 (OR = 1.60 ; 95% CI, 1.10-2.32 vs. score 0-8). Conclusion Findings highlight the importance of culture-centered interventions to enhance male partner's awareness and support for the HPV vaccination of married women.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: HPV vaccination intention; Married women; Spouse; Partner influence; Malaysia
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 25 Sep 2023 01:54
Last Modified: 25 Sep 2023 01:54
URI: http://eprints.um.edu.my/id/eprint/41457

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