Factors associated with uptake of human papilloma virus vaccine among school girls aged 9-14 years in Lira City northern Uganda: a cross-sectional study.


Journal

BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690

Informations de publication

Date de publication:
08 Jul 2023
Historique:
received: 24 01 2023
accepted: 26 06 2023
medline: 10 7 2023
pubmed: 8 7 2023
entrez: 7 7 2023
Statut: epublish

Résumé

Cervical cancer is the most common Human Papilloma Virus (HPV)-related disease among women. Since 2008, HPV vaccination has been routinely recommended for pre-adolescent and adolescent girls in Uganda as the primary preventive measure for cervical cancer. However, in Uganda, most especially in Lira district, there is limited literature on HPV vaccination uptake and associated factors among girls aged 9-14years. This study assessed the uptake of HPV vaccine and associated factors among in-school girls aged 9-14 years in Lira City, northern Uganda. A cross-sectional study was conducted among 245 primary school girls aged 9-14 years in Lira City, northern Uganda. Multistage sampling technique was used to sample eligible participants and data was collected using interviewer administered questionnaire. Data was analysed using SPSS version 23.0. Descriptive statistics and multivariate logistic regression at 95% level of significance were used to identify the level of HPV vaccine uptake and predictors respectively. HPV vaccination uptake was at 19.6% (95% CI,14.8-25.1) among the school girls aged 9-14 years in Lira City, northern Uganda. The mean age of the girls was 12.11 (± 1.651) years. Predictors that were independently associated with HPV vaccine uptake included; recommendation from health worker [aOR 9.09, 95% CI (3.19-25.88), P ≤ 0.001], taught about cervical cancer at school [aOR,12.56, 95% CI (4.60-34.28), P ≤ 0.001], and exposure to outreach clinics [aOR, 4.41, 95% CI (1.37-14.19), P = 0.013]. The study found that one in five of the school girls in Lira City, northern Uganda. received HPV vaccine. Girls who were taught about cervical cancer at school, exposure to outreach clinics and received health worker recommendation had more odds of receiving HPV vaccine than their counter parts. The Ministry of Health should strengthen school based cervical cancer education, awareness raising about HPV vaccination and health worker recommendations to improve HPV vaccine uptake among school girls in Uganda.

Sections du résumé

BACKGROUND BACKGROUND
Cervical cancer is the most common Human Papilloma Virus (HPV)-related disease among women. Since 2008, HPV vaccination has been routinely recommended for pre-adolescent and adolescent girls in Uganda as the primary preventive measure for cervical cancer. However, in Uganda, most especially in Lira district, there is limited literature on HPV vaccination uptake and associated factors among girls aged 9-14years. This study assessed the uptake of HPV vaccine and associated factors among in-school girls aged 9-14 years in Lira City, northern Uganda.
METHODS METHODS
A cross-sectional study was conducted among 245 primary school girls aged 9-14 years in Lira City, northern Uganda. Multistage sampling technique was used to sample eligible participants and data was collected using interviewer administered questionnaire. Data was analysed using SPSS version 23.0. Descriptive statistics and multivariate logistic regression at 95% level of significance were used to identify the level of HPV vaccine uptake and predictors respectively.
RESULTS RESULTS
HPV vaccination uptake was at 19.6% (95% CI,14.8-25.1) among the school girls aged 9-14 years in Lira City, northern Uganda. The mean age of the girls was 12.11 (± 1.651) years. Predictors that were independently associated with HPV vaccine uptake included; recommendation from health worker [aOR 9.09, 95% CI (3.19-25.88), P ≤ 0.001], taught about cervical cancer at school [aOR,12.56, 95% CI (4.60-34.28), P ≤ 0.001], and exposure to outreach clinics [aOR, 4.41, 95% CI (1.37-14.19), P = 0.013].
CONCLUSION CONCLUSIONS
The study found that one in five of the school girls in Lira City, northern Uganda. received HPV vaccine. Girls who were taught about cervical cancer at school, exposure to outreach clinics and received health worker recommendation had more odds of receiving HPV vaccine than their counter parts. The Ministry of Health should strengthen school based cervical cancer education, awareness raising about HPV vaccination and health worker recommendations to improve HPV vaccine uptake among school girls in Uganda.

Identifiants

pubmed: 37420225
doi: 10.1186/s12905-023-02511-z
pii: 10.1186/s12905-023-02511-z
pmc: PMC10329291
doi:

Substances chimiques

Papillomavirus Vaccines 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

362

Informations de copyright

© 2023. The Author(s).

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Auteurs

Renniter Mirembe Nakayita (RM)

Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, P.O. BOX 1035, Lira City, Uganda.

Deo Benyumiza (D)

Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, P.O. BOX 1035, Lira City, Uganda. benyumizadeo@gmail.com.

Catherine Nekesa (C)

Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, P.O. BOX 1035, Lira City, Uganda.

Ivan Misuk (I)

Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, P.O. BOX 1035, Lira City, Uganda.

Julius Kyeswa (J)

Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, P.O. BOX 1035, Lira City, Uganda.

Aisha Nalubuuka (A)

Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, P.O. BOX 1035, Lira City, Uganda.

Tom Murungi (T)

Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, P.O. BOX 1035, Lira City, Uganda.

Samson Udho (S)

Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, P.O. BOX 1035, Lira City, Uganda.

Edward Kumakech (E)

Department of Nursing, Faculty of Nursing and Midwifery, Lira University, P.O. Box 1035, Lira City, Uganda.

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