Knowledge, Decision-Making and Acceptance of Human Papilloma Virus Vaccination among Parents of Primary School Students in Kota Bharu, Kelantan, Malaysia

Document Type : Research Articles


1 Oncology and Radiology Science Cluster, Advanced Medical and Dental Institute, University Sains Malaysia (USM), Kepala Batas, Pulau Pinang, Malaysia.

2 Department of Family Medicine, University Sains Malaysia (USM), Kepala Batas, Pulau Pinang, Malaysia.

3 Department of Community Medicine, School of Medical Sciences, University Sains Malaysia (USM), Kepala Batas, Pulau Pinang, Malaysia.


Background: The incidence of cervical cancer in younger women remains high. This is worrisome as it affects
future generations. Therefore Malaysia implements human papilloma virus (HPV) vaccination as a national vaccination
program. Parents play an important role in determining the success of this HPV vaccination program among schoolaged
girls by their compliance. Objective: To assess parental knowledge, decision-making and acceptance of HPV
vaccination. Methods: This cross sectional study was conducted among 280 randomly selected parents of primary
school students aged 11 in Kota Bharu using a pre-validated self-administered questionnaire to assess knowledge and
decision-making with regard to HPV vaccination. Results: Most parents (62%) were shown to have poor knowledge
while most decision-making was shared. Age of respondents (adjusted odds ratio ‘AOR’= 1.09; 95% confidence interval
‘CI’= 1.04-1.14; p <0.001) and good knowledge of HPV vaccination (AOR= 16.32; 95% CI= 7.32-36.4; p <0.001) were
significantly associated with HPV vaccine acceptance. Conclusion: The majority of parents exhibited poor knowledge
which may affect their decision-making and uptake of HPV vaccination among their children. This highlights the need
to better educate parents on HPV vaccination.


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