Conference abstract

Uptake and intentions towards human papilloma virus vaccination for cervical cancer prevention among female undergraduate students in Osun State, Nigeria, 2016

Pan African Medical Journal - Conference Proceedings. 2018:8(29).28 Dec 2018.
doi: 10.11604/pamj-cp.2018.8.29.611

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Keywords: Human papillomavirus vaccine, female, student, uptake, intention, Nigeria
Opening ceremony

Uptake and intentions towards human papilloma virus vaccination for cervical cancer prevention among female undergraduate students in Osun State, Nigeria, 2016

Folasade Feyisayo Osundina1,&, Olufunmilayo Fawole1,2, Ikeoluwa Adeoye2, Olufemi Ajumobi1, Babatunde Adedokun2, Abisola Oladimeji1, Patrick Nguku1

1Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria, 2Department of Epidemiology and Medical Statistics, University of Ibadan, Nigeria

&Corresponding author
Folasade Feyisayo Osundina, Nigeria Field Epidemiology and Laboratory Training Programme, Asokoro, Abuja, Nigeria

Abstract

Introduction: cervical cancer (CC) ranks the second most frequent cancer among women in Nigeria, with estimated incidence rate of 33 cases per 100,000 women per year. Epidemiological, molecular and clinical evidences have shown that cervical cancer is caused by the human papilloma virus (HPV), a sexually transmitted infection. In 2009, Human Papilloma Virus (HPV) vaccine was licensed for use in Nigeria, but as at 2015, uptake among female undergraduates in southwestern Nigeria has not been documented. We assessed the uptake, intentions towards HPV vaccination and the associated factors among female undergraduates in Osun State, Nigeria.

Methods: we conducted a cross-sectional study among 440 female undergraduates in Osun State, Nigeria from March to July, 2015, using a multistage sampling technique. We collected data on socio-demographic characteristics, awareness and knowledge on CC, knowledge, uptake and uptake intentions towards HPV vaccination using a semi-structured questionnaire. We graded the knowledge scores into good (= 75%), fair (50% - 74%) and poor (<50%). We did analysis using Statistical Package for Social Sciences (SPSS) version 20 and determined association using multivariable logistic regression with confidence interval set at 95%.

Results: mean age of the respondents was 22.2 3.9 years; 164 (37.3%) students were not aware of cervical cancer while 420 (95.9%) and 27 (6.1%) had poor knowledge on cervical cancer and HPV vaccination respectively. Major sources of information on cervical cancer were internet 200 (45.5%), television 191 (43.4%) and hospital 154 (35.0%). Uptake of HPV vaccination was 2.0%, while uptake intention was 87.3%. Lack of information 227 (51.6%) was the major reason for non-uptake of HPV vaccine. Four students (0.9%) got recommendation from healthcare workers on HPV vaccination uptake. Tribe [aOR = 2.4, (95% CI = 1.2 - 4.9)], and knowledge about CC [aOR = 3.1, (95% CI = 1.5 - 6.5)], were significantly associated with uptake intention of HPV vaccination.

Conclusion: uptake of HPV vaccination was low among the students, however uptake intention was high. Appropriate and youth-friendly health worker-client communication on social media with targeted messages on CC and HPV vaccination is recommended.