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Background: The human papillomavirus (HPV) is one viral infection of the reproductive
system that causes cervical cancer in women, however; less emphasis is placed on the level
of uptake/practice of Human Papillomavirus vaccination and associated factors; appropriate
information is required for an efficient immunization program.
Objectives: This study aimed to assess the uptake of Human Papillomavirus vaccination and
associated factors among female primary school students in Hawassa City, Sidama Region,
Ethiopia, 2022.
Methods: A school-based cross-sectional study was conducted, across 660 respondents
selected by two-stage sampling techniques from June 16/2022 to July 16/2022. The data was
collected by using face-to-face interviews and entered into Epi data version 4.6 then exported
to SPSS version 26 for analysis. Descriptive variables were computed using a measure of
central tendencies & reported by the frequency with percentage. The factors influencing
students' uptake of the HPV vaccine were assessed using logistic regression analysis.
Variables with a P-value of <0.25 in bivariable logistic regression were candidates for
multivariable and those with a P-value of <0.05 in multivariable logistic regression were
considered a statistically significant factor for uptake of the Human Papillomavirus vaccine.
Result: A total of 660 study participants with 100% response rate were included in the study.
Overall, 59.4% (95%, CI: 55.6%-62.9%) were Uptake of the HPV vaccine among female
primary school students. The Uptake of HPV vaccine were significantly associated with
students age (AOR=1.475; 95% CI=1.036-2.098; P=0.03), also being students family
monthly income >4000ETB (AOR=2.397; 95% CI=1.316-4.368; P=0.04), Good knowledge
towards HPV vaccine (AOR=1.623; 95% CI=1.078-2.482; P=0.020), Positive Attitude
towards HPV vaccine (AOR=1.739; 95%,CI=1.197-2.526), and Family/guardian support to
get HPV vaccination (AOR=4.306, 95% CI=2.986-6.209; P=0.000) .
Conclusion and Recommendations: Students' uptake of the HPV vaccine was encouraging
(59.4%), however, to increase student Human Papillomavirus vaccine uptake; Families,
health care workers, and schools should work together on the knowledge and attitude of the
community, that is effective public health strategies to improve the uptake of HPV
vaccination. |
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