A DESCRIPTIVE STUDY ON THE MALAYSIAN PARENTS' HPV VACCINATION INTENTIONS

Authors

  • Mohd Rozaimy Ridzuan Faculty of Administrative Science and Policy Studies, Universiti Teknologi MARA (UiTM), Cawangan Pahang, Kampus Raub, Malaysia
  • Noor Amira Syazwani Abd Rahman Faculty of Administrative Science and Policy Studies, Universiti Teknologi MARA (UiTM), Cawangan Pahang, Kampus Raub, Malaysia
  • Nur Hidayahtul Nabihah Manas Tunku Abdul Rahman University College, Pahang Branch, Malaysia
  • Mohd Nazir Rabun Faculty of Administrative Science and Policy Studies, Universiti Teknologi MARA, Cawangan Kedah, Kampus Sungai Petani, Malaysia
  • Ju Soon Yew Faculty of Administrative Science and Policy Studies, Universiti Teknologi MARA (UiTM), Cawangan Pahang, Kampus Raub, Malaysia

Keywords:

Cervical Cancer, HPV, Sexually Transmitted Infection, Vaccination Intention

Abstract

Cervical cancer is the second most frequent cancer in low-income countries and the fourth in the world, and it is the most common cancer of the female reproductive organs. In Malaysia, cervical cancer is the second most frequently occurring cancer (after breast cancer) amongst women aged 15 and 44 years. When the whole population is considered, Malaysia's cervical cancer mortality is two-fold higher than countries like the United Kingdom, Finland, and the Netherlands. Despite the free Human papillomavirus (HPV) immunization, acceptance of the vaccination program is not guaranteed as some parents are still against it for various reasons. Hence, this study attempts to identify determinants of parents' HPV vaccination intentions such as attitude, subjective norms, perceived behavioural control, anticipatory regret, and trust in government. This quantitative study used a purposive sampling technique, which meant that only parents or caregivers over 18 with at least one child under 12 were eligible to participate. The sample size of the study is 318 respondents. This study found that all determinants of HPV vaccination intention scored high Mean, and the majority of the parents were willing to vaccinate their children against HPV.

References

Ajzen, I. (1991). The theory of Planned Behavior. Organizational Behavior and Human Decision Processes, 50, 179–211.

Askelson, N. M., Campo, S., Lowe, J. B., Smith, S., Dennis, L. K. & Andsager, J. (2010). Using the theory of planned behavior to predict mother's intentions to vaccinate their daughters against HPV. The Journal of School Nursing, 26, 194–202.

Azizah, A., Norsaleha, I. T., Noor Hashimah, A., Asmah, Z. A. & Mastulu, W. (2017). Malaysian National Cancer Registry Report 2007–2011. Putrajaya: Malaysia Cancer Statistics, Data and Figure, National Cancer Institute, Ministry of Health, 50–2.

Azizah, A. M., Nor Saleha, I. T., Noor Hashimah, A., Asma, Z. A. & Mastulu, W. (2016). Malaysian National Cancer Registry Report 2007-2011. MOH/P/IKN/01.16(AR). National Cancer Institute, Ministry of Health Malaysia, 2016. http://nci. moh.gov.my/index.php/en/announcement/ 340-malaysian- national-cancer-registry-report-2007-2011.

Bruni, L., Albero, G., Serrano, B., Mena, M., Gómez, D., Muñoz, J., Bosch, F. X. et al. (2018). Human papillomavirus and related diseases in Malaysia Summary Report: ICO/IARC Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in Malaysia. Summary Report; 2018. Available at http://www.hpvcentre.net/statistics/reports/MYS.pdf. Accessed 14 November 2021.

Capone, V. (2016). Patient communication self-efficacy, self-reported illness symptoms, physician communication style and mental health and illness in hospital outpatients. Journal of Health Psychology, 21, 1271-1282.

Carfora, V., Cavallo, C., Caso, D., Del Giudice, T., De Devitiis, B., Viscecchia, R., Nardone, G. & Cicia, G. (2019). Explaining consumer purchase behavior for organic milk: Including trust and green self-identity within the theory of planned behavior. Food Quality and Preference, 76, 1–9.

Casiday, R., Cresswell, T., Wilson, D. & Panter-Brick, C. A. (2006). Survey of UK parental attitudes to the MMR vaccine and trust in medical authority. Vaccine, 24(2), 177-84.

Caso, D., Carfora, V. Starace, C. & Conner, M. (2019). Key Factors Influencing Italian Mothers' Intention to Vaccinate Sons against HPV: The Influence of Trust in Health Authorities, Anticipated Regret and Past Behaviour. Sustainability, 11, 6879, 1-12.

Catalano, H. P., Knowlden, A. P., Birch, D. A., Leeper, J. D., Paschal, A. M., & Usdan, S. L. (2017). Using the Theory of Planned Behavior to predict HPV vaccination intentions of college men. Journal of American College Health, 65, 197–207.

Dempsey, A. F., Abraham, L. M., Dalton, V. & Run, M. (2019). Understanding the Reasons Why Mothers Do or Do Not Have Their Adolescent Daughters Vaccinated Against Human Papillomavirus. Annals of Epidemiology, 19, 531–538.

Ezat S. W. P., Hod, R., Mustafa, J., Mohd Dali A. Z. H., Sulaiman, A. S. & Azman, A. (2013). National HPV Immunisation Programme: Knowledge and Acceptance of Mothers Attending an Obstetrics Clinic at a Teaching Hospital, Kuala Lumpur. The Asian Pacific Journal of Cancer Prevention, 14(5), 2991-2999.

Fairuz Fadhilah Mohd Jalani, Mohd Dzulkhairi Mohd Rani, Ilina Isahak, Muhammad Shamsir Mohd Aris & Nuruliza Roslan (2016). Knowledge, Attitude and Practice of Human Papillomavirus (HPV) Vaccination among Secondary School Students in Rural Areas of Negeri Sembilan, Malaysia. International Journal of Collaborative Research on Internal Medicine & Public Health, 8(6), 420-434.

Gamble, H. L., Klosky, J. L., Parra, G. R. & Randolph, M. E. (2010). Factors influencing familial decision-making regarding human papillomavirus vaccination. The Journal of Pediatric Psychology, 35, 704-715.

Haghshenas, M., Golini-Moghaddam, T., Rafiei, A., Emadeian, O., Shykhpour, A. & Ashrafi, G. H. (2013). Prevalence and type distribution of high-risk human papillomavirus in patients with cervical cancer: a population-based study. Infectious agents and cancer, 8(1), 20.

Hofman, R., Van Empelen, P., Richardus, J. H., de Kok, I. M. C. M., de Koning, H. J., van Ballegooijen, M. & Korfage, I. J. (2014). Predictors of HPV vaccination uptake: A longitudinal study among parents. Health Education Research, 29, 83–96.

Kim, J. J., Ortendahl J, & Goldie, S. J. (2009). Cost-effectiveness of HPV vaccination and cervical cancer screening in women over age 30 in the United States. Annals of Internal Medicine, 151(8), 538–45

Kornides, M. L., McRee, A. & Gilkey, M. B. (2018). Parents Who Decline HPV Vaccination: Who Later Accepts and Why? Academic Pediatrics, 18(2), S37–S43.

Larson, H. J., Clarke RM, Jarrett C, Eckersberger E., Levine Z. & Schulz W. S. (2018). Measuring trust in vaccination: A systematic review. Human Vaccines & Immunotherapeutics, 14(7), 1599-1609.

LPPKN (2019). FAQ MyHPV 2019. Retrieved on 1 September 2021 from https://www.lppkn.gov.my/index.php/en/soalan-lazim/pvhpv

MacArthur, K. R. (2017). Beyond health beliefs: The role of trust in the HPV vaccine decision-making process among American college students. Health Sociology Review, 26, 321–338.

Mona, R., Azman, A. B. N, Atan, F. N. S. B, Firdous, J., Latif, N. A. & Muhamad, N. (2019). Perception Regarding HPV Vaccination Among the Students of Medical University in Malaysia. Biomedical and Pharmacology Journal, 12(2). 787–792.

Nor Asiah Muhamad, Saidatul Norbaya Buang, Safurah Jaafar, Rohani Jais, Phaik Sim Tan, Normi Mustapha, Noor Aliza Lodz, Tahir Aris, Lokman Hakim Sulaiman & Shahnaz Murad (2018). Achieving high uptake of human papillomavirus vaccination in Malaysia through school-based vaccination programme. BMC Public Health. 18, 1402.

Parrello, S., Giacco, N. Aggiungere vita ai giorni: La Distrofia muscolare di Duchenne nella narrazione dellemadri (2014). Add life to days: Duchenne Muscular Dystrophy into the narrative of mothers. Psicologia della Salute. 1, 113–124.

Prati, G., Ptrantoni, L., & Zani, B. (2011). Compliance with recommendations for pandemic influenza H1N1 2009: The role of trust and personal beliefs. Health Education Research, 26, 761–769.

Sansberg, T., & Conner, M. (2008). Anticipated regret as an additional predictor in the theory of planned behaviour: A meta-analysis. Br. The Journal of Social Psychology, 47, 589–606.

Saidatul, N. B., Safurah Ja'afar, Indra Pathmanathan, & Saint, V. (2018). Human papillomavirus immunization of adolescent girls: improving coverage through multisectoral collaboration in Malaysia. BMJ (Clinical research ed.), 363, k4602.

Sharifa Ezat W. P., Rozita, H., Jamsiah, M., Ahmad Zailani Hatta M. D., Aqmar Suraya, S. & Azlin, A. (2013). National HPV Immunisation Programme: Knowledge and Acceptance of Mothers Attending an Obstetrics Clinic at a Teaching Hospital, Kuala Lumpur. Asian Pacific Journal of Cancer Prevention, 14(5), 2991–2999.

Sharifa Ezat W. P. & Syed M. A. (2011). Affordability of HPV vaccine in developing countries. Malaysian Journal of Public Health Medicine, 11(1), 1–5.

Tota, J. E, Ramana-Kumar A. V., El-Khatib Z. & Franco, E. L. (2014). The road ahead for cervical cancer prevention and control. Current Oncology, 21(2), e255–64.

Trenta, M., Sealeb, H., Chughtaib, A. A., Salmonc, D. & MacIntyre, C. R. (2021). Trust in government, intention to vaccinate and COVID-19 vaccine hesitancy: A comparative survey of five large cities in the United States, United Kingdom, and Australia Vaccine.

WHO (2017). Questions and Answers about HPV. Facts about the Virus and the Vaccine. 2017. Available online: http://www.euro.who.int/_data/assets/pdf_file/0010/356842/QA_HPV_General_EN.p df?ua= 1 (accessed on 1 September 2021).

Wong, L. P., Alias, H., Raja Muhammad Yusoff, R. N. A., Sam, I. C., & Zimet, G. D. (2019). Are Boys Ready for Human Papillomavirus Vaccine? A National Study of Boys in Malaysia. Sexually Transmitted Diseases, 46(9), 617–624.

Wong, L. P., Raja Muhammad Yusoff R. N. A, Edib, Z., Sam, I. C & Zimet, G. D. (2016). Nationwide Survey of Knowledge and Health Beliefs regarding Human Papillomavirus among HPV-Vaccinated Female Students in Malaysia. PLoS ONE 11(9), e0163156.

World Health Organisation (2017). Human papillomavirus vaccines: WHO position paper, may 2017. Weekly Epidemiological Record, 92, 241–68.

Zaridah S. (2014). A review of cervical cancer research in Malaysia. Medical Journal of Malaysia, 69, 33–41.

Downloads

Published

2022-04-30

Issue

Section

Archives

Most read articles by the same author(s)