Mothers’ intention to vaccinate their daughters against human papillomavirus in NorthWest Ethiopia, using the theory of planned behavior

ABSTRACT

Human papillomavirus (HPV) is the second most common cause of cancer worldwide among females. HPV vaccination is highly protective against HPV infection and can reduce 56% of HPV infections. Therefore, the study aims to assess mothers’ intention to vaccinate their daughters aged 9–14 years old against human papillomavirus in Debre Tabor town, Northwest Ethiopia, using the theory of planned behavior. A community-based cross-sectional study design was employed using the theory of planned behavior from November 1 to 30, 2022, in Northwest Ethiopia. A total sample of 449 study participants was enrolled. The study participants were selected using a multi-stage random sampling technique. Data was collected using an interview-administered questionnaire. The data was entered into EPI data version 4.6 and then, exported to SPSS version 23 for analysis. Those variables with a p-value <.05 with 95% CI were considered significant predictors. Mothers’ positive intention to vaccinate their daughters aged 9–14 years against HPV was 67.5%. Attitude, perceived behavioral control, and subjective norm were significant predictors with (AOR = 10.09, 95% CI = 6.23–16.32), (AOR = 4.12, 95% CI = 2.71–6.26), and (AOR = 16.397, 95% CI = 9.69–27.748), respectively. Only two-thirds of mothers have a positive intention to vaccinate their daughters against human papillomavirus. Attitude, perceived behavioral control, and subjective norm were predictors. Therefore, it is better to do community mobilization toward the advantage of HPV vaccination.

KEYWORDS:

• HPV
• intention
• theory of planned behavior
• Debre Tabor
• Ethiopia

Acknowledgments

We would like to acknowledge the study participants, data collectors, and all the team members.

Disclosure statement

No potential conflict of interest was reported by the authors.

Authors’ contribution

SB selected the topic, conceived and prepared the proposal, and wrote the paper, HW performed the method part, ZAY performed data analysis, and the software and prepared the manuscript. All authors made a significant contribution to the work reported in all these areas: they took part in drafting, revising, or critically reviewing the article; gave final approval for the version to be published; and agreed on the journal to which the article was to be submitted.

Data availability statement

The necessary data sets used during the current study were available from the corresponding author upon reasonable request.

Ethics approval and informed consent

The study was conducted after approval by the institutional review board of Bahir Dar University College of Medicine and Health Sciences. Then the letter was given to APHI (Amhara Public Health Institute) and Debre Tabor town administration office on October 22/2022 by Reference number 5175/1.4.4 to get permission. Written informed consent was taken.

Supplementary material

Supplemental data for this article can be accessed on the publisher’s website at https://doi.org/10.1080/21645515.2023.2288390.

Additional information

Funding

This work was not supported by any funding.