The Pan African medical journal · 2025
[Determinants of refusal of vaccination against human papillomavirus by parents of children aged 9 to 14 in households in Aliodan, Ivory Coast 2024: quantitative cross-sectional study].
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Kounangui Marie Noelle Ano Ama, Kouadio Daniel Ekra, Assamala Marielle Ehilé, Loukou Gilbert Konan, Bangaman Christian Akani, Kouassi Chantal
Аннотация
INTRODUCTION: this study, conducted in Treichville health district in households of the district of Aliodan within the Anoumabo health area in Ivory Coast, aimed to identify the factors associated with parental refusal of the human papillomavirus (HPV) vaccination for girls aged 9 to 14 years.
METHODS: we conducted an analytical cross-sectional study with prospective data collection. A univariate analysis was performed using Chi-square and Fisher's exact tests to compare variable groups. A stepwise descendant multivariate logistic regression was used to identify determinants of refusal at a significance level of p = 0.05.
RESULTS: a total of 181 respondents were interviewed, comprising 62.98% women and 37.02% men, with a sex ratio of 1.7. The average age was 41.43 ± 11.19 years. The rate of vaccine refusal was 22.10%, compared to 77.90% who did not refuse to vaccinate their children. The identified determinants of parental refusal included: having daughters enrolled in school (p=0.0003; Adjusted OR= 0.1932; 95% CI= [0.0795; 0.4693]), foreign ethnic origin (p=0.0106; Adjusted OR= 3.1636; 95% CI= [1.3079; 7.6523]), parents with no religious affiliation (p=0.0002; Adjusted OR= 8.4600; 95% CI= [0.7944; 3.9284]), difficulty accessing transportation (p=0.0111; Adjusted OR= 0.0534; 95% CI= [0.0056; 0.5120]), information sources limited to television or social media (p=0.0106; Adjusted OR= 0.1322; 95% CI= [0.0280; 0.624]).
CONCLUSION: sociocultural and practical factors contributed to parental refusal of the HPV vaccine. This highlights the need to strengthen training for healthcare professionals and community leaders for effective mass awareness campaigns.
METHODS: we conducted an analytical cross-sectional study with prospective data collection. A univariate analysis was performed using Chi-square and Fisher's exact tests to compare variable groups. A stepwise descendant multivariate logistic regression was used to identify determinants of refusal at a significance level of p = 0.05.
RESULTS: a total of 181 respondents were interviewed, comprising 62.98% women and 37.02% men, with a sex ratio of 1.7. The average age was 41.43 ± 11.19 years. The rate of vaccine refusal was 22.10%, compared to 77.90% who did not refuse to vaccinate their children. The identified determinants of parental refusal included: having daughters enrolled in school (p=0.0003; Adjusted OR= 0.1932; 95% CI= [0.0795; 0.4693]), foreign ethnic origin (p=0.0106; Adjusted OR= 3.1636; 95% CI= [1.3079; 7.6523]), parents with no religious affiliation (p=0.0002; Adjusted OR= 8.4600; 95% CI= [0.7944; 3.9284]), difficulty accessing transportation (p=0.0111; Adjusted OR= 0.0534; 95% CI= [0.0056; 0.5120]), information sources limited to television or social media (p=0.0106; Adjusted OR= 0.1322; 95% CI= [0.0280; 0.624]).
CONCLUSION: sociocultural and practical factors contributed to parental refusal of the HPV vaccine. This highlights the need to strengthen training for healthcare professionals and community leaders for effective mass awareness campaigns.