Correlates of Parental Consent to Human Papillomavirus Vaccine Uptake by Their Adolescent Daughters in ZAMBIA: Application of the Health Belief Model

Lubeya, Mwansa Ketty; Chibwesha, Carla J.; Mwanahamuntu, Mulindi; Mukosha, Moses; Maposa, Innocent; Kawonga, Mary

doi:10.3390/vaccines11050912

Open AccessArticle

Correlates of Parental Consent to Human Papillomavirus Vaccine Uptake by Their Adolescent Daughters in ZAMBIA: Application of the Health Belief Model

by

Mwansa Ketty Lubeya

^1,2,3,*

,

Carla J. Chibwesha

⁴,

Mulindi Mwanahamuntu

^1,2,

Moses Mukosha

^3,5

,

Innocent Maposa

⁶

and

Mary Kawonga

^3,7

¹

Department of Obstetrics and Gynaecology, School of Medicine, The University of Zambia, Lusaka 10101, Zambia

²

Women and Newborn Hospital, University Teaching Hospitals, Lusaka 10101, Zambia

³

School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa

⁴

Clinical HIV Research Unit, Helen Joseph Hospital, Johannesburg 2193, South Africa

⁵

Department of Pharmacy, School of Health Sciences, University of Zambia, Lusaka 10101, Zambia

⁶

Department of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, Witwatersrand University, Johannesburg 2193, South Africa

⁷

Department of Community Health, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg 2193, South Africa

^*

Author to whom correspondence should be addressed.

Vaccines 2023, 11(5), 912; https://doi.org/10.3390/vaccines11050912

Submission received: 31 March 2023 / Revised: 20 April 2023 / Accepted: 24 April 2023 / Published: 28 April 2023

(This article belongs to the Special Issue Management of National and Regional Immunization Programmes: Current Challenges and Future Strategies)

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Abstract

Parental consent for adolescent human papillomavirus (HPV) vaccine uptake is important; however, refusal is prevalent. Therefore, this study aimed to understand factors associated with parental consent for their adolescent daughter’s HPV vaccination. A cross-sectional study was conducted in Lusaka, Zambia, between September and October 2021. We recruited parents from different social settings. The means and standard deviations or median and interquartile ranges were used as appropriate to summarise continuous variables. Simple and multiple logistic regression models were fitted with robust estimation of standard errors. The odds ratios are presented with 95% CI. Mediation analysis was conducted using a generalised structural equation model. The study enrolled 400 parents, mean age 45.7 years [95% CI, 44.3–47.1]. Two hundred and fifteen (53.8%) parents reported consenting to their daughters’ HPV vaccination, and their daughters received it. None of the health belief model (HBM) construct scores showed an independent association with parental consent. Higher, compared to lower wealth index (AOR; 2.32, 95% CI: 1.29–4.16), knowing someone with genital warts (AOR = 2.23, 95 CI: 1.04–4.76), cervical cancer screening uptake (AOR = 1.93, 95% CI: 1.03–3.62) were associated with increased odds of parental consent. This study highlights factors influencing parental consent for their daughters’ HPV vaccination. Ongoing sensitisation programs are important to improve their decision-making.

Keywords: human papillomavirus vaccination; HPV vaccine; human papillomavirus; genital warts; knowledge; mediation analysis; socio-economic status; cervical cancer screening; generalised structural equation modelling; sub-Saharan Africa

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MDPI and ACS Style

Lubeya, M.K.; Chibwesha, C.J.; Mwanahamuntu, M.; Mukosha, M.; Maposa, I.; Kawonga, M. Correlates of Parental Consent to Human Papillomavirus Vaccine Uptake by Their Adolescent Daughters in ZAMBIA: Application of the Health Belief Model. Vaccines 2023, 11, 912. https://doi.org/10.3390/vaccines11050912

AMA Style

Lubeya MK, Chibwesha CJ, Mwanahamuntu M, Mukosha M, Maposa I, Kawonga M. Correlates of Parental Consent to Human Papillomavirus Vaccine Uptake by Their Adolescent Daughters in ZAMBIA: Application of the Health Belief Model. Vaccines. 2023; 11(5):912. https://doi.org/10.3390/vaccines11050912

Chicago/Turabian Style

Lubeya, Mwansa Ketty, Carla J. Chibwesha, Mulindi Mwanahamuntu, Moses Mukosha, Innocent Maposa, and Mary Kawonga. 2023. "Correlates of Parental Consent to Human Papillomavirus Vaccine Uptake by Their Adolescent Daughters in ZAMBIA: Application of the Health Belief Model" Vaccines 11, no. 5: 912. https://doi.org/10.3390/vaccines11050912

APA Style

Lubeya, M. K., Chibwesha, C. J., Mwanahamuntu, M., Mukosha, M., Maposa, I., & Kawonga, M. (2023). Correlates of Parental Consent to Human Papillomavirus Vaccine Uptake by Their Adolescent Daughters in ZAMBIA: Application of the Health Belief Model. Vaccines, 11(5), 912. https://doi.org/10.3390/vaccines11050912

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Correlates of Parental Consent to Human Papillomavirus Vaccine Uptake by Their Adolescent Daughters in ZAMBIA: Application of the Health Belief Model

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