Abstract:
Background: More than 70% of cervical cancer is caused by human papilloma virus which is vaccine preventable. The levels and factors associated with the uptake of the human papilloma virus vaccine have not been well investigated in the study area.
Objective: To assess the uptake of human papilloma virus vaccination and associated factors among 14-17 years old primary school female students in Woliso Town, South West Ethiopia, 2022.
Methods: School based cross-sectional study was conducted from September 30 to October 15, 2022. A total of 415 participants were included in the study. Simple random sampling techniques were applied to select study participants. Data were collected using structured, and interviewer guided questionnaires. Data were entered into Epi data version 3.1 then exported to SPSS version 20 for analysis. Descriptive statistics were used to compute summary statistics and proportions. Bivariable binary logistic regression analysis was done to identify candidates for multivariable logistic regression analysis. Variables with p-value less than 0.25 on bivariable logistic regression were entered into multivariable logistic regressions to identify associated factors. The findings were presented using adjusted odds ratio with corresponding 95 % CI. Statistical significance was declared at p-value < 0.05.
Result: Uptake of Human papilloma virus vaccine was at 77.3 %(73.99, 80.61).Family members vaccinated for human papilloma virus (AOR 3.32, 95%CI 1.316 – 8.368), adolescents living together with their parents (AOR 3.43, 95%CI 1.210 – 9.748), positive attitude towards the human papilloma virus vaccine (AOR 6.41, 95%CI 3.249 – 12.646) and having good knowledge about the human papilloma virus vaccine (AOR 2.86, 95%CI 1.446 – 5.668) were factors associated with uptake of human papilloma virus vaccine.
Conclusion: Uptake of human papilloma virus vaccination was good. Good knowledge about human papilloma virus vaccine, positive attitude towards human papilloma virus vaccine, adolescents living with their family, family members and friends vaccinated for human papilloma virus were significantly associated with uptake. Therefore, health education aimed at creating a positive attitude towards the HPV vaccine and increasing the overall knowledge about the HPV and HPV vaccine are the most effective way to utilized this vaccine
