Evidence map›Paper›PMID 37461002›Full record

ArticleBMC pediatrics2023

Knowledge, perceptions and uptake of human papilloma virus vaccine among adolescent girls in Kampala, Uganda; a mixed-methods school-based study.

Glet Kakuru Bitariho, Doreen Tuhebwe, Arnold Tigaiza, Aisha Nalugya, Tonny Ssekamatte, Suzanne N Kiwanuka

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Glet Kakuru BitarihoDepartment of Disease control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, P.O BOX 7072, Kampala, Uganda.
Doreen TuhebweDepartment of Disease control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, P.O BOX 7072, Kampala, Uganda.
Arnold TigaizaDepartment of Disease control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, P.O BOX 7072, Kampala, Uganda. arnoldtigaiza32@gmail.com.
Aisha NalugyaDepartment of Disease control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, P.O BOX 7072, Kampala, Uganda.
Tonny SsekamatteDepartment of Disease control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, P.O BOX 7072, Kampala, Uganda.
Suzanne N KiwanukaDepartment of Health Policy Planning and Management, School of Public Health, College of Health Sciences, Makerere University, P.O BOX 7072, Kampala, Uganda.
Makerere University · UGMinistry of Health · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical cancer is a major public health challenge, accounting for substantial morbidity and mortality. Human Papilloma Virus (HPV) vaccination is the recommended primary public health intervention for HPV infection prevention. However, there's limited evidence on the level of knowledge, attitude, and practices of adolescent girls regarding HPV vaccination in Kampala city, Uganda. This study assessed the knowledge, perceptions, and practices of adolescent girls aged 10-14 years towards HPV vaccination program in Kampala, Uganda to generate evidence to guide programs targeted at improving uptake of the vaccine.

methodsA convergent parallel mixed methods study was conducted in Kampala, Uganda. A structured questionnaire was used to elicit data from 524 adolescent girls. In addition, 6 Focus group discussions, and 24 key informant interviews (teacher and parents) were conducted. Multistage and purposive sampling techniques were used to select quantitative and qualitative participants respectively. Quantitative data were entered using epidata, cleaned and analyzed using Stata v14 while qualitative data were analyzed using thematic content analysis in atlas ti version 8.

resultsOverall, only 8.6% (45/524) of the girls had completed the HPV vaccine schedule of two dozes, 49.2% (258/524) of the girls had low knowledge about the HPV vaccine and teachers and parents affirmed this lack of knowledge among adolescent girls especially concerning the target age group, dosage, and vaccine interval. About 51.9% (272/524) of girls had negative perceptions towards HPV vaccination. Parents expressed negative perceptions, beliefs, superstitions, and safety concerns of the vaccine.Girls residing in rural areas (adjusted prevalence ratio, aPR = 0.35, C. I = 0.14-0.85) had lower knowledge levels compared to those in urban areas. Girls whose mothers were healthcare providers (aPR = 1.94, C. I = 1.10-3.41), girls with high knowledge levels (aPR = 1.79, C. I = 1.21-2.63) and positive perceptions (aPR = 2.87, C. I = 1.93-4.27) had a higher prevalence of being fully vaccinated.

conclusionGirls generally had low levels of knowledge, negative perceptions, and poor uptake of HPV vaccination. We recommend sensitization campaigns in schools and communities to improve awareness, perceptions, and practices of stakeholders towards HPV vaccination.

Indexed as

Papillomavirus InfectionsPapillomavirus VaccinesAdolescentFemaleHealth Knowledge, Attitudes, PracticeHuman Papillomavirus VirusesHumansMothersPatient Acceptance of Health CareUgandaVaccinationPapillomavirus Vaccines10–14 yearsAdolescent girlsHPV vaccineKnowledgePerceptionsUptake

Identifiers

PMID37461002
PMCPMC10351135
OpenAlexW4384525012

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.