Evidence map›Paper›PMID 41107838›Full record

SynthesisBMC public health2025

Associations of socioeconomic factors with parents' awareness and acceptability of HPV vaccination in sub-Saharan Africa - a systematic review and meta-analysis.

Alina John, Achenyo Peace Abbah, Ingvild Fossgard Sandøy

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Alina JohnCentre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway. alina.john@hotmail.com.
Achenyo Peace AbbahCentre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Ingvild Fossgard SandøyCentre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the effectiveness of Human Papillomavirus (HPV) vaccines in preventing cervical cancer, the low coverage of the vaccine remains a significant challenge, particularly in Sub-Saharan Africa, where the disease burden is high, and access to preventive services is limited. Socioeconomic determinants play a central role in shaping health behaviors and health outcomes. The uptake of the HPV vaccine is partly determined by parental decision-making, and this review aimed to examine whether socioeconomic factors are associated with awareness and acceptability of HPV vaccination among parents in sub-Saharan Africa.

methodsA systematic literature review was carried out according to the Preferred Reporting Items for Systemic Reviews and Meta-analysis guidelines. The databases searched included Medline, Embase, Web of Science, and the Cochrane Library. Three independent reviewers conducted the screening, study selection, data extraction and risk of bias assessment. Meta-analyses were performed and the certainty of evidence was evaluated using the Grading of Recommendations Assessment, Development and Evaluation.

resultsThe review included 26 articles, comprising 24 cross-sectional and two cohort studies. Seven studies examined parental awareness, 14 studies examined parental acceptability, and four studies examined both outcomes. Parents' awareness of the HPV vaccine was associated with higher levels of education (OR = 3.81, 95% CI: 2.11-6.88, I

conclusionsThere may be a positive association between socioeconomic status, especially higher education and higher income, and parental awareness and acceptance of HPV vaccination. However the evidence is currently limited and inconsistent.

Indexed as

Health Knowledge, Attitudes, PracticePapillomavirus VaccinesParentsPatient Acceptance of Health CareAfrica South of the SaharaFemaleHumansPapillomavirus InfectionsSocioeconomic FactorsUterine Cervical NeoplasmsPapillomavirus VaccinesAcceptabilityAwarenessCervical cancerHPV vaccineHuman papillomavirusMeta-analysisParentsSocioeconomic statussub-Saharan AfricaSystematic review

Identifiers

PMID41107838
PMCPMC12535123

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.