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Background <p>Globally, about 630,000 cancer cases in men and women are caused by the human papillomavirus (HPV) annually. This study assessed the prevalence of HPV vaccine hesitancy and associated factors among parents in Edo State, Nigeria.</p> Methods <p>This was a descriptive cross-sectional study conducted among 372 parents residing in Ikpoba Okha LGA, Benin City, Edo State, selected using a multistage sampling technique. Data were collected using a validated 9-item vaccine hesitancy scale, adapted from the World Health Organization’s Strategic Advisory Group, to evaluate childhood vaccine hesitancy. Descriptive statistics were used to summarise the data, while inferential statistics (chi-square tests) were used to identify associations between dependent and independent variables. P was set at 0.05, with a 95% confidence interval. Multivariable analysis was conducted to identify significant predictors of high vaccine hesitancy.</p> Results <p>Overall, 13.1% of respondents were classified as vaccine hesitant, while 16.4% were non-hesitant, with a substantial proportion (70%) remaining neutral. Respondents with secondary education or less were significantly more likely to be hesitant than those with tertiary education (OR = 2.78, 95% CI 1.27–6.08; <i>p</i> = 0.017). Compared with respondents with poor knowledge, those with fair knowledge (OR = 0.34, 95% CI 0.12–0.93) and good knowledge (OR = 0.12, 95% CI 0.03–0.45) had significantly lower odds of hesitancy (<i>p</i> &lt; 0.001). Respondents who believed vaccination was unnecessary were approximately eleven times more likely to be hesitant than those who considered vaccination necessary (OR = 11.00, 95% CI 2.46–49.28; <i>p</i> &lt; 0.001). Participants who relied on non-health sources for information (OR = 2.18, 95% CI 1.00–4.73; <i>p</i> = 0.050), those who had not received a recommendation from a health worker (OR = 2.69, 95% CI 1.09–6.64; <i>p</i> = 0.015), and those unwilling or unsure about accepting the vaccine if provided free of charge (OR = 3.73, 95% CI 1.69–8.24; <i>p</i> = 0.006) were significantly more likely to exhibit vaccine hesitancy.</p> Conclusion <p>In conclusion, Targeted interventions focusing on health education to improve vaccine acceptance.</p>

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Prevalence of HPV vaccine hesitancy and associated factors among parents in Edo State Nigeria

  • 期刊论文

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  • 发表日期：

    2026年7月4日

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  • Ejovi Akpojaro,
  • Blessing Emetu,
  • Oluwafunmilayo Eloghosa Elusoji,
  • Ohenhen Victor

摘要

Background

Globally, about 630,000 cancer cases in men and women are caused by the human papillomavirus (HPV) annually. This study assessed the prevalence of HPV vaccine hesitancy and associated factors among parents in Edo State, Nigeria.

Methods

This was a descriptive cross-sectional study conducted among 372 parents residing in Ikpoba Okha LGA, Benin City, Edo State, selected using a multistage sampling technique. Data were collected using a validated 9-item vaccine hesitancy scale, adapted from the World Health Organization’s Strategic Advisory Group, to evaluate childhood vaccine hesitancy. Descriptive statistics were used to summarise the data, while inferential statistics (chi-square tests) were used to identify associations between dependent and independent variables. P was set at 0.05, with a 95% confidence interval. Multivariable analysis was conducted to identify significant predictors of high vaccine hesitancy.

Results

Overall, 13.1% of respondents were classified as vaccine hesitant, while 16.4% were non-hesitant, with a substantial proportion (70%) remaining neutral. Respondents with secondary education or less were significantly more likely to be hesitant than those with tertiary education (OR = 2.78, 95% CI 1.27–6.08; p = 0.017). Compared with respondents with poor knowledge, those with fair knowledge (OR = 0.34, 95% CI 0.12–0.93) and good knowledge (OR = 0.12, 95% CI 0.03–0.45) had significantly lower odds of hesitancy (p < 0.001). Respondents who believed vaccination was unnecessary were approximately eleven times more likely to be hesitant than those who considered vaccination necessary (OR = 11.00, 95% CI 2.46–49.28; p < 0.001). Participants who relied on non-health sources for information (OR = 2.18, 95% CI 1.00–4.73; p = 0.050), those who had not received a recommendation from a health worker (OR = 2.69, 95% CI 1.09–6.64; p = 0.015), and those unwilling or unsure about accepting the vaccine if provided free of charge (OR = 3.73, 95% CI 1.69–8.24; p = 0.006) were significantly more likely to exhibit vaccine hesitancy.

Conclusion

In conclusion, Targeted interventions focusing on health education to improve vaccine acceptance.