Factors associated with parental hesitancy towards the human papillomavirus vaccine: a cross-sectional study

Abstract Cervical cancer is the second most common cancer among females in Cameroon, with human papillomavirus (HPV) being the primary cause. While HPV vaccines are highly effective and have been introduced by Cameroon’s Ministry of Health (MOH), uncertainties persist regarding the determinants of H...

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Main Authors: Monela Mah-Ngum Ntonifor, Nkengeh Ntangatung Tazinkeng, Ben-Lawrence Kemah, Noumbissie Evenge Claudia, Yonta Kenne Sonia, Sangwe Clovis Nchinjoh, Clarence Mvalo Mbanga, Marwa Maweya Abdelbagi Elbasheer, Valirie Ndip Agbor
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-94067-1
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author Monela Mah-Ngum Ntonifor
Nkengeh Ntangatung Tazinkeng
Ben-Lawrence Kemah
Noumbissie Evenge Claudia
Yonta Kenne Sonia
Sangwe Clovis Nchinjoh
Clarence Mvalo Mbanga
Marwa Maweya Abdelbagi Elbasheer
Valirie Ndip Agbor
author_facet Monela Mah-Ngum Ntonifor
Nkengeh Ntangatung Tazinkeng
Ben-Lawrence Kemah
Noumbissie Evenge Claudia
Yonta Kenne Sonia
Sangwe Clovis Nchinjoh
Clarence Mvalo Mbanga
Marwa Maweya Abdelbagi Elbasheer
Valirie Ndip Agbor
author_sort Monela Mah-Ngum Ntonifor
collection DOAJ
description Abstract Cervical cancer is the second most common cancer among females in Cameroon, with human papillomavirus (HPV) being the primary cause. While HPV vaccines are highly effective and have been introduced by Cameroon’s Ministry of Health (MOH), uncertainties persist regarding the determinants of HPV-related vaccine hesitancy. This study investigated the factors associated with parental HPV and cervical cancer awareness as well as parental HPV vaccine hesitancy in Cameroon. This cross-sectional study included 1,187 participants residing in Buea Health District (BHD) from August 2023 to March 2024. A pretested questionnaire adapted from the WHO’s vaccine hesitancy tool was used for data collection. Multivariable logistic regression generated adjusted odds ratios for lack of awareness and vaccine hesitancy. Younger ages and lower education levels were significantly associated with greater odds of HPV and cervical cancer unawareness. Parents with lower educational attainment and those unaware of HPV and cervical cancer had higher odds of vaccine hesitancy. Additionally, concerns about vaccine safety and side effects, distrust in the MOH and pharmaceutical companies, and lack of support from religious leaders were associated with parental vaccine hesitancy. In contrast, parents with a history of chronic illness had lower odds of being hesitant. The study identified several factors associated with parental HPV vaccine hesitancy. Addressing these factors could play a key role in improving vaccine uptake among children and eventually reducing cervical cancer rates in Cameroon.
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spelling doaj-art-2d72b1f1d3464192b0d1d78b7f8e20d92025-08-20T02:00:14ZengNature PortfolioScientific Reports2045-23222025-05-0115111010.1038/s41598-025-94067-1Factors associated with parental hesitancy towards the human papillomavirus vaccine: a cross-sectional studyMonela Mah-Ngum Ntonifor0Nkengeh Ntangatung Tazinkeng1Ben-Lawrence Kemah2Noumbissie Evenge Claudia3Yonta Kenne Sonia4Sangwe Clovis Nchinjoh5Clarence Mvalo Mbanga6Marwa Maweya Abdelbagi Elbasheer7Valirie Ndip Agbor8Department of Medical Laboratory Science, Faculty of Health Sciences, University of BueaDepartment of Health Research, Health Education and Research Organization (HERO)Department of Health Research, Health Education and Research Organization (HERO)Department of Medical Laboratory Science, Faculty of Health Sciences, University of BueaDepartment of Health Research, Health Education and Research Organization (HERO)Division of Public Health, Faculty of Health Sciences, University of the Free StateClinton Health Access Initiative IncCancer Epidemiological Unit, Nuffield Department of Population Health, University of OxfordDepartment of Health Research, Health Education and Research Organization (HERO)Abstract Cervical cancer is the second most common cancer among females in Cameroon, with human papillomavirus (HPV) being the primary cause. While HPV vaccines are highly effective and have been introduced by Cameroon’s Ministry of Health (MOH), uncertainties persist regarding the determinants of HPV-related vaccine hesitancy. This study investigated the factors associated with parental HPV and cervical cancer awareness as well as parental HPV vaccine hesitancy in Cameroon. This cross-sectional study included 1,187 participants residing in Buea Health District (BHD) from August 2023 to March 2024. A pretested questionnaire adapted from the WHO’s vaccine hesitancy tool was used for data collection. Multivariable logistic regression generated adjusted odds ratios for lack of awareness and vaccine hesitancy. Younger ages and lower education levels were significantly associated with greater odds of HPV and cervical cancer unawareness. Parents with lower educational attainment and those unaware of HPV and cervical cancer had higher odds of vaccine hesitancy. Additionally, concerns about vaccine safety and side effects, distrust in the MOH and pharmaceutical companies, and lack of support from religious leaders were associated with parental vaccine hesitancy. In contrast, parents with a history of chronic illness had lower odds of being hesitant. The study identified several factors associated with parental HPV vaccine hesitancy. Addressing these factors could play a key role in improving vaccine uptake among children and eventually reducing cervical cancer rates in Cameroon.https://doi.org/10.1038/s41598-025-94067-1HPVCervical cancerParentHesitancyAcceptanceAwareness
spellingShingle Monela Mah-Ngum Ntonifor
Nkengeh Ntangatung Tazinkeng
Ben-Lawrence Kemah
Noumbissie Evenge Claudia
Yonta Kenne Sonia
Sangwe Clovis Nchinjoh
Clarence Mvalo Mbanga
Marwa Maweya Abdelbagi Elbasheer
Valirie Ndip Agbor
Factors associated with parental hesitancy towards the human papillomavirus vaccine: a cross-sectional study
Scientific Reports
HPV
Cervical cancer
Parent
Hesitancy
Acceptance
Awareness
title Factors associated with parental hesitancy towards the human papillomavirus vaccine: a cross-sectional study
title_full Factors associated with parental hesitancy towards the human papillomavirus vaccine: a cross-sectional study
title_fullStr Factors associated with parental hesitancy towards the human papillomavirus vaccine: a cross-sectional study
title_full_unstemmed Factors associated with parental hesitancy towards the human papillomavirus vaccine: a cross-sectional study
title_short Factors associated with parental hesitancy towards the human papillomavirus vaccine: a cross-sectional study
title_sort factors associated with parental hesitancy towards the human papillomavirus vaccine a cross sectional study
topic HPV
Cervical cancer
Parent
Hesitancy
Acceptance
Awareness
url https://doi.org/10.1038/s41598-025-94067-1
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