FACTORS ASSOCIATED WITH ADOLESCENT COMPLIANCE WITH HUMAN PAPILLOMAVIRUS VACCINE: A CROSS-SECTIONAL STUDY

Ayla Maria Calixto De Carvalho,Telma Maria Evangelista De Araújo

doi:10.1590/1980-265x-tce-2020-0362

Ayla Maria Calixto De Carvalho, Telma Maria Evangelista De Araújo

Open Access

https://doi.org/10.1590/1980-265x-tce-2020-0362

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Abstract

ABSTRACT Objective: to identify the factors associated with adolescent compliance with the human papillomavirus vaccine. Method: this is a cross-sectional study, developed through a school survey, in Teresina, Piauí, Brazil, whose data collection occurred in 2018. A scale was used to assess decision-making, attitudes, feelings and knowledge about the human papillomavirus, in addition to a questionnaire to collect sociodemographic, economic and vaccination status data. The variables were submitted to the multivariate model of logistic regression to explain factors associated with vaccination adeforemen. Results: the study sample consisted of 624 adolescents, 15 years old, attending the first year of high school, of which 22.8% received the human papillomavirus vaccine. Being male decreases the chance of complying with the vaccine by 50% (aOR=0.05). Moreover, disagreeing or disagreeing with or disagreeing with parents to make the decision to vaccinate their children also reduced the chances of vaccination by 66% (aOR=0.34), respectively, as well as disagreeing with or disagreeing that men do not take human papillomavirus, minimized the chances of vaccination complying with vaccination by 66% (aOR=0.34), when compared to those who disagreed with this statement. Conclusion: low adolescent compliance with human papillomavirus vaccine was identified. Adolescents remain susceptible to diseases related to the human papillomavirus. Therefore, vaccination strategies need to be rethought, with the offer of vaccination in schools, mediated by educational campaigns.

Highlights

Human Papillomavirus (HPV) comprises 202 different genotypes, five types infect, preferably, the mucosa of the genitals, the upper respiratory tract and the skin
When considering the prevalence of HPV infection, the high incidence of cervical cancer and the challenges of vaccine implantation worldwide, aimed to identify the factors associated with adolescent compliance with the human papillomavirus vaccine
The relative frequencies described served as the basis for calculating adolescents’ asset indicator (IB), which were classified into two groups, 78.5% (490) with higher possession of assets and 21.5% (134) with less possession

Summary

Introduction

Human Papillomavirus (HPV) comprises 202 different genotypes, five types infect, preferably, the mucosa of the genitals, the upper respiratory tract and the skin They are recognized as important pathogenic factors of cervical cancer and precancerous lesions. The prevalence of HPV infection is high, becoming worrisome because it is a virus capable of developing cervical cancer in the third and fourth decade of life, or even earlier. It is among the most frequent sexually transmitted infections among adolescents, associated with the onset of sexual relations before the age of 15, non-use of condoms, inadequate knowledge about sexual health, the history of three or more sexual partners, sexual partners ten years older than them[2]. They are associated with anogenital, vaginal, vulva, anal, penile, oropharynx, mainly tonsillar and tonguebased cancer[3]

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