Assessment of knowledge level and factors influencing decision-making among employed mothers in healthcare centers regarding HPV vaccination for their daughters
Journal of Behdasht dar Arseh (i.e., Health in the Field),
Vol. 12 No. 4 (1403),
7 July 2025
,
Page 17-24
https://doi.org/10.22037/jhf.v12i4.47587
Abstract
Background and Aims: Human papillomavirus (HPV) is the main cause of cervical cancer, which is the second most common cancer among Iranian women. Despite the high effectiveness of vaccination, its acceptance is influenced by various factors, including parental attitudes. This study aimed to examine the attitudes of female healthcare workers in Mashhad toward HPV vaccination for their adolescent daughters.
Materials and Methods: This cross-sectional analytical study was conducted on 198 female employees in health centers of Mashhad. Sampling was performed using the convenience method, with inclusion criteria of having at least one daughter aged 9 to 26 years and holding an associate degree or higher. Data were collected using the standardized MCQ (2020) questionnaire, which assesses four dimensions of attitude (perceived harms, barriers, effectiveness, and trust). The reliability of the questionnaire was confirmed with a Cronbach's alpha of 0.85. Data analysis was carried out using one-sample t-test and SPSS version 26. Ethical considerations were observed throughout all stages of the study.
Results: The mean overall attitude score (44.9 out of 40) was significantly favorable (P<0.001). Attitudes toward vaccine effectiveness (7.01 out of 5) and trust in the vaccine (7.8 out of 7.5) were assessed as positive; however, the perception of barriers (12.37) indicated challenges in access. Only 32% of mothers had full awareness of the link between HPV and cancer.
Conclusion: Although the overall attitude is positive, lack of awareness and structural barriers may limit vaccination coverage. It is recommended that educational programs for mothers and improved access to the vaccine be prioritized in health policy planning. This study emphasizes the important role of mothers in cervical cancer prevention.
- HPV vaccine
- Maternal attitude
- Cervical Cancer
- Human Papilloma virus
How to Cite
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