Predictors of Human Papillomavirus (HPV) Vaccine Acceptability Among Physicians, Their Knowledge on Cervical Cancer, and Factors Influencing Their Decision to Recommend It

Bandar Alosaimi; Deema I Fallatah; Samar Abd ElHafeez; Marina Saleeb; Huda M Alshanbari; Maaweya Awadalla; Mamoun Ahram; Mohammad Adnan Khalil

doi:10.2147/JMDH.S484534

Predictors of Human Papillomavirus (HPV) Vaccine Acceptability Among Physicians, Their Knowledge on Cervical Cancer, and Factors Influencing Their Decision to Recommend It

J Multidiscip Healthc. 2024 Nov 13:17:5177-5188. doi: 10.2147/JMDH.S484534. eCollection 2024.

Authors

Bandar Alosaimi¹, Deema I Fallatah², Samar Abd ElHafeez³, Marina Saleeb⁴, Huda M Alshanbari⁵, Maaweya Awadalla¹, Mamoun Ahram⁶, Mohammad Adnan Khalil⁷

Affiliations

¹ Research Center, King Fahad Medical City, Riyadh Second Health Cluster, Riyadh, Saudi Arabia.
² Department of Medical Laboratory Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
³ Epidemiology Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt.
⁴ MARS Global, Covent Garden, London, UK.
⁵ Department of Mathematical Sciences, College of Science, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
⁶ Department of Physiology and Biochemistry, School of Medicine, The University of Jordan, Amman, Jordan.
⁷ Department of Basic Medical Sciences, Faculty of Medicine, Aqaba Medical Sciences University, Aqaba, Jordan.

Abstract

Introduction: In Saudi Arabia, the HPV vaccine is administered to young females through school-based immunization programs; however, the program's efficacy depends on parental consent, with physicians acting as primary determinants in parental decision-making regarding HPV vaccination.

Methods: In this cross-sectional study, we recruited 128 physicians and assessed their knowledge and attitudes toward cervical cancer, HPV, and the HPV vaccine, and unraveled predictors of HPV vaccine acceptability and factors that would influence recommending the vaccine.

Results: Although the major factor that influenced recommending the vaccine negatively was the fear of vaccine side effects, a positive influence of the physician's personal reading (91%), recommendations from colleagues (88%), and government directives (87%) provided reassurance and increased confidence in recommending the vaccine. Longer clinical experience and institutional awareness were found to be a predictors of favorable recommendation of HPV vaccination. Physicians in vaccine-related medical specialty with more than 4 years of experience were 5 to 6 times more likely to have positive attitude and better knowledge regarding HPV and HPV vaccination. A notable finding was that participants who reported knowing a woman suffering from cervical cancer had more positive attitudes compared to those who did not.

Discussion: This study identified physicians' personal reading, peer recommendations, and government directives as factors affecting the physicians' decision to recommend HPV vaccine, and found that longer clinical experience and institutional awareness were predictors influencing physicians to recommend the vaccine. It also emphasizes on the influence of healthcare providers in promoting the HPV vaccination and the need for designing interventions targeting specific demographic and professional groups that would be more effective in improving better knowledge and promoting positive attitudes towards these critical public health issues.

Keywords: HPV vaccine; attitudes; cervical cancer; factors; human papillomavirus; knowledge; physicians.

Grants and funding

Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2024R 299), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.