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Multi-Theory Model and Predictors of Likelihood of Accepting the Series of HPV Vaccination: A Cross-Sectional Study among Ghanaian Adolescents

Author

Listed:
  • Matthew Asare

    (Department of Public Health, Robbins College of Health and Human Sciences Baylor University, One Bear Place, Waco, TX 97343, USA)

  • Peter Agyei-Baffour

    (School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana)

  • Beth A. Lanning

    (Department of Public Health, Robbins College of Health and Human Sciences Baylor University, One Bear Place, Waco, TX 97343, USA)

  • Alex Barimah Owusu

    (Department of Geography and Resource Development, University of Ghana, Legon, Ghana)

  • Mary E. Commeh

    (Ghana Health Services, Non-Communicable Disease Control, Accra, Ghana)

  • Kathileen Boozer

    (Louise Herrington School of Nursing, Baylor University, Dallas, TX 75246, USA)

  • Adofo Koranteng

    (School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana)

  • Lori A. Spies

    (Louise Herrington School of Nursing, Baylor University, Dallas, TX 75246, USA)

  • Jane R. Montealegre

    (Department of Pediatrics and Dan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, TX 77030, USA)

  • Electra D. Paskett

    (Department of Internal Medicine, Division of Cancer Prevention and Control in the College of Medicine, College of Medicine, The Ohio State University, Columbus, OH 43210, USA)

Abstract

HPV vaccines are efficacious in preventing HPV related cancers. However, the vaccination uptake in Ghana is very low. Studies that utilize theoretical frameworks to identify contributory factors to HPV vaccination uptake in Ghana are understudied. We used multi-theory model (MTM) constructs to predict initiation and completion of HPV vaccination series in Ghanaian adolescents. Adolescents ( n = 285) between the ages of 12 and 17 years old were recruited from four selected schools in Ghana to participate in the cross-sectional study. Linear regressions were used to analyze the data. Most participants were female (91.2%) and senior high school students (60.0%). Many of the participants had neither heard about HPV (92.3%) nor HPV vaccinations (95.4%). Significant predictors of adolescents’ likelihood of getting the first dose of HPV vaccination were perceived beliefs and change in a physical environment ( p < 0.001), with each variable accounting for 6.1%and 8.8% of the variance respectively. Significant predictors of adolescents’ likelihood of completing HPV vaccination recommended series were perceived beliefs, practice for change, and emotional transformation ( p < 0.001), with each variable accounting for 7.8%, 8.1%, and 1.1% of the variance respectively. Findings underscore important opportunities for developing educational interventions for adolescents in Ghana to increase the HPV vaccination uptake.

Suggested Citation

  • Matthew Asare & Peter Agyei-Baffour & Beth A. Lanning & Alex Barimah Owusu & Mary E. Commeh & Kathileen Boozer & Adofo Koranteng & Lori A. Spies & Jane R. Montealegre & Electra D. Paskett, 2020. "Multi-Theory Model and Predictors of Likelihood of Accepting the Series of HPV Vaccination: A Cross-Sectional Study among Ghanaian Adolescents," IJERPH, MDPI, vol. 17(2), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:2:p:571-:d:309275
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    References listed on IDEAS

    as
    1. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    2. Jarim Kim, 2018. "The Relationship of Health Beliefs with Information Sources and HPV Vaccine Acceptance among Young Adults in Korea," IJERPH, MDPI, vol. 15(4), pages 1-11, April.
    3. Wigle, Jannah & Coast, Ernestina & Watson-Jones, Deborah, 2013. "Human Papillomavirus (HPV) vaccine implementation in low andmiddle-income countries (LMICs): health system experiences and prospects," LSE Research Online Documents on Economics 50582, London School of Economics and Political Science, LSE Library.
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