A Scoping Review on the Factors Influencing the General Acceptance of Southeast Asians Towards HPV Vaccination
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Background: Southeast Asia is known to have one of the highest Human Papillomavirus (HPV) prevalence rates globally. HPV vaccination has been shown to be successful in the prevention of infection.
Objectives: This study aims to perform a scoping review of the factors influencing HPV acceptance in Southeast Asia, extract dominant themes, identify factors, describe subgroup representation, and suggest considerations in the creation of interventional and delivery strategies to increase vaccine uptake.
Methodology: PubMed was used to identify papers discussing vaccine acceptance, published from January 2009 to March 2020. After review, 41 studies were included in qualitative synthesis.
Findings: The following outcomes were measured in the included studies: knowledge of HPV, attitudes towards vaccination, factors influencing attitudes towards vaccination, and the effectiveness of interventions and strategies in increasing vaccine uptake. There was an overall level of low to moderate knowledge, with generally high vaccine acceptance. Literacy was found to have a direct relationship with uptake, although limited by one’s resources and capability to get vaccinated. Price was noted to be the most crucial factor behind accessibility. Among delivery strategies, school-based and national immunization programs were found to be the most effective.
Conclusion: Factors influencing attitudes towards vaccination include economic, personal, social, and cultural factors. Culturally-specific research and interventions that would better grasp the contexts of target communities are recommended.
Key words: vaccine acceptance, vaccine hesitancy, vaccine uptake, health literacy, HPV
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