Correlates of HPV Vaccine Acceptance among Women in the Philippines

Purpose: To identify sociodemographic, behavioral, and attitudinal correlates to Human papillomavirus (HPV) vaccine acceptance among a community-based sample of Filipina women. Data: Cross-sectional survey data from women 18-52 years of age (n=435) in the Philippines' Central Visayan region. Methods: The survey was self-administered and was provided in the native language of Cebuano. The survey addressed attitudinal correlates based on the Health Belief Model and Theory of Planned Behavior, as well as socio-demographic, behavioral, and healthcare-related characteristics. Women were also asked about the most influential factors and people in their potential vaccination decision and about the most trusted provider of HPV vaccination. Intent to be vaccinated against HPV at six price increments was measured through responses on 7-point Likert scale items. Results: Logistic regression analysis identified mothers and partners to be influential in women's vaccine refusal at lower and higher price increments, respectively. Having transportation to a vaccination clinic was independently protective against vaccine refusal at moderate to high price increments. Additional variables such as exposure to pap testing, perceived severity of and susceptibility to HPV-related conditions, vaccine-related fears, and others were also independently associated with vaccine refusal at various price increments. Recommendations: Among Filipina women, a range of social and attitudinal factors may be predictive of HPV vaccination intent, particularly those related to perceived behavioral control. To maximize effectiveness in implementing a HPV vaccine initiative in the region, these factors should be taken into account and costs must be kept to a minimum.