232964 HPV Vaccine Acceptability among Males and Females in the Philippines: A Qualitative Study

Monday, November 8, 2010

Ruth Kloha , Division of Natural Sciences and Mathematics, Transylvania University, Lexington, KY
Viktoria Safarian , Division of Natural Sciences and Mathematics, Transylvania University, Lexington, KY
Morgan Richardson , Division of Social Sciences, Transylvania University, Lexington, KY
April Young, MPH , Department of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, GA
Kathleen Jagger , Division of Natural Sciences and Mathematics, Transylvania University, Lexington, KY
Purpose: A primary prevention strategy against HPV-associated disease is critical in the Philippines. The purpose of this study is to examine influences on HPV vaccine acceptance among adult men and women in the Philippines. Data: Qualitative data collected from seven gender-separate focus group discussions (n=57) with male and female community members, including a group of commercial sex workers, from the Visayan region. Methods: Focus groups were semi-structured, based on two vignettes and a series of probes used to stimulate discussion. The audio-recorded discussions were translated from Cebuano to English and transcribed into a series of documents. Following repeated readings, themes were identified, defined, and coded by members of the research team. After a subsample of the transcripts was coded by researchers independently, inter-rater reliability was tested and themes were then further analyzed. Results: Emergent themes revealed widespread misconceptions about STDs, as well as very little awareness and understanding about HPV, the HPV vaccine, and cervical cancer. Family and friends carried great influence in decision-making to get treated or vaccinated. Financial apprehension was paramount and nearly all participants expressed a concern that they would not be able to afford the HPV vaccine even if it was widely available. Recommendations: Powerful economic, cultural, and social factors may significantly influence HPV vaccine acceptance in the Philippines. To attain widespread coverage, a successful vaccine initiative in the region must minimize structural barriers to vaccine acceptance, incorporate a culturally-sensitive and comprehensive educational campaign, and address the influence of family and friends in HPV vaccination decisions.

Learning Areas:
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
1) Describe the socio-demographic, structural, and behavioral factors that may influence men and women's attitudes towards HPV vaccination acceptance in the Philippines 2) Formulate recommendations for attaining widespread coverage of a HPV vaccine initiative in a low resource setting. 3) Discuss directions for future qualitative and quantitative research regarding HPV vaccine acceptance among populations where secondary prevention is inaccessible.

Keywords: Immunizations, Developing Countries

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I have been involved with a number of HPV vaccine acceptance studies and acted as principal investigator in the study on which the presentation material is based.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.