Factors associated with HPV vaccination uptake in Uganda: a multi-level analysis
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
BMC Women's Health
Abstract
The cervical cancer burden in Uganda is high amidst low uptake of HPV vaccination. Identification of
individual and community factors associated with HPV vaccination are imperative for directed interventions.
Conversely, in most Low and Middle Income Countries (LMICs) including Uganda this problem has not been
sufficiently studied as the influence of individual and contextual determinants remains undetermined in spite of
their substantial effect on HPV vaccine uptake. The aim of the study was to identify individual (school attendance
status, age of girls, ethnicity, and amount of media exposure) and community (socioeconomic disadvantages)
factors associated with HPV vaccination.
Methods: Based on a modified conceptual framework for health care utilization, hierarchical modelling was used to
study 6093 girls, aged 10–14 years (level 1), nested within 686 communities (level 2) in Uganda by analyzing data
from the 2016 Uganda Demographic and Health Survey.
Results: Majority (78%) of the girls had not been vaccinated. A number of both individual and community factors
were significantly associated with HPV vaccination. The Odds of HPV vaccination were higher among girls age; 11,
13, and 14 compared to girls age 10 years, attending school compared to girls not attending school, who were;
foreigners, Iteso, Karamajong, Banyoro, Basoga, and other tribe compared to Baganda, living in families with 1–8
members compared to those living in families with 9 or more members and middle social economic status
compared to poor wealth quintile.
Description
Keywords
Human papilloma virus, HPV, Vaccine, Multilevel analysis, Uganda
Citation
Isabirye, A., Mbonye, M., Asiimwe, J. B., & Kwagala, B. (2020). Factors associated with HPV vaccination uptake in Uganda: a multi-level analysis. BMC Women's Health, 20(1), 1-11.https://doi.org/10.1186/s12905-020-01014-5