Factors associated with HPV vaccination uptake in Uganda: a multi-level analysis

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dc.contributor.authorIsabirye, Alone
dc.contributor.authorMbonye, Martin
dc.contributor.authorAsiimwe, John B.
dc.contributor.authorKwagala, Betty
dc.date.accessioned2022-03-07T11:00:52Z
dc.date.available2022-03-07T11:00:52Z
dc.date.issued2020
dc.description.abstractThe 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.en_US
dc.identifier.citationIsabirye, 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/s12905-020-01014-5en_US
dc.identifier.urihttps://doi.org/10.1186/s12905-020-01014-5
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2454
dc.language.isoenen_US
dc.publisherBMC Women's Healthen_US
dc.subjectHuman papilloma virusen_US
dc.subjectHPVen_US
dc.subjectVaccineen_US
dc.subjectMultilevel analysisen_US
dc.subjectUgandaen_US
dc.titleFactors associated with HPV vaccination uptake in Uganda: a multi-level analysisen_US
dc.typeArticleen_US
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