Human Papillomavirus Awareness in Haiti: Preparing for a National HPV Vaccination Program

J Pediatr Adolesc Gynecol. 2017 Feb;30(1):96-101. doi: 10.1016/j.jpag.2016.07.003. Epub 2016 Aug 4.

Abstract

Study objective: Cervical cancer morbidity and mortality are pressing public health issues that affect women in Haiti. To inform efforts to develop a human papillomavirus (HPV) vaccination program in Haiti, we sought to understand HPV awareness and willingness to get HPV vaccination in Haiti.

Design, setting, and participants: We interviewed a convenience sample of 475 women and men in 2 clinical settings in Port-au-Prince and Léogâne, Haiti between April and July 2014.

Interventions and main outcome measures: HPV awareness and willingness to get HPV vaccine for daughters.

Results: Few participants (27%, 130/475) had heard of HPV. Awareness of HPV was higher among respondents with a previous sexually transmitted infection compared with those without a previous sexually transmitted infection (odds ratio, 2.38; 95% confidence interval, 1.10-5.13). Adults who had heard of genital warts were also more likely to be aware of HPV compared with those who had not (odds ratio, 4.37; 95% confidence interval, 2.59-7.38). Only 10% (24/250) of parents had previously heard of HPV vaccine; however, after researchers explained the purpose of the vaccine, nearly all (96%, 240/250) said they would be willing to get HPV vaccine for their daughters if it were available.

Conclusion: Despite low awareness of HPV in Haiti, interest in HPV vaccination was nearly universal in our study of health care-seeking adults. This high acceptability suggests that HPV vaccination programs instituted in Haiti would be well received.

Keywords: Cervical cancer; HPV awareness; HPV vaccine; Haiti; Human papillomavirus.

MeSH terms

  • Adolescent
  • Adult
  • Condylomata Acuminata / prevention & control
  • Condylomata Acuminata / psychology
  • Female
  • Haiti
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Immunization Programs*
  • Male
  • Mass Vaccination / psychology*
  • Nuclear Family / psychology
  • Papillomaviridae
  • Papillomavirus Infections / prevention & control
  • Papillomavirus Infections / psychology*
  • Papillomavirus Vaccines*
  • Parents / psychology*
  • Surveys and Questionnaires
  • Uterine Cervical Neoplasms / prevention & control
  • Uterine Cervical Neoplasms / psychology

Substances

  • Papillomavirus Vaccines