Determinants of Human Papilloma Virus (HPV) Vaccination among Elementary Students in Central Jakarta
Background: Human Papilloma Virus (HPV) is the leading risk factor of cervical cancer. World Health Organization (WHO) has recommended including HPV vaccination in national immunization programs in all countries. Specifically, Jakarta Province has been implementing HPV vaccination since 2016. In this case, several factors influence vaccination coverage. However, there is limited evidence about determinants associated with HPV vaccination. Therefore, this study aimed to investigate the factors associated with HPV vaccination among elementary students in Central Jakarta.
Methods: This was a cross-sectional study conducted from March until June 2020. The study population involved 167 female students of the 6th level of the elementary school in Central Jakarta. There were eight elementary schools in Kemayoran and Cempaka Putih Sub Districts selected purposively. Primary data was collected employing an online questionnaire, which was fulfilled by respondents (mothers and students). Data were analyzed utilizing statistic software for descriptive and bivariate analysis. For the bivariate analysis, Chi-Square Test was performed.
Results: The HPV vaccination coverage was 80.84%. It was also showed that the last education level of the respondents’ father and mother was mainly senior high school (SMA) for 50.3% and 47.9%, respectively. The mothers’ knowledge was mainly in the middle (56.9%), and they had a positive attitude/support (67.1%). There were only 2.4% of the respondents with a family history of cervical cancer. In terms of family economic status, the main part of respondents had low expenditure for 2-3 million IDR (59.3%) a month. Meanwhile, human resources (vaccination providers) and HPV vaccine were 100% available in the vaccination service. Of the respondent, 47.9% of those said that the vaccine price was affordable. Children who had no support to get HPV vaccination from their father, mother, and siblings were 14.4%, 6.6%, and 21.6%, respectively. Besides, children who were not supported by their teachers was 3.6% and not supported by their peers was 23.4%. Meanwhile, father and mother’s supports were significantly associated with HPV vaccination.
Conclusions: Factors associated with HPV vaccination were the support from the father and mother.
IARC. Globocan 2018: Population Fact Sheet. [Internet]. France: IARC [cited 2020 March 1] Available from: https://gco.iarc.fr/today/fact-sheets-populations
Wahidin M, Noviani R, Hermawan S, et al. Population-based cancer registration in Indonesia. Asian Pac J Cancer Prev. 2012;13:1709–10.
BPJS. Report of BPJS Kesehatan 2018. 2019.
Rasjidi I. Epidemiologi Kanker pada Wanita. Jakarta: CV Sagung Seto; 2010.
Kemenkes. Pedoman Teknis Pengendalian Kanker Payudara dan Kanker Leher Rahim. 2013;
WHO. Introducing Hpv Vaccine Into National Immunization Programmes [Internet]. World Health Organization. Geneva; 2016. 104 p. Available from: www.who.int/immunization/documents
WHO. Comprehensive Cervical Cancer Control: A Guide to Essential Practice. Geneva; 2006.
Setiawan D. HPV vaccination in Indonesia. University of Groningen; 2017.
Kemenkes. Peraturan Menteri Kesehatan Nomor 12 tahun 2017 tentang Penyelenggaraan Imunisasi. 2017.
Kemenkes RI. Laporan Cakupan Bulan Imunisasi Anak Sekolah per Kabupaten/Kota 2017. Jakarta; 2018.
Wigle J, Coast E, Watson-Jones D. Human papillomavirus (HPV) vaccine implementation in low and middle-income countries (LMICs): Health system experiences and prospects. Vaccine. 2013;31(37):3811–7.
Sari AP, Syahrul F. Faktor yang berhubungan dengan tindakan vaksinasi hpv pada wanita usia dewasa. J Berk Epidemiol. 2014;2(3):321–30.
Young A. HPV vaccine acceptance among women in the Asian Pacific: A systematic review of the literature. Asian Pacific J Cancer Prev. 2010;11(3):641–9.
Ariawan I. Besar dan Metode Sampel pada Penelitian Kesehatan. Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia; 1998.
Dethan CM, Suariyani NLP. Pengetahuan dan sikap tentang perilaku vaksinasi HPV pada siswi SMA swasta. J MKMI. 2017;13(2):167–75.
Arifah K, Damayanti W, Sitaresmi MN. Kesediaan mendapat vaksinasi human papilloma virus pada remaja putri di Yogyakarta. Sari Pediatr. 2017;18(6):430.
Wantini NA, Indrayani N. Rendahnya kesediaan vaksinasi hpv pada remaja putri. J Chem Inf Model. 2017;8(9):1–58.
Ekowati D, Udiyono A, Martini, Adi MS. Hubungan pengetahuan dengan persepsi mahasiswa dalam penerimaan vaksinasi HPV sebagai upaya pencegahan kanker serviks. J Kesehat Masy. 2017;5(4):334–41.
Turiho AK, Okello ES, Muhwezi WW, Katahoire AR. Perceptions of human papillomavirus vaccination of adolescent schoolgirls in western Uganda and their implications for acceptability of HPV vaccination: A qualitative study. BMC Res Notes. 2017;10(1):1–16.
Green L, Kreuter M, Deeds S. Health education planning: a diagnostic approach. California: Mayfield Publishing; 1980. xvi, 306 p.
Van Keulen HM, Otten W, Ruiter RAC, et al. Determinants of HPV vaccination intentions among Dutch girls and their mothers: A cross-sectional study. BMC Public Health. 2013;13(1):1.
Alberts CJ, Van Der Loeff MFS, Hazeveld Y, et al. A longitudinal study on determinants of HPV vaccination uptake in parents/guardians from different ethnic backgrounds in Amsterdam, the Netherlands. BMC Public Health. 2017;17(1):1–12.
Article MetricsAbstract view : 25 times
PDF - 23 times
- There are currently no refbacks.
Copyright (c) 2021 Indonesian Journal of Cancer
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.