The knowledge and attitudes of Mexican mothers in the non-acceptance of the human papillomavirus vaccine.

Keywords: Health Knowledge, Attitudes, Practice, Papillomavirus Vaccines, Vaccination Refusal, Qualitative Research, Health Promotion

Abstract

Introduction. The human papillomavirus has a prevalence of 11.7% among women, and vaccination is the most effective prevention strategy; however, in Mexico it is only applied to 14.4% of all girls between 9 and 12 years of age. Objective. To identify the knowledge and attitudes of Mexican mothers in the non-acceptance of the human papillomavirus vaccine for their daughters. Methodology. Qualitative hermeneutic phenomenological study, with interviews with six Mexican mothers who did not accept the vaccine for their daughters. Purposive sampling, a guide based on the literature review was applied in 2021 with online format, transcription, thematic analysis and processing in MAXQDA software version 18.2.0. Results. Interviews were conducted with mothers between 30 and 40 years of age, most of whom had a bachelor's degree, were Catholic and were employed by government institutions. Three core categories were obtained: 1) meaning of human papillomavirus; 2) human papillomavirus vaccine; and 3) prevention and health promotion for human papillomavirus vaccine, with 9 subcategories addressing: knowledge, beliefs, misinformation, benefits, motivation, and lack of acceptance of the vaccine. Discussion. Studies show that lack of information leads to non-acceptance of the human papillomavirus vaccine, which limits timely immunization of girls, coinciding with the results found. Conclusion. Limited knowledge and lack of reliable information affect the negative attitudes of mothers who refuse the human papillomavirus vaccine for their daughters. Nursing interventions with relevant and impactful information will contribute to healthy individual and family behaviors.

References

Center for Disease Control and Prevention (CDC). Sexually transmitted diseases (STDs): Human genital papillomavirus [Internet]. United States; 2017. Recuperado a partir de: https://www.cdc.gov/cancer/es/hpv/cases.html

The World Health Organization (WHO). Human papillomavirus and cancer [Internet]. United States; 2024. Recuperado a partir de: https://www.who.int/es/news-room/fact-sheets/detail/human-papilloma-virus-and-cancer

Ministry of Health, Human papillomavirus. Epidemiological bulletin: national epidemiological surveillance system. Epidemiological week 17. April 24 to 30, 2022 [Internet]; 2022. Recuperado a partir de: https://www.gob.mx/salud/documentos/boletinepidemiologico-sistema-nacional-de-vigilancia-epidemiologica-sistema-unico-de-informacion-2022

Schilling A. Frequently asked questions regarding the human papillomavirus vaccine. Rev Chil Infectol [Internet]. 2018;35(5):581-586. doi: http://dx.doi.org/10.4067/s0716-10182018000500581

The World Health Organization (WHO) Cervical uterine cancer [Internet]. United States; 2023. Recuperado a partir de: https://www.who.int/es/news-room/fact-sheets/detail/cervical-cancer

Romero-Morelos P, Bandala C, Jiménez-Tenorio J, Valdespino-Zavala M, Rodríguez-Esquivel M, Gama-Ríos RA, et al. Bacterias relacionadas con vaginosis bacteriana y su asociación a la infección por virus del papiloma humano (Bacteria associated with bacterial vaginosis and its association with human papillomavirus infection). Med Clinic Barc [Internet]. 2019;152(1):1-5. doi: https://doi.org/10.1016/j.medcli.2018.01.027

Sendagorta-Cudós E, Burgos-Cibrián J, Rodríguez-Iglesias M. Infecciones genitales por el virus del papiloma humano. Enferm Infec Microbiol Clinic [Internet]. 2019;37(5):324-334. doi: https://doi.org/10.1016/j.eimc.2019.01.010

Bruni L, Serrano B, Bosch X, Castellsagué X. Vacuna frente al virus del papiloma humano. Eficacia y seguridad. Enferm Infecc Microbiol Clin [Internet]. 2015;33(5):342-354. doi: https://doi.org/10.1016/j.eimc.2015.03.018

Universidad Nacional Autónoma de México (UNAM) (National Autonomous University of Mexico). Poca cobertura contra cáncer cérvico uterino con vacuna contra VPH (Poor coverage against cervical cancer with HPV vaccine [Internet]; 2021. Recuperado a partir de: https://www.gaceta.unam.mx/poca-cobertura-contra-cancer-cervico-uterino-con-vacuna-contra-vph/

Viveros F, González P, Volgger K, López C, Zapico F, Zepeda C. Resistencia de padres frente a la vacuna contra el Virus Papiloma Humano en sus hijas (Parental resistance to human papillomavirus vaccine in their daughters). Cuad Méd Soc (Chile) [Internet]. 2017;57(1):41-47. Recuperado a partir de: https://cms.colegiomedico.cl/wp-content/uploads/2018/04/Resistencia-de-padres-frente-a-la-vacuna-contra-el-Virus-Papiloma-Humano-en-sus-hijas.pdf

Aquino-Rojas E, Aquino-Rojas WA, Soto-Flores R, Soto-Flores O. Tácticas de fortalecimiento para la prevención del cáncer cervicouterino a través de la vacunación contra el virus del papiloma humano, agosto de 2017 a marzo de 2018. Gac Med Bol [Internet]. Recuperado a partir de: http://www.scielo.org.bo/scielo.php?pid=S1012-29662019000100009&script=sci_abstract

Galbraith-Gyan KV, Lechuga J, Jenerette CM, Palmer MH, Moore AD, Hamilton JB. HPV vaccine acceptance among African-American mothers and their daughters: an inquiry grounded in culture. Ethn Health [Internet]. 2019;24(3):323-340. doi: https://doi.org/10.1080/13557858.2017.1332758

Palencia-Sánchez F, Echeverry-Coral SJ. Aspectos sociales que han afectado la aceptación de la vacunación contra el virus del papiloma humano en Colombia. Una revisión sistemática. Rev Colom Obstet Ginecol [Internet]. 2020;71(2):178-194. doi: https://doi.org/10.18597/rcog.3448

Serrano-Gómez SE. Virus del papiloma humano y cáncer de cuello uterino ¿Vacunar o no vacunar? MedUNAB [Internet]. 2015;18(2):103-4. doi: https://doi.org/10.29375/01237047.2515

Lopes-da Silva LE, Cunha-de Oliveira ML, Galato D. Receptividade à vacina contra o papilomavírus humano: uma revisão sistemática. Rev Panam Salud Publica [Internet]. 2019;43(22);1-9. doi: https://doi.org/10.26633/RPSP.2019.22

Grandahl M, Chun-Paek S, Grisurapong S, Sherer P, Tydén T, Lundberg P. Parents’ knowledge, beliefs, and acceptance of the HPV vaccination in relation to their socio-demographics and religious beliefs: A cross-sectional study in Thailand. PLOS ONE [Internet]. 2018;13(2):e0193054. doi: https://doi.org/10.1371/journal.pone.0193054

Hernández-Sampieri R, Mendoza CP. Metodología de la investigación [Research Methodology]. Las rutas cuantitativa, cualitativa y mixta (Quantitative, qualitative and mixed) [Internet]. Ed. Mc Graw Hill Education; 2018. 548-552 p. Recuperado a partir de: https://virtual.cuautitlan.unam.mx/rudics/?p=2612

Prado ML, Souza ML, Monticelli M, Cometto MC, Gómez PF, OPS. Investigación cualitativa en enfermería. Metodología y didáctica [Internet]. OPS; 2013. Recuperado a partir de: https://iris.paho.org/handle/10665.2/51587

Guzmán-Gómez C, Saucedo-Ramos CL. Experiencias, vivencias y sentidos en torno a la escuela y a los estudios. Abordajes desde las perspectivas de alumnos y estudiantes Revista Mexicana de Investigación Educativa. Rev Mex Inves Educ [Internet]. 2015;20(67):1019-1054. Recuperado a partir de: https://www.redalyc.org/pdf/140/14042022002.pdf

Guzmán-Facundo FR, García-Salas BA, Rodríguez-Aguilar L, Alonso-Castillo MM. Actitud, norma subjetiva y control conductual como predictores del consumo de drogas en jóvenes de zona marginal del norte de México. Frontera norte [Internet]. 2014;26(51);53-74. Recuperado a partir de: http://www.scielo.org.mx/pdf/fn/v26n51/v26n51a3.pdf

Pender NJ, Murdaugh CL, Parsons MA. Health Promotion in Nursing Practice [Internet]. Estados Unidos, Pearson. Ed 7; 2015. Recuperado a partir de: https://www.pearsonhighered.com/assets/preface/0/1/3/4/0134754085.pdf

Fuster-Guillen DE. Investigación cualitativa: Método fenomenológico hermenéutico. Propós. Represent [Internet]. 2019;7(1):201-229. doi: http://dx.doi.org/10.20511/pyr2019.v7n1.267

De la Cuesta-Benjumea C. La reflexividad: un asunto crítico en la investigación cualitativa. Enferm Clinic [Internet]. 2011;21(3):163-167. doi: https://doi.org/10.1016/j.enfcli.2011.02.005

Parra JD. El arte del muestreo cualitativo y su importancia para la evaluación y la investigación de políticas públicas: una aproximación realista (The art of qualitative sampling and its importance for evaluation and public policy research: a realist approach). Opera [Internet]. 2019;25:119-136. doi: https://doi.org/10.18601/16578651.n25.07

Serna M. ¿Cómo mejorar el muestreo en estudios de porte medio usando diseños con métodos mixtos? (How to improve sampling in medium-sized studies using mixed methods designs). Aportes desde el campo de estudios de elites (Contributions from the field of elite studies). Empiria [Internet]. 2019;43:187-210. doi: https://doi.org/10.5944/empiria.43.2019.24305

Morse JM. The significance of Saturation. Qual. Health Res [Internet]. 1995;5(2):147-149. doi: https://doi.org/10.1177/104973239500500201

Hernán-García M, Lineros-González C, Ruiz-Azarola A. Cómo adaptar una investigación cualitativa a contextos de confinamiento. Gac Sanit [Internet]. 2021;35(3):298-301. doi: https://doi.org/10.1016/j.gaceta.2020.06.007

Piza-Burgos ND, Amaiquema-Marquez FA, Beltrán-Baquerizo GE. Métodos y técnicas en la investigación cualitativa. Algunas precisiones necesarias. Conrado [Internet]. 2019;15(70):455-459. Recuperado a partir de: https://conrado.ucf.edu.cu/index.php/conrado/article/view/1162

Troncoso-Pantoja C, Amaya-Placencia A. Entrevista: guía práctica para la recolección de datos cualitativos en investigación de salud (Interview: a practical guide for qualitative data collection in health research). Fac. Med [Internet]. 2017; 65(2):329-332. doi: http://dx.doi.org/10.15446/revfacmed.v65n2.60235

Braun V, Clark V. Using thematic analysis in psychology. Qualitative Research in Psychology [Internet]. 2008;3(2):77-101. doi: https://doi.org/10.1191/1478088706qp063oa 31. Ministry of Health. General Health Law: Reglamento de la ley general de salud en materia de investigación para la salud (Regulation of the general health law on health research). [Internet]. Mexico; 2014. Recuperado a partir de: http://www.diputados.gob.mx/LeyesBiblio/regley/Reg_LGS_MIS.pdf

Ministry of Health. Código de ética para las enfermeras y enfermeros en México (Code of ethics for nurses in Mexico). 2021 [Internet]. Mexico; 2021. Recuperado a partir de: http://www.cpe.salud.gob.mx/site3/publicaciones/docs/codigo_etica.pdf

Degarege A, Krupp K, Srinivas V, Ibrahimou B, Marlow LAV, Arun A, et al. Determinants of attitudes and beliefs toward human papillomavirus infection, cervical cancer and human papillomavirus vaccine among parents of adolescent girls in Mysore, India. J Obstet Gynaecol Res [Internet]. 2018;44(11):2091-2100. doi: https://doi.org/10.1111/jog.13765

Benavides-Cabuya HJ, Polo-Peña EY, Rodríguez-Araújo DM, Tovar-Rodríguez P, Pineda-Marín C. Estrategias de aceptabilidad de la vacunación contra el virus del papiloma humano: una revisión sistemática. Suma Psicol [Internet]. 2020;27(2):125-141. doi: https://doi.org/10.14349/sumapsi.2020.v27.n2.7

How to Cite
1.
Martínez-Figueroa GI, Nava-Navarro V, Fernández-Rincón CA, Báez-Hernández FJ, Mayo-Abarca JA, Morales-Nieto A. The knowledge and attitudes of Mexican mothers in the non-acceptance of the human papillomavirus vaccine. MedUNAB [Internet]. 2024 Mar. 6 [cited 2026 Mar. 9];26(3):379-400. Available from: https://revistasunabeduco.biteca.online/index.php/medunab/article/view/4370

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2024-03-06

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