Parental Knowledge and Motivation in HPV Vaccination Decision-Making for Cervical Cancer Prevention Among Children

Authors

  • Elin Ermi Eliani Universitas Aisyah Pringsewu
  • Riska Hediya Putri Universitas Aisyah Pringsewu
  • Surmiasih Universitas Aisyah Pringsewu
  • Rini Palupi Universitas Aisyah Pringsewu

DOI:

https://doi.org/10.35960/vm.v19i1.2121

Keywords:

Knowledge, Motivation, Cervical cancer, HPV Vaccination, Children

Abstract

Cervical cancer remains one of the leading causes of mortality among women in Indonesia, with persistent challenges in preventive efforts. Vaccination against the Human papillomavirus (HPV) is recognized as an effective primary prevention strategy to reduce the incidence of cervical cancer. However, HPV vaccination coverage among school-aged children in Indonesia remains suboptimal, partly due to limited parental awareness and varying levels of motivation. This study aimed to examine the relationship between parental knowledge of cervical cancer prevention and parental motivation toward HPV vaccination in children. A quantitative analytical study with a cross-sectional design was conducted among parents of female students in grades five and six at SD Negeri 5 Kresnomulyo, Pringsewu. A total of 67 respondents were recruited using a total sampling technique. Data were collected through validated questionnaires assessing knowledge and motivation levels and were analyzed using the Chi-square test. The findings demonstrated a statistically significant association between parental knowledge and motivation toward HPV vaccination (p < 0.001). These results suggest that improving parental knowledge through structured and targeted health education programs may strengthen motivation and increase acceptance of HPV vaccination as an essential preventive measure against cervical cancer

Author Biography

Riska Hediya Putri, Universitas Aisyah Pringsewu

Nursing Department

References

Adeyanju, G. C., Betsch, C., Adamu, A. A., Gumbi, K. S., Head, M., Aplogan, A., Tall, H., & Essoh, T.-A. (2021). Exploring the Drivers of Vaccine Hesitancy Toward Childhood and Adolescent Vaccination in Malawi: A Qualitative Study. Research Square (Research Square). https://doi.org/10.21203/rs.3.rs-383265/v1.

Ahmadian, M., Carmack, S., Samah, A. A., Kreps, G. L., & Saidu, M. B. (2016). Psychosocial Predictors of Breast Self-Examination among Female Students in Malaysia: A Study to Assess the Roles of Body Image, Self-efficacy and Perceived Barriers. Asian Pacific Journal of Cancer Prevention, 17(3), 1277. https://doi.org/10.7314/apjcp.2016.17.3.1277.

Arbyn, M., et al. (2020). Prophylactic Vaccination Against Human Papillomaviruses to Prevent Cervical Cancer. The Lancet, 395(10224), 1–12. https://doi.org/10.1002/14651858.CD009069.pub3.

Brumbaugh, K., Gellert, F., & Mokdad, A. H. (2025). Understanding Vaccine Hesitancy: Insights and Improvement Strategies Drawn from a Multi-Study Review. Vaccines, 13(10), 1003. https://doi.org/10.3390/vaccines13101003

Bruni, L., et al. (2021). Global Estimates of Hum.an Papillomavirus Vaccination Coverage. Vaccine, 39(25), 3458–3465. https://doi.org/ 10.1016/S2214-109X(16)30099-7

Cohen, P. A., Jhingran, A., Oaknin, A., & Denny, L. (2019). Cervical Cancer. The Lancet, 393(10167), 169. https://doi.org/10.1016/s0140-6736(18)32470-x.

Dahlan, M. S. (2020). Statistik untuk Kedokteran dan Kesehatan. Jakarta: Epidemiologi Indonesia.

Febiana, V. (2024). Hubungan Pengetahuan dengan Motivasi Orang Tua dalam Pemberian Vaksinasi HPV Pada Anak Perempuan. Jurnal Kesehatan Reproduksi, 14(2), 88–95. https://doi.org/10.33086/jkr.v14i2.4225.

Fitrya, F., Elfita, Muharni, & Mokhamad Yusup Nur Khakim. (2023). Edukasi Faktor Resiko dan Cara Pencegahan Dini Kanker Serviks Sebagai Upaya Menekan Angka Insiden Kanker Serviks di Desa Tebing Gerinting Kabupaten Ogan Ilir. Jurnal Pengabdian Magister Pendidikan Ipa, 5(1), 247–250. https://doi.org/10.29303/jpmpi.v5i1.1090.

Kementerian Kesehatan Republik Indonesia. (2024). Profil Kesehatan Indonesia Tahun 2024. Jakarta: Kementerian Kesehatan Republik Indonesia.

Kohli, M., Lawrence, D., Haig, J., Anonychuk, A., & Demarteau, N. (2023). Modeling The Impact of The Difference in Cross-Protection Data Between A Human Papillomavirus (Hpv)-16/18 As04-Adjuvanted Vaccine and A Human Papillomavirus (Hpv)-6/11/16/18 Vaccine in Canada. Bmc Public Health, 12(1), 1. https://doi.org/10.1186/1471-2458-12-872.

Kolek, C. O., Opanga, S., Okalebo, F., Birichi, A. R., Kurdi, A., Godman, B., & Meyer, J. C. (2022). Impact of Parental Knowledge and Beliefs on HPV Vaccine Hesitancy in Kenya—Findings and Implications. Vaccines, 10(8), 1185. https://doi.org/10.3390/vaccines10081185.

Liana, S. (2023). Faktor yang Berhubungan dengan Motivasi Orang Tua Dalam Mendukung Vaksinasi HPV. Jurnal Keperawatan Indonesia, 11(3), 102–110. https://doi.org/10.7454/jki.v11i3.1861.

Lyimo, F. S., & Beran, T. N. (2024). Demographic, Knowledge, Attitudinal, And Accessibility Factors Associated with Uptake of Cervical Cancer Screening Among Women in A Rural District of Tanzania: Three Public Policy Implications. BMC Public Health, 12(1), 22. https://doi.org/10.1186/1471-2458-12-22.

Marliana, W., Budihastuti, U. R., Pamungkasari, E. P., & Pamungkasari, E. P. (2023). Meta-Analysis: Effects of Adolescent’s Knowledge, Attitude, and Parental Support, on Human Papilloma Virus Immunization Uptake. Journal of Health Promotion and Behavior, 8(4), 298. https://doi.org/10.26911/thejhpb.2023.08.04.07.

Notoatmodjo, S. (2018). Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.

Puspita, I. M., Anifah, F., Sukarsih, R. I., & Mardliyana, N. E. (2023). Sosialisasi Pencegahan Kanker Serviks Pada Wanita Usia Subur dan Lansia. GEMAKES: Jurnal Pengabdian Kepada Masyarakat, 3(2), 223–227. https://doi.org/10.36082/gemakes.v3i2.1316

Putri, A. D., Rahmawati, L., & Prasetyo, B. (2024). Analisis Faktor yang Memengaruhi Partisipasi Orang Tua Dalam Program Vaksinasi HPV di Sekolah Dasar. Jurnal Ilmu Kesehatan Masyarakat, 13(1), 45–53. https://doi.org/10.26553/jikm.2024.13.1.45-53.

Rahman, N., & Sari, D. (2021). Persepsi dan Pengetahuan Orang Tua Tentang Vaksinasi HPV di Indonesia. Jurnal Kesehatan Masyarakat, 9(2), 155–163. https://doi.org/10.15294/kemas.v9i2.17852.

Sari, N. P., Utami, S., & Widodo, A. (2022). Faktor yang Memengaruhi Cakupan Vaksinasi HPV Pada Anak Usia Sekolah. Jurnal Kesehatan Reproduksi, 9(3), 210–220.

Sitaresmi, M. N., Rozanti, N. M., Simangunsong, L. B., & Wahab, A. (2020). Improvement of Parent’s Awareness, Knowledge, Perception, and Acceptability of Human Papillomavirus Vaccination After A Structured-Educational Intervention. BMC Public Health, 20(1), 1836. https://doi.org/10.1186/s12889-020-09962-1.

Smolarczyk, K., Duszewska, A. M., Drozd, S., & Majewski, S. (2022). Parents’ Knowledge and Attitude towards HPV and HPV Vaccination in Poland. Vaccines, 10(2), 228. https://doi.org/10.3390/vaccines10020228.

Susilowati, E., & Handayani, R. (2020). Hubungan Pengetahuan dan Sikap Dengan Perilaku Pencegahan Kanker Serviks Pada Wanita Usia Subur. Jurnal Kebidanan dan Kesehatan, 8(1), 23–30. https://doi.org/10.36089/jkk.v8i1.292.

World Health Organization. (2022). Cervical Cancer: Key Facts. Geneva: World Health Organization. https://doi.org/10.1007/978-3-030-82544-1_8.

Yuliana, R., & Astuti, D. (2022). Hubungan Pengetahuan dan Dukungan Keluarga dengan Motivasi Pemberian Vaksin HPV Pada Anak Perempuan. Jurnal Keperawatan dan Kebidanan, 15(2), 77–85. https://doi.org/10.31101/jkk.1721.

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Published

2026-03-04

How to Cite

Elin Ermi Eliani, Riska Hediya Putri, Surmiasih, & Rini Palupi. (2026). Parental Knowledge and Motivation in HPV Vaccination Decision-Making for Cervical Cancer Prevention Among Children. Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, 19(1), 27–33. https://doi.org/10.35960/vm.v19i1.2121

Issue

Vol. 19 No. 1 (2026)

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Articles

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Copyright (c) 2026 Elin Ermi Eliani, Riska Hediya Putri, Surmiasih, Rini Palupi (Author)

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