| Abstract: |
Human Papillomavirus (HPV) remains a significant public health concern globally, particularly in low- and middle-income countries where awareness and vaccine uptake are limited. This study examined awareness, sources of information, perceptions, and willingness to accept HPV vaccination among undergraduates in South-South Nigeria. Anchored on the Theory of Planned Behaviour (TPB) and the InformationMotivation-Behavioural Skills (IMB) Model, the study employed a survey design with a sample of 384 undergraduates selected through a multistage sampling technique from a population of 156,702 undergraduates across nine universities in South-South Nigeria. Data were collected using a structured questionnaire and analysed using descriptive statistics and Chisquare tests of independence. Findings revealed that while most undergraduates were aware of HPV, detailed knowledge of the infection and its vaccine remained low, with a substantial portion demonstrating misconceptions about its transmission and prevention. Social media emerged as the leading source of information, but health professionals and universities were regarded as the most trusted sources. The results further indicated that undergraduates generally perceive HPV as a severe infection and consider the vaccine effective. However, uncertainty and concerns about side effects, safety, and cost remain notable barriers. Actual vaccine uptake was extremely low, but willingness to receive the vaccine increased significantly when access to accurate information and affordability were assured. Notably, the findings demonstrated that access to information and its sources significantly influenced willingness to take up the vaccine, highlighting the central role of credible health communication. The study concludes that undergraduates in South-South Nigeria occupy a critical space in which high awareness of HPV does not necessarily translate into vaccine acceptance or uptake, due to gaps in accurate knowledge, affordability, and trust. The study recommends strengthening university-based awareness campaigns, enhancing the role of health professionals in student health education, subsidising vaccine costs, addressing safety concerns through targeted communication, and leveraging digital platforms to combat misinformation. |
