Parental knowledge, socioeconomic factors and barriers to HPV vaccination uptake among children in Lebanon: a cross-sec

Abstract

Background: Human papillomavirus (HPV) is among the causes of cervical and other cancers globally, but vaccination rates are low in Lebanon. Parental decisions may be influenced by cultural sensitivities, misinformation, and financial constraints. Objective: This study evaluates the prevalence of HPV vaccination among children in Lebanon and identifies demographic, socioeconomic, and informational determinants of parental choice. Methods: A survey was conducted at two hospital-based universities in Beirut between August 2022 and March 2024 as part of a cross-sectional study. A structured questionnaire was given to Lebanese parents of children aged 9–18 to assess HPV knowledge, vaccine awareness, and barriers. Data were examined in SPSS, with bivariate and multivariate analyses to reveal predictors of vaccine uptake. Results: Among 100 participating parents, 23% reported vaccinating their children. Females were more likely to be vaccinated than males (p = 0.04). Awareness that HPV causes cancer and affects both genders was significantly associated with uptake (p = 0.049). High cost was a major barrier (p = 0.002), while doctors were the most trusted source of information. Conclusion: HPV vaccination rates among Lebanese children remain low due to financial barriers and limited awareness. Targeted education and integration into national immunization programs are essential.