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February 19, 2026BMC Public Health1 citationsOpen Access

Cultural and religious influences on parental knowledge of HPV infection and female vaccination in Egypt: a national cross-sectional study

MRM Saad RakabMBMohamed BaklolaHHHadeer Hafez

Key Points

  • This study examines how cultural and religious beliefs influence parental knowledge and attitudes toward HPV and its vaccination in Egypt.
  • Conducted a national cross-sectional survey among 776 Egyptian parents from January to April 2024.
  • Used convenience and snowball sampling to recruit participants.
  • Administered a validated questionnaire assessing knowledge about HPV and cervical cancer, beliefs about vaccination, and vaccine acceptability.
  • Analyzed data using SPSS version 28 with non-parametric tests to explore demographic associations.
  • Only 38.5% of parents had heard of HPV, and just 26.2% knew about the HPV vaccine.
  • Higher education and income correlate with better knowledge of HPV and its link to cervical cancer.
  • Cultural and religious factors significantly impact beliefs about vaccination, limiting acceptance among older and less educated parents.
  • Mothers showed more willingness to vaccinate than fathers, influenced by gender, age, and income.

Abstract

Abstract Background Human Papilloma Virus (HPV) is one of the most prevalent sexually transmitted infections worldwide, significantly contributing to cervical and other cancers. In Egypt, where cultural and religious norms shape health perceptions, HPV prevention, especially vaccination, remains a critical public health issue. This study investigates parental knowledge and attitudes towards HPV infection and vaccination in Egypt, focusing on the influence of cultural and religious beliefs. Methods A national cross-sectional survey was conducted from January to April 2024 among 776 Egyptian parents. Participants were recruited using convenience and snowball sampling methods. A comprehensive questionnaire, translated and validated in Arabic, assessed knowledge about HPV and cervical cancer, beliefs about HPV vaccination, and vaccine acceptability. Data were analyzed using SPSS version 28, applying non-parametric tests to examine associations between demographic factors and study outcomes. Results While 38.5% of parents had heard of HPV, only 26.2% knew about the HPV vaccine. Higher education levels and income were significantly associated with better knowledge of HPV transmission and its link to cervical cancer. Cultural and religious factors played a pivotal role in shaping beliefs, with older and less educated parents showing lower levels of vaccine acceptance. Mothers were more willing than fathers to vaccinate themselves and their daughters, with willingness influenced by gender, age, and income. Conclusion Parental awareness of HPV and its vaccine remains low in Egypt, with significant cultural and religious influences on health beliefs and behaviors. Tailored public health interventions addressing these factors are needed to improve HPV vaccine uptake and reduce the burden of HPV-related diseases in Egypt.

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Cite This Study

Rakab et al. (2026) studied this question.

synapsesocial.com/papers/6996a887ecb39a600b3ef61ehttps://doi.org/10.1186/s12889-026-26381-w
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