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Jun 30, 2025
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Nov 27, 2025
Published
Dec 23, 2025
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Abstract

Cervical cancer remains one of the leading causes of death among women in Asia, with low coverage of
Human Papillomavirus (HPV) vaccination in many countries. This low coverage is closely related to
educational barriers that have not been fully addressed. This study aims to identify barriers to HPV vaccination
education among adolescents in Asian countries through a systematic review approach. Articles were searched
through four databases (Google Scholar, PubMed, ScienceDirect, and GARUDA) using a combination both in
Indonesian language and English keywords with the Boolean search method. Selection followed the PRISMA
2020 guidelines with inclusion criteria of publications from 2015 to 2025, either in Indonesian language or
English, and available in full text, while exclusion criteria included literature review articles, irrelevance to
HPV vaccination in adolescents, or not originating from Asian countries. From the 62 articles found, 6 articles
met the criteria and were analyzed further. The results showed that the main barriers included low knowledge
among adolescents, lack of support from health workers, and misperceptions of risk. In addition, social stigma
and limited access to information were also significant barriers. Educational strategies involving schools,
families, and community leaders proved to be more effective when tailored to the cultural context. This study
concluded that an inclusive and contextual educational approach is essential to increase HPV vaccination
coverage among adolescents.

Keywords

HPV vaccination educational barriers adolescents

Article Details

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How to Cite
Cordellia, N. N., Canttika, C., Dhiya’ulhaq, J. F., Sugiyarto, M. A. and Ariyanto, J. (2025) “Systematic Review: Barriers for Adolescent HPV Vaccination Education in Asian Countries”, Miracle Journal of Public Health , 8(2), pp. 166-175. doi: 10.36566/mjph.v8i2.470.

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