Predictors of Utilization

Health promotion availability near adolescents was the strongest predictor of HPV vaccine uptake in the study. Employed participants were more likely to use palliative care services than non-employed participants. Having five or more family members was the strongest positive predictor of palliative care utilization. Good knowledge of cervical cancer and HPV infection was independently associated with higher HPV vaccine uptake. Participants with diploma-level or higher education had greater odds of utilizing palliative care services than participants without formal education. Patients with good perception of palliative care needs were more likely to use the service. Urban residence was independently associated with higher HPV vaccine uptake. Girls whose mothers were government employees were more likely to have received the HPV vaccine. Six variables remained independently associated with palliative care utilization in the final multivariate model. Knowledge of the HPV vaccine itself did not remain an independent predictor in the multivariable model. Female participants had lower odds of using palliative care services than male participants. Stage IV cancer patients had lower odds…