Abstract
The human papilloma virus (HPV) vaccine is the recommended prevention strategy for viruses-related cancers, but its acceptability remains controversial, primarily because of the relationship between sexual activity and HPV infection. Countries in the Middle East and North Africa are conservative vis-à-vis sexual behaviors, where Islam shapes people’s practices including sexual health, and imposes that sex be carried out within lawful context. Many sexually transmitted infections can be prevented if the rules of Islam are unfailingly applied by Muslims in that region. However, this is not guaranteed and a noticeable shift in the sexual behavior of the youth has been detected, including a drastic increase in unofficial sexual practices, which in the long-term increase HPV incidence and its related diseases. This study examines the available epidemiological data as well as the teachings in Islam’s sacred texts and scholars’ perspectives to describe the tensions that exist in Muslim cultures around sexuality. Understanding their influence and the function of these tensions can help illuminate the factors that contribute to barriers to accepting the vaccine.
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References
CDC (Centers for Disease Control, Prevention), Markowitz LE, Dunne EF, Saraiya M, Chesson HW, Curtis CR, et al. Human papillomavirus vaccination: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2014;63,pp. 1–30.
Datta D, Dunne EF, Saraiya M, Markowitz L. Human papillomaviruses. In: Zenilman JM, Shahmanesh M, editors. Sexually Transmitted Infections—Diagnosis, Management, and Treatment. Sudbury: Jones & Bartlett Learning; 2011. p. 53–5.
CDC (Centers for Disease Control, Prevention), Workowski KA, Bolan GA. Sexually transmitted diseases treatment guidelines, 2015. MMWR Morb Mortal Wkly Rep 2015;64, pp. 1–137.
Gamble HL, Klosky JL, Parra GR, Randolph ME. Factors influencing familial decision-making regarding human papillomavirus vaccination. J Pediatr Psychol 2010;35:704–15.
Vaccarella S, Bruni L, Seoud M. Burden of human papillomavirus infections and related diseases in the extended Middle East and North Africa Region. Vaccine 2013;31:1–82.
El-Kak F. Sexuality and sexual health: constructs and expressions in the extended Middle East and North Africa. Vaccine 2013;31.
Seoud M. Burden of human papillomavirus-related cervical disease in the extended Middle East and North Africa—a comprehensive literature review. J Low Genit Tract Dis 2012;16:106–20.
World Health Organization. Cervical Cancer, Human Papillomavirus (HPV), and HPV Vaccines. Key points for policy-makers and health professionals. Geneva: WHO; 2007.
Forman D, De Martel C, Lacey CJ, Soerjomataram I, Lortet-Tieulent J, Bruni L, et al. Global burden of human papillomavirus and related diseases. Vaccine 2012;30:12–23.
Gavillon N, Vervaet H, Derniaux E, Terrosi P, Graesslin O, Quereux C. How did I contract human papillomavirus (HPV)? Gynecol Obstet Fertil 2010;38:199–204.
World Health Organization. World Health Organization guidelines for screening and treatment of precancerous lesions for cervical cancer prevention. Geneva: WHO; 2013.
National Institute of Health, U.S. National Library of Medicine. HPV; 2014. Available from: http://www.nlm.nih.gov/medlineplus/hpv.html [Last accessed December 20, 2015].
Bingham A, Drake JK, LaMontagne DS. Sociocultural issues in the introduction of human papillomavirus vaccine in low-resource settings. Arch Pediatr Adolesc Med 2009;163:455–61.
UNICEF. Middle East and North Africa. Available from: http://www.unicef.org/infobycountry/northafrica.html [Last accessed December 11, 2015].
Interim National Constitution of the Republic of the Sudan; 2005. Available from: http://www.refworld.org/docid/4ba749762.html [Last accessed December 25, 2015].
Presidency of the Republic of Lebanon. Lebanese Constitution; 1995. Available from: http://www.presidency.gov.lb/English/LebaneseSystem/Documents/Lebanese%20Constitution.pdf [Last accessed December 25, 2015].
Voltaire Network. Constitution of the Syrian Arab Republic; 2012. Available from: http://www.voltairenet.org/article173033.html [Last accessed December 25, 2015].
The United Nations Arabic Language Programme; 2006. Available from: http://www.un.org/depts/OHRM/sds/lcp/Arabic [Last accessed December 10, 2015].
Gardner GT. Worldwatch Paper #164: invoking the spirit: religion and spirituality in the quest for a sustainable world. Washington, DC: Worldwatch Institute; 2002. p. 5–59.
Esposito JL, Eldin SE. The Oxford Handbook of Islam and Politics. New York: Oxford University Press; 2013.
Geertz C. Islam Observed: Religious Development in Morocco and Indonesia. Phoenix ed. Chicago: University of Chicago Press; 1971.
Al Moustafa AE, Al-Awadhi R, Missaoui N, Adam I, Durusoy R, Ghabreau L, Human papilloma viruses-related cancers. Presence and prevention strategies in the Middle East and North African regions, et al. Hum Vaccin Immunother 2014;10:1812–21.
Seoud M. Extended Middle East and North Africa: cervical cancer and human papillomavirus: can we make the case for prevention in this ‘‘relatively” low prevalence region? Vaccine 2013;31:1–82.
Borges Mda S, Santos MB, Pinheiro TG. Social representations about religion and spirituality. Rev Bras Enferm 2015;68:524–31 [Article in English, Portuguese].
Cronjé FJ, Sommers LS, Faulkner JK, Meintjes WAJ, Van Wijk CH, Turner RP. Effect of a faith-based education program on self-assessed physical, mental and spiritual (religious) health parameters. J Relig Health 2017;56:89–108.
Holman DM, Benard V, Roland KB, Watson M, Liddon N, Stokley S. Barriers to human papillomavirus vaccination among us adolescents: a systematic review of the literature. JAMA Pediatr 2014;168:76–82.
Jumaan AO, Ghanem S, Taher J, Braikat M, Awaidy SA, Dbaibo GS. Prospects and challenges in the introduction of human papillomavirus vaccines in the extended Middle East and North Africa Region. Vaccine 2013;31:58–64.
Carter M. The study of Arabic. Diogenes 2011;58:106–18.
Bouhdiba A, Sheridan A. Sexuality in Islam. London: Saqi Books; 1998.
Institute Al-Islam. What is the Holy Quran?; 2015. Available from: http://www.institutealislam.com/what-is-the-holy-quran/ [Last accessed December 20, 2015].
Ali K. Sexual ethics and Islam: feminist reflections on Qur’an, Hadith, and Jurisprudence. Oxford: Oneworld Publishers; 2006.
Ali A. The Qur’an translation. 7th U.S. ed. Elmhurst: Tahrike Tarsile Qur’an; 2001.
Saadat S. Human embryology and the holy quran: an overview. Int J Health Sci (Qassim) 2009;3:103–9.
Abdur-Rahman A-S. Islamic perspective of sex; 2002. Available from: http://www.islambasics.com/view.php?bkID=40&chapter=4 [Last accessed December 28, 2015].
Ali M, Bukhārī M. A manual of hadith. Lahore: Ahmadiyya Anjuman Ishaat Islam; 1951.
Khan V. Words of the Prophet Muạmmad: Selections From the Ḥadīth. New Delhi: Goodword Books; 2000.
Rizvi SM. Marriage and morals in Islam. Islamic Education and Information Center, Toronto; 1994. Available from: https://www.al-islam.org/printpdf/book/export/html/13059 [Last accessed December 20, 2015].
Sa‘dāwī N. The Hidden Face of Eve: Women in the Arab World. Boston: Beacon Press; 1982.
Khalaf S, Gagnon J. Sexuality in the Arab World. London: Saqi; 2006.
Aboul-Enein BH. Health-promoting verses as mentioned in the Holy Quran. J Relig Health 2016;55:821–9.
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Hamdi, S. The impact of teachings on sexuality in Islam on HPV vaccine acceptability in the Middle East and North Africa region. J Epidemiol Glob Health 7 (Suppl 1), S17–S22 (2017). https://doi.org/10.1016/j.jegh.2018.02.003
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DOI: https://doi.org/10.1016/j.jegh.2018.02.003