Research Article
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ADOLESCENTS' KNOWLEDGE, ATTITUDE, BEHAVIOR AND BARRIERS REGARDING HUMAN PAPILLOMAVIRUS VACCINE AND CERVICAL CANCER

Year 2020, Volume: 6 Issue: 3, 323 - 336, 31.12.2020

Abstract

The study was conducted to investigate the knowledge, attitude, behavior and barriers of university students about Human Papillomavirus (HPV) vaccine and cervical cancer (CC). This descriptive study was conducted with 1007 students between September-November 2019. The “Information Questionnaire” was used as the data collection tool. The study was found that 58.6% of the students heard of HPV vaccine previously, 57.1% were undecided whether the HPV vaccine would protect against HPV. Of those who did not get the vaccine, 19.8% were not willing to receive it and 55.2% were undecided to receive it. When the reasons for students not to have HPV vaccine are examined; they stated that they did not have it because they did not have enough information about the vaccine, because they did not consider it necessary to have the vaccine, because they were afraid of its side effects, because it was expensive and because they thought it would not protect against HPV infection. Also, it was found that more than half of them did not consider that they were at risk for CC and did not know risk factors for CC. The participants’ knowledge of CC and risk factors was inadequate.

References

  • 1. World Health Organization. 2016. Screening as well as vaccination is essential in the fight against CC. http://www.who.int/reproductivehealth/topics/cancers/fightcervical-cancer/en/. [Accessed 03.07.2019].
  • 2. New Global Cancer Data: GLOBOCAN 2018. https://www.uicc.org/news/new-global-cancer-data-globocan-2018 Accessed 03.07.2019.
  • 3. Turkish Ministry of Health. 2017. Public Health Agency of Turkey Cancer Statistics Ankara.
  • 4. Hussain S, Nasare V, Kumari M, Sharma S, Khan MA, Das BC, et al. Perception of human papillomavirus ınfection, CC and HPV vaccination in North Indian population. PLoS ONE 2014;9(11):e112861. https://doi.org/10.1371/journal.pone.0112861
  • 5. Kamzol W, Jaglarz K, Tomaszewski KA, Puskulluoglu M, Krzemieniecki K. Assessment of knowledge about CC and its prevention among female students aged 17–26 years. European Journal of Obstetrics & Gynecology and Reproductive Biology 2013;166:196–203.
  • 6. Turkey Public Health Institution Cancer Control Department. 2013. New World Cancer Statistics. http://kanser.gov.tr/daire-faaliyetleri/kanser-istatistikleri/860-yeni-d%C3%BCnya-kanser-istatistikleri-yay%C4%B1nland%C4%B1.html Accessed 03.07.2019.
  • 7. Human Papillomavirus and Related Diseases Report in Oceania. 2017. ICO (Institut Catalàd’ Oncologia) Information Centre on HPV and Cancer. http://www.hpvcentre.net/statistics/reports/XOX.pdf. Accessed 03.07.2019.
  • 8. Rathfisch G, Güngör İ, Uzun E, Keskin Ö, Tencere Z. Human papillomavirus vaccines and CC: awareness, knowledge, and risk perception among Turkish undergraduate students. J Canc Educ. 2015;30:116–123. https://doi.org/10.1007/s13187-014-0703-1
  • 9. Graham D, Isaranuwatchai W, Habbous S, de Oliveira C, Liu G, Siu L, Hoch J. A cost-effectiveness analysis of human papillomavirus vaccination of boys for the prevention of oropharyngeal cancer. Cancer 2015;121:1785–1792.
  • 10. Jaoude JA, Khair D, Dagher H, Saad H, Cherfan P, Kaafarani MA, Jamaluddine Z, Ghattas H. Factors associated with human papilloma virus (HPV) vaccine recommendation by physicians in Lebanon, a cross-sectional study. Vaccine 2018;36:7562–7567. https://doi.org/10.1016/j.vaccine.2018.10.065.
  • 11. Mascaro V, Pileggi C, Currà A, Bianco A, Pavia M. HPV vaccination coverage and willingness to be vaccinated among 18–30 year-old students in Italy. Vaccine 2019;37:3310–3316. https://doi.org/10.1016/j.vaccine.2019.04.081
  • 12. Rashid S, Labani S, Das BC. Knowledge, awareness, and attitude on HPV, HPV vaccine and CC among the college students in India. PLoS ONE 2016;11(11):e0166713
  • 13. Sathian B, Ramesh Babu MG, van Teijlingen ER, Banerjee I, Roy B, Subramanya SH, Rajesh E, Devkota S. Ethnic Variations in perception of human papillomavirus and ıts vaccination among young women in Nepal. Nepal J Epidemiol. 2017;7(1):647-658
  • 14. Amukugo HJ, Rungayi BR, Karera A. Awareness, knowledge, attitude and practices regarding human papilloma virus among female students at the University of Namibia. Inter-national Journal of Healthcare 2018;4(2):51-7. https://doi.org/10.5430/ijh.v4n2p51
  • 15. Tu YC, Lin YJ, Fan LW, Tsai TI, Wang HH. Effects of multimedia framed messages on human papillomavirus prevention among adolescents. Western Journal of Nursing Research 2019;41(1):58–77 https://doi.org/10.1177/0193945918763873
  • 16. Dönmez S, Öztürk R, Kısa S, Weller Karaoz B, Zeyneloğlu S. Knowledge and perception of female nursing students about human papillomavirus (HPV), CC, and attitudes toward HPV vaccination. Journal of American College Health 2018. https://doi.org/10.1080/07448481.2018.1484364
  • 17. Sledge JA. The male factor: human papillomavirus (HPV) and HPV4 vaccine acceptance among african american young men. J Community Health. 2015;40:834–842. https://doi.org/10.1007/s10900-015-0007-3
  • 18. Koc Z. University students’ knowledge and attitudes regarding CC, human papillomavirus, and human papillomavirus vaccines in Turkey. Journal Of Amerıcan College Health 2015;63(1);13-22.
  • 19. Başar F, Çiçek S, Yeşildere-Sağlam H. The knowledge of nursing department students about human papilloma virus and vaccine. International Journal of Society Researches 2018;10(17):123-138. https://doi.org/10.26466/opus.999635
  • 20. Osis MJ, Duarte GA, Sousa MH. SUS users? knowledge of and attitude toHPV virus and vaccines available in Brazil. Rev Saude Publica 2014;48:123–133.
  • 21. Pandey D, Vanya V, Bhagat S, Binu VS, Shetty J. Awareness and attitude towards human papillomavirus (HPV) vaccine among medical students in a premier medical school in India. PLoS One 2012;7(7):e40619. https://doi.org/10.1371/journal.pone.0040619
  • 22. Tung WC, Lu M, Qiu X, Ervin S. Human papillomavirus knowledge, attitudes, and vaccination among Chinese college students in the United States. Vaccine 2019;37:3199–3204. https://doi.org/10.1016/j.vaccine.2019.04.084
  • 23. Kamimura A, Trinh HN, Weaver S, Chernenko A, Wright L, Stoddard M, et al. Knowledge and beliefs about HPV among college students in Vietnam and the United States. J Infect Public Health 2018;11(1):120–5.
  • 24. Navarro-Illana P, Diez-Domingo J, Navarro-Illana E, Tuells J, Alemán S, Puig-Barberá J. Knowledge and attitudes of Spanish adolescent girls towards human papillomavirus infection: where to intervene to improve vaccination coverage. BMC Public Healt 2014;14:490. https://doi.org/10.1186/1471-2458-14-490
  • 25. Karasu AFG, Adanir I, Aydin S, Ilhan GK, Ofli T. Nurses’ knowledge and opinions on HPV vaccination: a cross-sectional study from Istanbul. J Cancer Educ. 2017;1-7. https://doi.org/10.1007/s13187-017-1272-x
  • 26. Gol I, Erkin O. Knowledge and practices of nurses on CC, HPV and HPV vaccine in Cankiri state hospital, Turkey. JPak Med Assoc. 2016;66(12):1621-6
  • 27. Zhang JM, Zhao QM, Zhang LM. Assessmentnof the knowledge, attitude and practices about Human Papilloma Virus vaccine among the nurses working in a tertiary hospital in China: A cross-sectional descriptive study. J Pak Med Assoc. 2017;67(2):209-13.
  • 28. Touch S, Oh JK. Knowledge, attitudes, and practices toward CC prevention among women in Kampong Speu Province, Cambodia. BMC Cancer 2018;18:294 https://doi.org/10.1186/s12885-018-4198-8
  • 29. Madhivanan P, Li T, Srinivas V, Marlow L, Mukherjee S, Kruppa K. Human papillomavirus vaccine acceptability among parents of adolescent girls: Obstacles and challenges in Mysore, India. Preventive Medicine 2014;64:69–74. http://dx.doi.org/10.1016/j.ypmed.2014.04.002.
  • 30. Sherman SM, Bartholomew K, Denison HJ, Patel H, Moss EL, Douwes J, et al. Knowledge, attitudes and awareness of the human papillomavirus among health professionals in New Zealand. PLoS ONE 2018;13(12):e0197648. https://doi.org/10.1371/journal.pone.0197648
  • 31. Williams M, Kuffour G, Ekuadzi E, Yeboah M, ElDuah M, Tuffour P. Assessment of psychological barriers to CC screening among women in Kumasi, Ghana using a mixed methods approach. Afr Health Sci. 2013;13(4):1054–61. https://doi.org/10.4314/ahs.v13i4.28.
  • 32. Finocchario-Kessler S, Wexler C, Maloba M, Mabachi N, Ndikum-Moffor F, Bukusi E. CC prevention and treatment research in Africa: a systematic review from a public health perspective. BMC Womens Health 2016;16:29. https://doi.org/10.1186/s12905-016-0306-6
  • 33. Moore AR, Driver N. Knowledge of CC risk factors among educated women in Lome, Togo: Half-truths and misconceptions. SAGE Open 2014;1–8. https://doi.org/10.1177/2158244014557041
  • 34. Can H, Öztürk YK, Güçlü YA, Öztürk F, Demir Ş. CC awareness of female health employees. The Journal of Tepecik Education and Research Hospital 2010;20(2):77-84. http://dx.doi.org/10.5222/terh.2010.01954
  • 35. Nganwai P, Truadpon P, Inpa C, Sangpetngam B, Mekjarasnapa M, Apirakarn M, et al. Knowledge, attitudes and practicesvis-a-vis CC among registered nurses at the faculty of medicine, Khon Kaen University, Thailand. Asian Pacific J Cancer Prev. 2007;9:15-18.

ADOLESANLARIN HUMAN PAPİLLOMAVİRUS AŞISI VE SERVİKAL KANSER İLE İLGİLİ BİLGİ, TUTUM, DAVRANIŞ VE ENGELLERİ

Year 2020, Volume: 6 Issue: 3, 323 - 336, 31.12.2020

Abstract

Araştırma, üniversite öğrencilerinin Human Papillomavirus (HPV) aşısı ve servikal kanser ile ilgili bilgi, tutum, davranış ve engellerini araştırmak için yapılmıştır. Bu tanımlayıcı çalışma, Ekim-Kasım 2019 tarihleri arasında 1007 öğrenci ile yapılmıştır. Veri toplama aracı olarak “Tanılama Formu” kullanılmıştır. Çalışmada öğrencilerin % 58,6'sının daha önce HPV aşısı duyduğu, %57.1'inin HPV aşısını yapıp yaptırmama konusunda kararsız olduğu tespit edildi. Aşı yaptırmayanların %19.8'inin aşıyı yaptırmak istemedi ve %55.2'si aşıyı yaptırma konusunda kararsızdı. Öğrencilerin HPV aşısını yaptırmama nedenleri incelendiğinde; aşı hakkında yeterli bilgisi olmadığı için, aşıyı yaptırmayı gerekli görmediği için, yan etkilerinden korktuğu için, pahalı olduğu için ve HPV enfeksiyonuna karşı korumayacağını düşündüğü için yaptırmadıklarını ifade ettiler. Ayrıca, öğrencilerin yarıdan fazlasının servikal kanser için risk altında olduğunu düşünmediği ve servikal kanserin risk faktörlerini bilmediği bulunmuştur. Katılımcıların servikal kanser ve risk faktörleri hakkında bilgileri yetersizdi.

References

  • 1. World Health Organization. 2016. Screening as well as vaccination is essential in the fight against CC. http://www.who.int/reproductivehealth/topics/cancers/fightcervical-cancer/en/. [Accessed 03.07.2019].
  • 2. New Global Cancer Data: GLOBOCAN 2018. https://www.uicc.org/news/new-global-cancer-data-globocan-2018 Accessed 03.07.2019.
  • 3. Turkish Ministry of Health. 2017. Public Health Agency of Turkey Cancer Statistics Ankara.
  • 4. Hussain S, Nasare V, Kumari M, Sharma S, Khan MA, Das BC, et al. Perception of human papillomavirus ınfection, CC and HPV vaccination in North Indian population. PLoS ONE 2014;9(11):e112861. https://doi.org/10.1371/journal.pone.0112861
  • 5. Kamzol W, Jaglarz K, Tomaszewski KA, Puskulluoglu M, Krzemieniecki K. Assessment of knowledge about CC and its prevention among female students aged 17–26 years. European Journal of Obstetrics & Gynecology and Reproductive Biology 2013;166:196–203.
  • 6. Turkey Public Health Institution Cancer Control Department. 2013. New World Cancer Statistics. http://kanser.gov.tr/daire-faaliyetleri/kanser-istatistikleri/860-yeni-d%C3%BCnya-kanser-istatistikleri-yay%C4%B1nland%C4%B1.html Accessed 03.07.2019.
  • 7. Human Papillomavirus and Related Diseases Report in Oceania. 2017. ICO (Institut Catalàd’ Oncologia) Information Centre on HPV and Cancer. http://www.hpvcentre.net/statistics/reports/XOX.pdf. Accessed 03.07.2019.
  • 8. Rathfisch G, Güngör İ, Uzun E, Keskin Ö, Tencere Z. Human papillomavirus vaccines and CC: awareness, knowledge, and risk perception among Turkish undergraduate students. J Canc Educ. 2015;30:116–123. https://doi.org/10.1007/s13187-014-0703-1
  • 9. Graham D, Isaranuwatchai W, Habbous S, de Oliveira C, Liu G, Siu L, Hoch J. A cost-effectiveness analysis of human papillomavirus vaccination of boys for the prevention of oropharyngeal cancer. Cancer 2015;121:1785–1792.
  • 10. Jaoude JA, Khair D, Dagher H, Saad H, Cherfan P, Kaafarani MA, Jamaluddine Z, Ghattas H. Factors associated with human papilloma virus (HPV) vaccine recommendation by physicians in Lebanon, a cross-sectional study. Vaccine 2018;36:7562–7567. https://doi.org/10.1016/j.vaccine.2018.10.065.
  • 11. Mascaro V, Pileggi C, Currà A, Bianco A, Pavia M. HPV vaccination coverage and willingness to be vaccinated among 18–30 year-old students in Italy. Vaccine 2019;37:3310–3316. https://doi.org/10.1016/j.vaccine.2019.04.081
  • 12. Rashid S, Labani S, Das BC. Knowledge, awareness, and attitude on HPV, HPV vaccine and CC among the college students in India. PLoS ONE 2016;11(11):e0166713
  • 13. Sathian B, Ramesh Babu MG, van Teijlingen ER, Banerjee I, Roy B, Subramanya SH, Rajesh E, Devkota S. Ethnic Variations in perception of human papillomavirus and ıts vaccination among young women in Nepal. Nepal J Epidemiol. 2017;7(1):647-658
  • 14. Amukugo HJ, Rungayi BR, Karera A. Awareness, knowledge, attitude and practices regarding human papilloma virus among female students at the University of Namibia. Inter-national Journal of Healthcare 2018;4(2):51-7. https://doi.org/10.5430/ijh.v4n2p51
  • 15. Tu YC, Lin YJ, Fan LW, Tsai TI, Wang HH. Effects of multimedia framed messages on human papillomavirus prevention among adolescents. Western Journal of Nursing Research 2019;41(1):58–77 https://doi.org/10.1177/0193945918763873
  • 16. Dönmez S, Öztürk R, Kısa S, Weller Karaoz B, Zeyneloğlu S. Knowledge and perception of female nursing students about human papillomavirus (HPV), CC, and attitudes toward HPV vaccination. Journal of American College Health 2018. https://doi.org/10.1080/07448481.2018.1484364
  • 17. Sledge JA. The male factor: human papillomavirus (HPV) and HPV4 vaccine acceptance among african american young men. J Community Health. 2015;40:834–842. https://doi.org/10.1007/s10900-015-0007-3
  • 18. Koc Z. University students’ knowledge and attitudes regarding CC, human papillomavirus, and human papillomavirus vaccines in Turkey. Journal Of Amerıcan College Health 2015;63(1);13-22.
  • 19. Başar F, Çiçek S, Yeşildere-Sağlam H. The knowledge of nursing department students about human papilloma virus and vaccine. International Journal of Society Researches 2018;10(17):123-138. https://doi.org/10.26466/opus.999635
  • 20. Osis MJ, Duarte GA, Sousa MH. SUS users? knowledge of and attitude toHPV virus and vaccines available in Brazil. Rev Saude Publica 2014;48:123–133.
  • 21. Pandey D, Vanya V, Bhagat S, Binu VS, Shetty J. Awareness and attitude towards human papillomavirus (HPV) vaccine among medical students in a premier medical school in India. PLoS One 2012;7(7):e40619. https://doi.org/10.1371/journal.pone.0040619
  • 22. Tung WC, Lu M, Qiu X, Ervin S. Human papillomavirus knowledge, attitudes, and vaccination among Chinese college students in the United States. Vaccine 2019;37:3199–3204. https://doi.org/10.1016/j.vaccine.2019.04.084
  • 23. Kamimura A, Trinh HN, Weaver S, Chernenko A, Wright L, Stoddard M, et al. Knowledge and beliefs about HPV among college students in Vietnam and the United States. J Infect Public Health 2018;11(1):120–5.
  • 24. Navarro-Illana P, Diez-Domingo J, Navarro-Illana E, Tuells J, Alemán S, Puig-Barberá J. Knowledge and attitudes of Spanish adolescent girls towards human papillomavirus infection: where to intervene to improve vaccination coverage. BMC Public Healt 2014;14:490. https://doi.org/10.1186/1471-2458-14-490
  • 25. Karasu AFG, Adanir I, Aydin S, Ilhan GK, Ofli T. Nurses’ knowledge and opinions on HPV vaccination: a cross-sectional study from Istanbul. J Cancer Educ. 2017;1-7. https://doi.org/10.1007/s13187-017-1272-x
  • 26. Gol I, Erkin O. Knowledge and practices of nurses on CC, HPV and HPV vaccine in Cankiri state hospital, Turkey. JPak Med Assoc. 2016;66(12):1621-6
  • 27. Zhang JM, Zhao QM, Zhang LM. Assessmentnof the knowledge, attitude and practices about Human Papilloma Virus vaccine among the nurses working in a tertiary hospital in China: A cross-sectional descriptive study. J Pak Med Assoc. 2017;67(2):209-13.
  • 28. Touch S, Oh JK. Knowledge, attitudes, and practices toward CC prevention among women in Kampong Speu Province, Cambodia. BMC Cancer 2018;18:294 https://doi.org/10.1186/s12885-018-4198-8
  • 29. Madhivanan P, Li T, Srinivas V, Marlow L, Mukherjee S, Kruppa K. Human papillomavirus vaccine acceptability among parents of adolescent girls: Obstacles and challenges in Mysore, India. Preventive Medicine 2014;64:69–74. http://dx.doi.org/10.1016/j.ypmed.2014.04.002.
  • 30. Sherman SM, Bartholomew K, Denison HJ, Patel H, Moss EL, Douwes J, et al. Knowledge, attitudes and awareness of the human papillomavirus among health professionals in New Zealand. PLoS ONE 2018;13(12):e0197648. https://doi.org/10.1371/journal.pone.0197648
  • 31. Williams M, Kuffour G, Ekuadzi E, Yeboah M, ElDuah M, Tuffour P. Assessment of psychological barriers to CC screening among women in Kumasi, Ghana using a mixed methods approach. Afr Health Sci. 2013;13(4):1054–61. https://doi.org/10.4314/ahs.v13i4.28.
  • 32. Finocchario-Kessler S, Wexler C, Maloba M, Mabachi N, Ndikum-Moffor F, Bukusi E. CC prevention and treatment research in Africa: a systematic review from a public health perspective. BMC Womens Health 2016;16:29. https://doi.org/10.1186/s12905-016-0306-6
  • 33. Moore AR, Driver N. Knowledge of CC risk factors among educated women in Lome, Togo: Half-truths and misconceptions. SAGE Open 2014;1–8. https://doi.org/10.1177/2158244014557041
  • 34. Can H, Öztürk YK, Güçlü YA, Öztürk F, Demir Ş. CC awareness of female health employees. The Journal of Tepecik Education and Research Hospital 2010;20(2):77-84. http://dx.doi.org/10.5222/terh.2010.01954
  • 35. Nganwai P, Truadpon P, Inpa C, Sangpetngam B, Mekjarasnapa M, Apirakarn M, et al. Knowledge, attitudes and practicesvis-a-vis CC among registered nurses at the faculty of medicine, Khon Kaen University, Thailand. Asian Pacific J Cancer Prev. 2007;9:15-18.
There are 35 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Sevgül Dönmez 0000-0003-2420-8167

Süreyya Gümüşsoy 0000-0001-5708-8988

Publication Date December 31, 2020
Published in Issue Year 2020 Volume: 6 Issue: 3

Cite

APA Dönmez, S., & Gümüşsoy, S. (2020). ADOLESCENTS’ KNOWLEDGE, ATTITUDE, BEHAVIOR AND BARRIERS REGARDING HUMAN PAPILLOMAVIRUS VACCINE AND CERVICAL CANCER. International Anatolia Academic Online Journal Health Sciences, 6(3), 323-336.

International Anatolia Academic Online Journal Health Sciences