Knowledge, practice and awareness of adolescent girls on human papillomavirus vaccine
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20250178Keywords:
Knowledge, Practice, Awareness, Adolescent girls, HPV vaccineAbstract
Background: Human papillomavirus (HPV) is a significant public health concern, particularly among adolescents, as it is a leading cause of cervical cancer and other HPV-related diseases. Despite the availability of an effective vaccine, knowledge and awareness about HPV and its prevention remain limited, especially among young girls. This study aims to assess the knowledge, practice, and awareness of adolescent girls regarding the HPV vaccine.
Methods: The study was conducted at department of obstetrics and gynaecology, Anwer Khan modern medical college and hospital, Dhaka, Bangladesh from July, 2023 to June, 2024. A cross-sectional descriptive study design was employed, targeting adolescent girls aged 13 to 19 years. The study population consisted of students from five secondary schools within the urban and peri-urban areas of the district. A total of 300 participants were included in the study.
Results: The study of 300 participants reveals that the majority are aged 15-16 years (40%), followed by 17-18 years (30%). Most participants are in senior secondary (1-2) (50%), and 60% are aware of HPV, with school programs being the most common source of awareness. Knowledge of HPV transmission and the HPV vaccine is limited, with 40% having correct knowledge about transmission and 30% possessing adequate vaccine knowledge. Vaccination rates are low, with only 40% vaccinated, primarily due to a lack of awareness. Most participants recommend increasing awareness campaigns (50%) and reducing vaccine costs (25%).
Conclusions: This study concludes that a majority (60%) of the participants were aware of HPV, only 40% demonstrated correct knowledge of its transmission, and an even smaller proportion (30%) had adequate knowledge about the HPV vaccine itself. The low vaccination rate of 40% reflects the challenges in increasing uptake, with the primary barrier being a lack of awareness.
Metrics
References
De Sanjose S, Serrano B, Tous S, Alejo M, Lloveras B, Quirós B, et al. The burden of human papillomavirus (HPV)-related cancers attributable to HPVs 6/11/16/18/31/33/45/52 and 58. JNCI Cancer Spectrum. 2018;2(4):pky045. DOI: https://doi.org/10.1093/jncics/pky045
Vaccarella S, Lortet-Tieulent J, Plummer M, Franceschi S, Bray F. Worldwide trends in cervical cancer incidence: impact of screening against changes in disease risk factors. Eur J Cancer. 2013;49(15):3262-73. DOI: https://doi.org/10.1016/j.ejca.2013.04.024
Rositch AF, Hudgens MG, Backes DM, Moses S, Agot K, Nyagaya E, et al. Vaccine-relevant human papillomavirus (HPV) infections and future acquisition of high-risk HPV types in men. J Infect Dis. 2012;206(5):669-77. DOI: https://doi.org/10.1093/infdis/jis406
Control C for D, Prevention (CDC. National, state, and local area vaccination coverage among adolescents aged 13-17 years–United States, 2008. MMWR. 2009;58(36):997-1001.
Zimet GD. Health care professionals and adolescent vaccination: A call for intervention research. Human Vacc Immunotherapeut. 2014;10(9):2629-30. DOI: https://doi.org/10.4161/hv.28525
Xu M, Choi J, Capasso A, DiClemente R. Improving HPV Vaccination Uptake Among Adolescents in Low Resource Settings: Sociocultural and Socioeconomic Barriers and Facilitators. AHMT. 2024;15:73-82. DOI: https://doi.org/10.2147/AHMT.S394119
Rosenthal SL, Weiss TW, Zimet GD, Ma L, Good MB, Vichnin MD. Predictors of HPV vaccine uptake among women aged 19-26: the importance of a physician’s recommendation. Vaccine. 2011;29(5):890-5. DOI: https://doi.org/10.1016/j.vaccine.2009.12.063
Bednarczyk RA. Human papillomavirus vaccine and sexual activity: how do we best address parent and physician concerns? JAMA Internal Med. 2015;175(4):624-5. DOI: https://doi.org/10.1001/jamainternmed.2014.7894
Tung IL, Machalek DA, Garland SM. Attitudes, knowledge, and factors associated with human papillomavirus (HPV) vaccine uptake in adolescent girls and young women in Victoria, Australia. PloS One. 2016;11(8):e0161846. DOI: https://doi.org/10.1371/journal.pone.0161846
Runngren E, Eriksson M, Blomberg K. Parents’ reasoning about HPV vaccination in Sweden. Scandinavian Caring Sci. 2022;36(4):1113-22. DOI: https://doi.org/10.1111/scs.13041
Organization WH. Global vaccine action plan: monitoring, evaluation, and accountability. Secretariat annual report 2020. World Health Organization. 2020. Available at: https://books.google.com/books?hl=en&lr=&id=PHcOEQAAQBAJ&oi=fnd&pg=PP6&dq=World+Health+Organization.+Global+HPV+Vaccine+Impact+Report.+2020.&ots=fuirvG3KHM&sig=SnejaqaZy4ah4JF1pwD9iyny5W0. Accessed on 30 December 2024.
Sackey ME, Markey K, Grealish A. Healthcare professional’s promotional strategies in improving Human papillomavirus (HPV) vaccination uptake in adolescents: A systematic review. Vaccine. 2022;40(19):2656-66. DOI: https://doi.org/10.1016/j.vaccine.2022.03.054
Ramavath KK, Olyai R. Knowledge and Awareness of HPV Infection and Vaccination Among Urban Adolescents in India: A Cross-Sectional Study. J Obstet Gynecol India. 2013;63(6):399-404. DOI: https://doi.org/10.1007/s13224-013-0413-3
Downs Jr LS, Scarinci I, Einstein MH, Collins Y, Flowers L. Overcoming the barriers to HPV vaccination in high-risk populations in the US. Gynecol Oncol. 2010;117(3):486-90. DOI: https://doi.org/10.1016/j.ygyno.2010.02.011
Dubé E, Vivion M, MacDonald NE. Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: influence, impact and implications. Expert Rev Vacc. 2015;14(1):99-117. DOI: https://doi.org/10.1586/14760584.2015.964212
Ortiz RR, Smith A, Coyne-Beasley T. A systematic literature review to examine the potential for social media to impact HPV vaccine uptake and awareness, knowledge, and attitudes about HPV and HPV vaccination. Human Vaccines Immunotherapeut. 2019;15(7-8):1465-75. DOI: https://doi.org/10.1080/21645515.2019.1581543
Patty NJS, Van Dijk HM, Wallenburg I, Bal R, Helmerhorst TJM, Van Exel J, et al. To vaccinate or not to vaccinate? Perspectives on HPV vaccination among girls, boys, and parents in the Netherlands: a Q-methodological study. BMC Public Health. 2017 Dec;17(1):872. DOI: https://doi.org/10.1186/s12889-017-4879-2
Walling EB, Benzoni N, Dornfeld J, Bhandari R, Sisk BA, Garbutt J, Colditz G. Interventions to improve HPV vaccine uptake: a systematic review. Pediatrics. 2016;138(1):e20153863. DOI: https://doi.org/10.1542/peds.2015-3863
Rutten LJ, Sauver JL, Beebe TJ, Wilson PM, Jacobson DJ, Fan C, et al. Clinician knowledge, clinician barriers, and perceived parental barriers regarding human papillomavirus vaccination: association with initiation and completion rates. Vaccine. 2017;35(1):164-9. DOI: https://doi.org/10.1016/j.vaccine.2016.11.012
Paul P, Fabio A. Literature review of HPV vaccine delivery strategies: considerations for school-and non-school based immunization program. Vaccine. 2014;32(3):320-6. DOI: https://doi.org/10.1016/j.vaccine.2013.11.070
Morales-Campos DY, Snipes SA, Villarreal EK, Crocker LC, Guerrero A, Fernandez ME. Cervical cancer, human papillomavirus (HPV), and HPV vaccination: exploring gendered perspectives, knowledge, attitudes, and cultural taboos among Mexican American adults. Ethnicity Heal. 2021;26(2):206-24. DOI: https://doi.org/10.1080/13557858.2018.1494821
Downloads
Published
How to Cite
Issue
Section
