Knowledge, attitudes and practices on human papilloma virus infection, screening and vaccination among reproductive-aged women
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20252713Keywords:
Cancer cervix, HPV vaccination, Attitudes, HPV infection, HPV screening, Knowledge, PracticesAbstract
Background: Cervical cancer is the most common gynecological cancer and the most preventable cancer among women. 93% of cervical cancers had infection with HPV. This study aims to evaluate the factors towards practices and perceived barriers of reproductive aged women on HPV infection, vaccination and screening by looking into demographic variables, knowledge and attitudes of respondents towards HPV infection, vaccination and screening.
Methods: This research is a descriptive cross sectional study, approved by the Research Ethics Committee. A self-administered questionnaire created by the researchers and validated by three specialists was used in assessing the knowledge, attitudes, practices and barriers towards HPV infection, screening and prevention. Descriptive statistics were used to summarize the data sets. Chi square test of association was used to analyze the association of age, knowledge, attitude to the history of screening and vaccination and general practices of respondents regarding HPV infection, screening and prevention.
Results: Between August and November 2020, 81 women participated in the study. Results shows that respondents have poor knowledge (Mean: 8.74; Ref: ≥13) but with positive attitude (M: 3.13) towards HPV infection, screening and vaccination. Majority of respondents did not undergo any screening procedure (70.4%) nor received HPV vaccination (92.6%). Although, respondents had generally good practices that prevents HPV infection. Marital status and age were found to be associated with HPV infection prevention practices. However, knowledge on screening and vaccination was not associated with demographic variables.
Conclusions: This study shows that knowledge on HPV infection, screening and vaccination was generally poor. Majority of respondents have not undergone screening tests or vaccination. Major reasons identified for this are feelings of anxiety, inability to communicate desire to get screened, cost of vaccine and lack of information. Hence, information dissemination and counselling regarding the disease, its screening and vaccination should be strengthened.
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References
Makwe CC, Anorlu RI, Odeyemi KA. Human Papillomavirus (HPV Infection and Vaccines: Knowledge, attitude and perception among female students at the University of Lagos, Lagos, Nigeria. Journal of Epidemiology and Global Health. 2012. 199-206. DOI: https://doi.org/10.1016/j.jegh.2012.11.001
Decena KI, Benavides D. Knowledge, attitude and practice on Human Papillomavirus Vaccination among Obstetrics and Gynecology Residents in Metro Manila. Philippine Journal of Obstetrics and Gynecology. 2017. Vol. 41, No. 1, January-February 2017.
ICO: Human Papillomavirus and Related Cancers, Fact Sheet 2017. ICO Information Centre on HPV and Cancer
In Patient Cases of Cervical Cancer from 2015-2017 in Baguio General Hospital and Medical Center. Baguio General Hospital and Medical Center, Health Information Management Office. April 2018
Domingo EJ, Dy Echo AV. Epidemiology, Prevention and Treatment of Cervical Cancer in the Philippines. J Gynecol Oncol. 2009; 20 (1): 11-16. DOI: https://doi.org/10.3802/jgo.2009.20.1.11
Gwynne MJ, Handley AL, Brown SL, Spiryda LB. Outcomes of the Cervix Project: Measuring College Undergraduates Knowledge, Attitudes and Practices towards Human Papillomavirus Infection and Vaccination. Clinical Obstetrics, Gynecology and Reproductive Medicine. 2017. Volume 3 (1): 1-4. DOI: https://doi.org/10.15761/COGRM.1000169
Marlow LAV, Zimet GD, McCaffery KJ, Ostini R., Waller J. Knowledge of Human Papillomavirus (HPV) and HPV Vaccination: An International Comparison. Elsevier Ltd. 2012. DOI: https://doi.org/10.1016/j.vaccine.2012.11.083
Wong MCS, Lee A, Ngai KLK, Chor JCY, Chan PKS. Knowledge, Attitude, Practice and Barriers on Vaccination against Human Papillomavirus Infection: A Cross Sectional Study among Primary Care Physicians in Hong Kong. PLOS One. 2013. Volume 8, Issue 8: e71827. DOI: https://doi.org/10.1371/journal.pone.0071827
Laudico AV, Esteban D, Reyes LM, Liquido J. Philippine cancer facts and estimates. Philippine Cancer Society. 2010;2010:15.
Koshiol J, Finney-Rutten L, Moser RP, Hesse N. Knowledge of human papillomavirus: differences by self-reported treatment for genital warts and sociodemographic characteristics. Journal of health communication, 2009; 14(4), 331–345. DOI: https://doi.org/10.1080/10810730902873067
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):197648. DOI: https://doi.org/10.1371/journal.pone.0197648
Villanueva S, Mosteiro-Miguéns DG, Domínguez-Martís EM, López-Ares D, Novío S. Knowledge, Attitudes and Intentions towards Human Papillomavirus Vaccination among Nursing Students in Spain. Int J Environ Res Pub Health. 2019;16(22):4507. DOI: https://doi.org/10.3390/ijerph16224507
Guo F, Hirth JM, Berenson AB. Cervical cancer screening among women ≥70 years of age in the United States—A referral problem or patient choice. Prev Med. 2015;81:427–32. DOI: https://doi.org/10.1016/j.ypmed.2015.10.005
Zhang JM, Zhao QM, Zhang LM. Assessment of 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.
Adolfsson A, Granevik K, Paulson K. The reasons why women do not participate in the pap smear screening and testing program in Sweden. Adv Sexual Med. 2012;2:31-7. DOI: https://doi.org/10.4236/asm.2012.23006
Guo, F, Hirth JM, Berenson AB. Human papillomavirus vaccination and pap smear uptake among young women in the United States: role of provider and patient. J Women's Health. 2017;26(10):1114–22. DOI: https://doi.org/10.1089/jwh.2017.6424
Becker-Dreps S, Otieno WA, Brewer N, Agot K, Smith J. HPV vaccine acceptability among Kenyan women. Vaccine. 2010;28(31):4864-7. DOI: https://doi.org/10.1016/j.vaccine.2010.05.034
Francis S, Battle-Fisher M, Liverpool J, Hipple L, Mosavel M, Soogun S, et al. A qualitative analysis of South African women's knowledge, attitudes and beliefs about HPV and cervical cancer prevention, vaccine awareness and acceptance and maternal-child communication about sexual health. Vaccine. 2011;29(47):8760-5. DOI: https://doi.org/10.1016/j.vaccine.2011.07.116
Elsamadicy EA, Schneiter MK, Hull PC, Khabele D. Human papillomavirus vaccination completion rates among gynecological providers: an institutional retrospective review. Human Vacc Immunotherap. 2019;15(8):1851–5. DOI: https://doi.org/10.1080/21645515.2019.1619405
Mills LA, Head KJ, Vanderpool RC. HPV vaccination among young adult women: a perspective from Appalachian Kentucky. Prev Chronic Dis. 2013;10:17. DOI: https://doi.org/10.5888/pcd10.120183
Khan TM, Buksh MA, Rehman IU, Saleem A. Knowledge, attitudes and perception towards Human Papillomavirus among University students in Pakistan. Papillomavirus Res. 2016;2:122-7. DOI: https://doi.org/10.1016/j.pvr.2016.06.001
Pryor RJ, Masroor N, Stevens M, Sanogo K, O'Hagan PH, Bearman G. Cervical cancer screening in rural mountainous Honduras: knowledge, attitudes and barriers. Rural Remote Health. 2017;17(2):1-8. DOI: https://doi.org/10.22605/RRH3820
Mathur MB, Mathur VS, Reichling DB. Participation in the decision to become vaccinated against human papillomavirus by California high school girls and the predictors of vaccine status. J Pediatric Health Care. 2010;24(1):14–24. DOI: https://doi.org/10.1016/j.pedhc.2008.11.004
Laidsaar-Powell RC, McCaffery KJ, Mather T, Juraskova I. Vaccination Decision‐Making and HPV Knowledge: How Informed and Engaged Are Young Adult HPV Vaccine Recipients in Australia. J Vacc. 2014;4(1):495347. DOI: https://doi.org/10.1155/2014/495347
Barber DA, Casquejo E, Ybanez PL, Pinote MT, Casquejo L, Pinote LS, et al. Prevalence and correlates of antibiotic sharing in the Philippines: antibiotic misconceptions and community-level access to non-medical sources of antibiotics. Tropical Med Int Health. 2017;22(5):567-75. DOI: https://doi.org/10.1111/tmi.12854
Young AM, Crosby RA, Jagger KS, Richardson MB, Kloha RA, Safarian V. HPV vaccine acceptability among women in the Philippines. Asian Pac J Cancer Prev. 2010;11:1781–7.
Nyblade L, Stockton MA, Giger K, Bond V, Ekstrand ML, McLean R, et al. Stigma in health facilities: why it matters and how we can change it. BMC Med. 2019;17:25. DOI: https://doi.org/10.1186/s12916-019-1256-2
Lucea MB, Hindin MJ, Gultiano S, Kub J, Rose L. The context of condom use among young adults in the Philippines: implications for HIV prevention. Health Care Women Int. 2013;34(3-4):227-48. DOI: https://doi.org/10.1080/07399332.2012.721414
Schabath MB, Thompson ZJ, Egan KM, Torres N, Nguyen A, Papenfuss M, et al. Alcohol consumption and prevalence of human papillomavirus (HPV) infection among US men in the HPV in Men (HIM) study. Sex Transm Infect. 2015;91(1):61-7. DOI: https://doi.org/10.1136/sextrans-2013-051422
Sonawane K, Suk R, Chiao EY, Chhatwal J, Qiu P, Wilkin T, et al. Oral human papillomavirus infection: differences in prevalence between sexes and concordance with genital human papillomavirus infection, NHANES 2011 to 2014. Ann Intern Med. 2017;167(10):714-24. DOI: https://doi.org/10.7326/M17-1363
Swarnapriya K, Kavitha D, Reddy GMM. Knowledge, attitude and practices regarding hpv vaccination among medical and para medical in students, india a cross sectional study. Asian Pac J Cancer Prev. 2015;16(18):8473-7. DOI: https://doi.org/10.7314/APJCP.2015.16.18.8473
Yam PWA, Lam PL, Chan TK, Chau KW, Hsu ML, Lim YT, et al. A cross sectional study on knowledge, attitude and practice related to human papillomavirus vaccination for cervical cancer prevention between medical and non-medical students in Hong Kong. Asian Pac J Cancer Prev. 2017;18(6):1689-95.
Heena H, Durrani S, AlFayyad I, Riaz M, Tabasim R, Parvez G, Abu-Shaheen A. Knowledge, attitudes, and practices towards cervical cancer and screening amongst female healthcare professionals: a cross-sectional study. J Oncol. 2019;9:5423130. DOI: https://doi.org/10.1155/2019/5423130
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