Knowledge and awareness of cervical cancer, its prevention and attitude towards human papillomavirus vaccine among medical students
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20200346Keywords:
Attitude, Awareness, Cervical cancer, Human papilloma virus infection, Human papilloma virus vaccineAbstract
Background: Cervical cancer is still one of the most common cancers affecting females in India, leading to a lot of mortality and morbidity. The objective of this study was to assess the awareness of the human papillomavirus (HPV) infections and vaccination among the medical students of a tertiary care teaching hospital.
Methods: A total 300 final year I and II medical students were requested to complete a questionnaire regarding cervical cancer, primary and secondary preventive measures and attitude of students towards HPV vaccination and the answers were then analysed.
Results: Among 300 medical students, 46.6% were males and 53.4% were females. Most of them were aware of the common risk factors like early marriage (92.7%), multiple partners (99%), multiparity (83.3%) and HPV exposure (85.7%). Most were aware of the cervical cancer symptoms like offensive vaginal discharge (70%), irregular vaginal bleeding (92.7%) and postcoital bleeding (80.3%). 90% were aware that cervical cancer is preventable and 74% were aware that vaccine is available in India. 70% were aware about the best age to vaccinate is 9-13 years. About 10% were already vaccinated and all were females. Out of 270 students who have not administered HPV vaccine, 53.4% didn’t take the vaccine because of lack of awareness. High cost (18.8%), fear of side effects (13.8%) and doubt on efficacy (14%) were the other reasons reported for non-administration of vaccines.
Conclusions: The study showed that there were gaps in knowledge regarding HPV infection and vaccination existed amongst the medical students. So, awareness among the students should be created and a more integrated teaching regarding various aspects of HPV infection, cervical cancers and its prevention needs to be introduced in the medical education system.
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References
Cervical cancer control in developing countries: Memorandum from a WHO meeting. Bulletin World Health Organ. 1996;74:345-51.
Parkin DM, Bray F, Ferlay J. Estimating the world cancer burden: Globocan 2000. Int J Cancer. 2001;94:153-6.
Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin. 2005;55:74-108.
Laikangbam P, Sengupta S, Bhattacharya P, Duttagupta C, Dhabali Singh T, et al. A comparative profile of the prevalence and age distribution of human papillomavirus type 16/18 infections among three states of India with focus on Northeast India. Int J Gynecol Cancer. 2007;17:107-17.
Walboomers JM, Jacobs MV, Manos MM, Bosch FX, Kummer JA, et al. Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. J Pathol. 1999;189(1):12-9.
Bosch FX, Lorincz A, Munoz N, Meijer CJ, Shah KV. The causal relation between human papillomavirus and cervical cancer. J Clin Pathol. 2002;55(4):244-65.
Munoz N, Bosch FX, de Sanjose S, Herrero R, Castellsague X. Epidemiologic classification of human papillomavirus types associated with cervical cancer. N Engl J Med. 2003;348(6):518-27.
Gonik B, Jones T, Fasano N, Contreras D, Roberts C. Vaccine preventable diseases (VPD): improving the obstetrician/gynecologist’s knowledge and immunization practice patterns. Am J Obstet Gynecol. 2001;185:S162.
Pandey D, Vanya V, Bhagat S, Binu VS, Shetty J. Awareness and attitude towards human papilloma virus (HPV) vaccine among medical students in a Premier Medical School in India. PLoS One. 2012;7(7):e40616.
Saha A, Nag Chaudhury A, Bhowmik P, Chatterjee R. Awareness of cervical cancer among female students of premier colleges in Kolkata, India. Asian Pacific J Cancer Prevent. 2010;11:1085-90.
Rathod S, Samal SK, Samal S, Ghose S. Knowledge and awareness of cervical cancer and human papilloma virus vaccine among medical students: a cross-sectional study. J South Asian Federation Menopause Societies. 2017;5(1):41-4.
Tripathy S, Mohapatra S, Muthulakshmi M, Jamuna Rani R. Knowledge, attitude towards human papillomavirus and HPV vaccine among medical students of a tertiary care teaching hospital in India. Int J Reprod Contracept Obstet Gynecol. 2015;4(6):1771-4.
Kwan TT, Chan KK, Yip AM, Tam KF, Cheung AN, Lee PW, et al. Barriers and facilitators to human papillomavirus vaccination among Chinese adolescent girls in Hong Kong: a qualitative-quantitative study. Sex Transm Infect. 2008;84(3):227-32.
Baykal C, Al A, Ug˘ur MG, Cetinkaya N, Attar R, Arioglu P, et al. Knowledge and interest of Turkish women about cervical cancer and HPV vaccine. Eur J Gynaecol Oncol. 2008;29(1):76-9.
Guducu N, Gonenc G, Herman I, Yigiter AB, Dunder I. Awareness of human papilloma virus cervical cancer and HPV vaccine in healthcare workers and students of medical and nursing schools. J Clin Exp Invest. 2012;3(3):318-25.