DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20196071

Human papilloma virus vaccination: knowledge, awareness and acceptability among medical and paramedical students

Suchith Hoblidar, Suma S. Moni, Rathnamala M. Desai, Asha Neravi

Abstract


Background: Cervical cancer is the second leading cause of death in india. it is also one of the few malignancies where an infectious etiological agent human papilloma virus (HPV) has been identified. With the advent of HPV vaccination, it is possible to reduce the morbidity and mortality associated with carcinoma cervix. But biggest hurdle to achieve this is the lack of awareness about the availability and use of HPV vaccine. This study was conducted to know knowledge and awareness of HPV infection and vaccination among medical and paramedical students. We also evaluated the acceptability and coverage of HPV vaccine among these students.

Methods: This study was conducted among a total of 520 female students of the Sri Dharmasthala Manjunatheshwara University with the help of a questionnaire. The study group included 207 MBBS students, 167 BDS students, 89 nursing students and 57 physiotherapy students.

Results: Most of the students were in 18-20 years’ age group. Nearly 40.57% of the students knew that HPV is sexually transmitted and 29.80% were aware that this infection can be prevented. Availability of HPV vaccine was known to 75% of the students and the main source of their information was through their college teachings. Nearly 43.75% of the students knew HPV vaccine protects against cervical cancer and 26.73% of the students were vaccinated. Overall knowledge and awareness were better among medical students.

Conclusions: A lot of work needs to be done so as to make the target population accept HPV vaccine. There is a great difference between awareness of availability of the vaccine and its use. This emphasizes the need for health care professionals to take special interest in promoting this vaccine in the general population.


Keywords


Acceptability, Awareness, Carcinoma cervix, Human papilloma virus, Human papilloma virus vaccination, Medical students, Paramedical students, Prevention

Full Text:

PDF

References


Wang H, Naghavi M, Allen C, Barber RM, Bhutta ZA, Carter A, et al. Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1459-544.

Fitzmaurice C, Allen C, Barber RM, Barregard L, Bhutta ZA, Brenner H, et al. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015: a systematic analysis for the global burden of disease study. JAMA Oncol. 2017;3(4):524-48.

Mehrotra R, Kaushik R. A stitch in time saves nine: Answer to the cancer burden in India. Indian J Med Res. 2018;147(2):121-4.

Mehrotra R, Hariprasad R, Rajaraman P, Mahajan V, Grover R, Kaur P, et al. Stemming the wave of cervical cancer: human papillomavirus vaccine introduction in India. J Glob Oncol. 2018;4:1-4.

ICO/IARC Information Centre on HPV and Cancer. Human Papillomavirus and Related Cancers India, Fact Sheet; 2018.

Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. GLOBOCAN 2008 vl.2, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No 10. Lyon, France: International Agency for Research on Cancer; 2010. Available at: http://globocan.iarc.fr.

Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010;127:2893-917.

Kaarthigeyan K. Cervical cancer in India and HPV vaccination. Indian J Med Paediatr Oncol. 2012;33(1):7-12.

Lee LY, Garland SM. Human papillomavirus vaccination: the population impact. F1000Res. 2017;6:866.

World Health Organization. Weekly Epidemiol Record. 2017;92:241-68.

Singh N. HPV and Cervical cancer - prospects for prevention through vaccination. Indian J Med Paediatr Oncol. 2005;26:20-3.

World Health Organization: Media Centre: Human Papillomavirus (HPV) and cervical cancer; 2016.

Sreedevi A, Javed R, Dinesh A. Epidemiology of cervical cancer with special focus on India. Int J Womens Health. 2015;7:405-14.

Bansal A, Singh MP, Rai B. Human papillomavirus-associated cancers: A growing global problem. Int J Appl Basic Med Res. 2016;6(2):84-9.

Myers ER, McCrory DC, Nanda K, Bastian L, Matchar DB. Mathematical model for the natural history of human papillomavirus infection and cervical carcinogenesis. Am J Epidemiol. 2000;151:1158-71.

Rathi A, Garg S, Meena GS. Human papilloma virus vaccine in indian settings: need of the hour. J Vaccines Vaccin. 2016;7:346.

Goldie SJ, O'Shea M, Campos NG, Diaz M, Sweet S, Kim SY. Health and economic outcomes of HPV 16,18 vaccination in 72 GAVI-eligible countries. Vaccine. 2008;26:4080-93.

Marra F, Cloutier K, Oteng B, Marra C, Ogilvie G. Effectiveness and cost effectiveness of human papillomavirus vaccine: a systematic review. Pharmaco. 2009;27:127-47.

Arbyn M, Xu L, Simoens C, Martin-Hirsch PP. Prophylactic vaccination against human papillomaviruses to prevent cervical cancer and its precursors. Cochrane Database Syst Rev. 2018;5(5):CD009069.

Mehta S, Rajaram S, Goel G, Goel N. Awareness about human papilloma virus and its vaccine among medical students. Indian J Community Med. 2013;38(2):92-4.

Idowu A, Olowookere SA, Israel OK, Akinwumi AF. Human papillomavirus vaccine acceptability and uptake among medical and paramedical students of a Nigerian Tertiary Health Institution. Am J Pub Health Res. 2019;7(4):143-50.

Niveditha Das E, Francis PT. HPV vaccine knowledge and coverage among female students in a medical college, Kerala. Int J Community Med Public Health. 2018;5:5133-8.

Pandey D, Vanya V, Bhagat S, Vs B, 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.

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 Pacific J Cancer Prevent. 2015;16(18):8473-7.

Ganju SA, Gautam N, Barwal V, Walia S, Ganju S. Assessment of knowledge and attitude of medical and nursing students towards screening for cervical carcinoma and HPV vaccination in a tertiary care teaching hospital. Int J Community Med Public Health. 2017;4:4186-93.

Blödt S, Holmberg C, Müller-Nordhorn J, Rieckmann N. Human papillomavirus awareness, knowledge and vaccine acceptance: a survey among 18-25year old male and female vocational school students in Berlin, Germany. Eur J Public Health. 2012;22(6):808-13.

Thulaseedharan JV, Frie KG, Sankaranarayanan R. Challenges of health promotion and education strategies to prevent cervical cancer in India: A systematic review. J Edu Health Promot. 2019;8:216.

Madhivanan P, Krupp K, Yashodha MN, Marlow L, Klausner JD, Reingold AL. Attitudes toward HPV vaccination among parents of adolescent girls in Mysore, India. Vaccine. 2009;27:5203‐8.

Hussain S, Nasare V, Kumari M, Sharma S, Khan MA, Das BC, et al. Perception of human papillomavirus infection, cervical cancer and HPV vaccination in North Indian population. PLoS One. 2014;9(11):e112861.

Barnack JL, Reddy DM, Swain C. Predictors of parents’ willingness to vaccinate for Human Papilloma Virus and Physicians’ intentions to recommend the vaccine. Women’s Health. 2010;20:28-34.

Lenselink CH, Gerrits MMJG, Melchers WJG, Massuger LFAG, Hamont D, Bekkers RLM. Parental acceptance of human papillomavirus vaccines. Eu J Obstet Gynecol Repro Biol. 2008;137:103-7.

Saha A, Chaudhury AN, Bhowmik P, Chatterjee R. Awareness of cervical cancer among female students of premier colleges in Kolkata, India. Asian Pac J Cancer P. 2010;11(4):1085-90.

Paul P, Tanner AE, Gravitt PE, Vijayaraghavan K, Shah KV, Zimet GD, et al. Acceptability of HPV vaccine implementation among parents in India. Health Care Women Int. 2014;35(10):1148-61.