Improvement of Parent’s Awareness, Knowledge, Perception, and Acceptability of HPV Vaccination After an Educational Intervention

Abstract Background Regardless of the disease burden of Human Papilloma Virus (HPV), the vaccine has not been included in the Indonesia National Immunization Program. Since 2017 there was a demonstration program of the HPV vaccination in Yogyakarta Province. This vaccine was given to female elementary school students in 5th and 6th grades. This study aimed to assess whether an educational intervention about the risks of HPV and the vaccine increases the parental awareness, knowledge, and perceptions toward HPV and the vaccine acceptability. Methods We conducted a pre-post educational intervention study in July 2017 before the implementation of the HPV vaccination demonstration program, in Kulon Progo District, Yogyakarta Province. Parents of female elementary school students grades 5th and 6th were selected using a school-based proportional random sampling. A pediatric resident provided a structured-educational intervention program. Parents were required to complete validated self-administered questionnaires before and after the intervention program. Results A total of 506 parents participated. Before the educational intervention program, parents' awareness of HPV infection and the vaccines were low. Only 49.2% of parents had heard HPV infection, and 48.8% had never heard about the vaccine. After the educational intervention, there were significant improvements in parent’s awareness, knowledge, and perceptions of HPV infection, cervical cancer, and HPV vaccination (all p < 0.001). HPV vaccine's acceptability increased from 74.3–87.4% (p < 0.001). There was a significant correlation between increasing HPV vaccine acceptability with the improvement of awareness, knowledge, and perception toward HPV infection, cervical cancer and HPV vaccination (r = 0.32 to 0.53, p < 0.001). After the educational intervention, better knowledge and positive perceptions of HPV vaccination were predictive of HPV vaccine's acceptability with OR 1.90 (95%CI:1.40–2.57) and OR 1.31(95%CI:1.05–1.63), respectively. Conclusions A structured educational intervention program conducted by qualified health providers is effective in improving parental awareness, knowledge, and perceptions toward HPV as well as the acceptability of the vaccine. There was a significant correlation between improving the parental knowledge and perceptions of HPV vaccine with increasing acceptability of the HPV vaccine.

Download Full-text

Improvement of Parent’s Awareness, Knowledge, Perception, and Acceptability of HPV Vaccination After a Structured-educational Intervention

10.21203/rs.3.rs-30161/v2 ◽

2020 ◽

Author(s):

Mei Neni Sitaresmi ◽

Nisrina Maulida Rozanti ◽

Lamria Besty ◽

Abdul Wahab

Keyword(s):

Cervical Cancer ◽

Primary School ◽

Educational Intervention ◽

Hpv Vaccination ◽

Hpv Infection ◽

Primary School Students ◽

School Students ◽

Demonstration Program ◽

Vaccine Acceptability ◽

Parental Awareness

Abstract Background: Regardless of the disease burden of HumanPapilloma Virus (HPV), the vaccine has not been included in the Indonesia National Immunization Program. Since 2017 there was a demonstration program of the HPV vaccination in Yogyakarta Province. This vaccine was given free to female primary school students in the 5 th and 6 th grades (11-13 years old). This study aimed to assess whether a structured-educational intervention focus on HPV increases the parental awareness, knowledge, and perceptions toward HPV and the vaccine acceptability. Methods: We conducted a pre-post structured-educational intervention study from July to August 2017 before the implementation of the HPV vaccination demonstration program, in Kulon Progo District, Yogyakarta Province, Indonesia. Parents of female primary school students grades 5 th and 6 th were selected using a school-based proportional random sampling. A pediatric resident provided a structured-educational intervention, which consists of the burden and risk of HPV disease, as well as the benefit and safety of the vaccine. Parents were required to complete validated self-administered questionnaires before and after the structured-educational intervention. Results: A total of 506 parents participated. Before receiving the structured-educational intervention, parents' awareness of HPV infection and the vaccines were low. Only 49.2% of parents had heard HPV infection, and 48.8% had heard about the vaccine. After the structured-educational intervention, there were significant improvements in parent’s awareness, knowledge, and perceptions of HPV infection, cervical cancer, and HPV vaccination (all p <0.001). HPV vaccine's acceptability increased from 74.3% to 87.4% ( p <0.001). There was a significant correlation between increasing HPV vaccine acceptability with the improvement of awareness, knowledge, and perception toward HPV infection, cervical cancer and HPV vaccination (r=0.32 to 0.53, p <0.001). After the structured-educational intervention, better knowledge and positive perceptions of HPV vaccination were predictive of HPV vaccine's acceptability with OR 1.90 (95%CI:1.40-2.57) and OR 1.31(95%CI:1.05-1.63), respectively. Conclusions: A structured-educational intervention is effective in improving parental awareness, knowledge, and perceptions toward HPV as well as the acceptability of the vaccine. The structured-educational intervention designed for parents have important implications for improving vaccine acceptability.

Download Full-text

Improvement of Parent’s awareness, knowledge, perception, and acceptability of human papillomavirus vaccination after a structured-educational intervention

BMC Public Health ◽

10.1186/s12889-020-09962-1 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Mei Neni Sitaresmi ◽

Nisrina Maulida Rozanti ◽

Lamria Besty Simangunsong ◽

Abdul Wahab

Keyword(s):

Educational Intervention ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Hpv Infection ◽

Primary School Students ◽

School Students ◽

Demonstration Program ◽

Vaccine Acceptability ◽

Parental Awareness ◽

Hpv Vaccine Acceptability

Abstract Background Regardless of the disease burden of human papillomavirus (HPV), the vaccine has not been included in the Indonesia National Immunization Program. Since 2017 there was a demonstration program of the HPV vaccination in Yogyakarta Province. This vaccine was given free to female primary school students in the 5th and 6th grades (11–13 years old). This study aimed to assess whether a structured-educational intervention focus on HPV increases the parental awareness, knowledge, and perceptions toward HPV and the vaccine acceptability. Methods We conducted a pre-post structured-educational intervention study from July to August 2017 before the implementation of the HPV vaccination demonstration program, in Kulon Progo District, Yogyakarta Province, Indonesia. Parents of female primary school students grades 5th and 6th were selected using a school-based proportional random sampling. A pediatric resident provided a structured-educational intervention, which consists of the burden and risk of HPV disease, as well as the benefit and safety of the vaccine. Parents were required to complete validated self-administered questionnaires before and after the structured-educational intervention. Results A total of 506 parents participated. Before receiving the structured-educational intervention, parents’ awareness of HPV infection and the vaccines were low. Only 49.2% of parents had heard HPV infection, and 48.8% had heard about the vaccine. After the structured-educational intervention, there were significant improvements in parent’s awareness, knowledge, and perceptions of HPV infection, cervical cancer, and HPV vaccination (all p < 0.001). HPV vaccine’s acceptability increased from 74.3 to 87.4% (p < 0.001). There was a significant correlation between increasing HPV vaccine acceptability with the improvement of awareness, knowledge, and perception toward HPV infection, cervical cancer and HPV vaccination (r = 0.32 to 0.53, p < 0.001). After the structured-educational intervention, better knowledge and positive perceptions of HPV vaccination were predictive of HPV vaccine’s acceptability with OR 1.90 (95%CI:1.40–2.57) and OR 1.31(95%CI,1.05–1.63), respectively. Conclusions A structured-educational intervention may improve parental awareness, knowledge, and perceptions toward HPV and the acceptability of the vaccine. Further study, a randomized control trial with longer follow-up are needed to evaluate the long-term and actual effectiveness of improving parents’ knowledge, perceptions and HPV vaccine acceptability.

Download Full-text

Improvement of Parent’s Awareness, Knowledge, Perception, and Acceptability of HPV Vaccination After a Structured-educational Intervention

10.21203/rs.3.rs-30161/v5 ◽

2020 ◽

Author(s):

Mei Neni Sitaresmi ◽

Nisrina Maulida Rozanti ◽

Lamria Besty Simangunsong ◽

Abdul Wahab

Keyword(s):

Educational Intervention ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Hpv Infection ◽

Primary School Students ◽

School Students ◽

Demonstration Program ◽

Vaccine Acceptability ◽

Parental Awareness ◽

Hpv Vaccine Acceptability

Abstract Background: Regardless of the disease burden of human papillomavirus (HPV), the vaccine has not been included in the Indonesia National Immunization Program. Since 2017 there was a demonstration program of the HPV vaccination in Yogyakarta Province. This vaccine was given free to female primary school students in the 5 th and 6 th grades (11-13 years old). This study aimed to assess whether a structured-educational intervention focus on HPV increases the parental awareness, knowledge, and perceptions toward HPV and the vaccine acceptability. Methods: We conducted a pre-post structured-educational intervention study from July to August 2017 before the implementation of the HPV vaccination demonstration program, in Kulon Progo District, Yogyakarta Province, Indonesia. Parents of female primary school students grades 5 th and 6 th were selected using a school-based proportional random sampling. A pediatric resident provided a structured-educational intervention, which consists of the burden and risk of HPV disease, as well as the benefit and safety of the vaccine. Parents were required to complete validated self-administered questionnaires before and after the structured-educational intervention. Results: A total of 506 parents participated. Before receiving the structured-educational intervention, parents' awareness of HPV infection and the vaccines were low. Only 49.2% of parents had heard HPV infection, and 48.8% had heard about the vaccine. After the structured-educational intervention, there were significant improvements in parent’s awareness, knowledge, and perceptions of HPV infection, cervical cancer, and HPV vaccination (all p <0.001). HPV vaccine's acceptability increased from 74.3% to 87.4% ( p <0.001). There was a significant correlation between increasing HPV vaccine acceptability with the improvement of awareness, knowledge, and perception toward HPV infection, cervical cancer and HPV vaccination (r=0.32 to 0.53, p <0.001). After the structured-educational intervention, better knowledge and positive perceptions of HPV vaccination were predictive of HPV vaccine's acceptability with OR 1.90 (95%CI:1.40-2.57) and OR 1.31(95%CI:1.05-1.63), respectively. Conclusions: A structured-educational intervention may improve parental awareness, knowledge, and perceptions toward HPV and the acceptability of the vaccine. Further study, a randomized control trial with longer follow-up are needed to evaluate the long-term and actual effectiveness of improving parents’ knowledge, perceptions and HPV vaccine acceptability .

Download Full-text

Improvement of Parent’s Awareness, Knowledge, Perception, and Acceptability of HPV Vaccination After a Structured-educational Intervention

10.21203/rs.3.rs-30161/v4 ◽

2020 ◽

Author(s):

Mei Neni Sitaresmi ◽

Nisrina Maulida Rozanti ◽

Lamria Besty Simangunsong ◽

Abdul Wahab

Keyword(s):

Educational Intervention ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Hpv Infection ◽

Primary School Students ◽

School Students ◽

Demonstration Program ◽

Vaccine Acceptability ◽

Parental Awareness ◽

Hpv Vaccine Acceptability

Abstract Background: Regardless of the disease burden of human papillomavirus (HPV), the vaccine has not been included in the Indonesia National Immunization Program. Since 2017 there was a demonstration program of the HPV vaccination in Yogyakarta Province. This vaccine was given free to female primary school students in the 5th and 6th grades (11-13 years old). This study aimed to assess whether a structured-educational intervention focus on HPV increases the parental awareness, knowledge, and perceptions toward HPV and the vaccine acceptability.Methods: We conducted a pre-post structured-educational intervention study from July to August 2017 before the implementation of the HPV vaccination demonstration program, in Kulon Progo District, Yogyakarta Province, Indonesia. Parents of female primary school students grades 5th and 6th were selected using a school-based proportional random sampling. A pediatric resident provided a structured-educational intervention, which consists of the burden and risk of HPV disease, as well as the benefit and safety of the vaccine. Parents were required to complete validated self-administered questionnaires before and after the structured-educational intervention. Results: A total of 506 parents participated. Before receiving the structured-educational intervention, parents' awareness of HPV infection and the vaccines were low. Only 49.2% of parents had heard HPV infection, and 48.8% had heard about the vaccine. After the structured-educational intervention, there were significant improvements in parent’s awareness, knowledge, and perceptions of HPV infection, cervical cancer, and HPV vaccination (all p<0.001). HPV vaccine's acceptability increased from 74.3% to 87.4% (p<0.001). There was a significant correlation between increasing HPV vaccine acceptability with the improvement of awareness, knowledge, and perception toward HPV infection, cervical cancer and HPV vaccination (r=0.32 to 0.53, p<0.001). After the structured-educational intervention, better knowledge and positive perceptions of HPV vaccination were predictive of HPV vaccine's acceptability with OR 1.90 (95%CI:1.40-2.57) and OR 1.31(95%CI:1.05-1.63), respectively. Conclusions: A structured-educational intervention may improve parental awareness, knowledge, and perceptions toward HPV and the acceptability of the vaccine. Further study, a randomized control trial with longer follow-up are needed to evaluate the long-term and actual effectiveness of improving parents’ knowledge, perceptions and HPV vaccine acceptability.

Download Full-text

Improvement of Parent’s Awareness, Knowledge, Perception, and Acceptability of Human Papillomavirus Vaccination After a Structured-educational Intervention

10.21203/rs.3.rs-30161/v3 ◽

2020 ◽

Author(s):

Mei Neni Sitaresmi ◽

Nisrina Maulida Rozanti ◽

Lamria Besty ◽

Abdul Wahab

Keyword(s):

Educational Intervention ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Hpv Infection ◽

Primary School Students ◽

School Students ◽

Demonstration Program ◽

Vaccine Acceptability ◽

Parental Awareness ◽

Hpv Vaccine Acceptability

Abstract Background: Regardless of the disease burden of human papillomavirus(HPV), the vaccine has not been included in the Indonesia National Immunization Program. Since 2017 there was a demonstration program of the HPV vaccination in Yogyakarta Province. This vaccine was given free to female primary school students in the 5th and 6th grades (11-13 years old). This study aimed to assess whether a structured-educational intervention focus on HPV increases the parental awareness, knowledge, and perceptions toward HPV and the vaccine acceptability.Methods: We conducted a pre-post structured-educational intervention study from July to August 2017 before the implementation of the HPV vaccination demonstration program, in Kulon Progo District, Yogyakarta Province, Indonesia. Parents of female primary school students grades 5th and 6th were selected using a school-based proportional random sampling. A pediatric resident provided a structured-educational intervention, which consists of the burden and risk of HPV disease, as well as the benefit and safety of the vaccine. Parents were required to complete validated self-administered questionnaires before and after the structured-educational intervention. Results: A total of 506 parents participated. Before receiving the structured-educational intervention, parents' awareness of HPV infection and the vaccines were low. Only 49.2% of parents had heard HPV infection, and 48.8% had heard about the vaccine. After the structured-educational intervention, there were significant improvements in parent’s awareness, knowledge, and perceptions of HPV infection, cervical cancer, and HPV vaccination (all p<0.001). HPV vaccine's acceptability increased from 74.3% to 87.4% (p<0.001). There was a significant correlation between increasing HPV vaccine acceptability with the improvement of awareness, knowledge, and perception toward HPV infection, cervical cancer and HPV vaccination (r=0.32 to 0.53, p<0.001). After the structured-educational intervention, better knowledge and positive perceptions of HPV vaccination were predictive of HPV vaccine's acceptability with OR 1.90 (95%CI:1.40-2.57) and OR 1.31(95%CI:1.05-1.63), respectively.Conclusions: A structured-educational intervention may improve parental awareness, knowledge, and perceptions toward HPV and the acceptability of the vaccine. Further study, a randomized control trial with longer follow-up are needed to evaluate the long-term and actual effectiveness of improving parents’ knowledge, perceptions and HPV vaccine acceptability.

Download Full-text

Awareness and knowledge of human papilloma virus (HPV) vaccine in prevention of cervical cancer among medical students

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20184960 ◽

2018 ◽

Vol 7 (12) ◽

pp. 5026

Author(s):

Radhika M. ◽

Sadiqunissa Sadiqunissa ◽

Mehfooza Ahmed

Keyword(s):

Cervical Cancer ◽

Medical Students ◽

Hpv Vaccine ◽

Positive Attitude ◽

Hpv Vaccination ◽

Hpv Infection ◽

Screening Methods ◽

Cancer Cervix ◽

Cross Sectional ◽

Infection Risk Factors

Background: Cervical cancer is the most common malignancy amongst women in India. Identification and prevention of the pre-cancerous lesions helps to reduce the incidence of Carcinoma of cervix. The main aim of the study is to know the awareness and knowledge of HPV vaccine in prevention of cervical cancer among medical students.Methods: The study included 97 medical students (final year) studying in Yenepoya Medical College, Mangalore. It is a cross-sectional questionnaire-based study.Results: The results of awareness and knowledge about the HPV vaccine are interpreted in percentage. In this study, 76% of study subjects were aware that cancer cervix is preventable, 80% of the study subjects were aware about the association between the causation of cancer cervix by HPV. Majority of the study subjects about 72% ware about the vaccines for HPV but, awareness about the cost and efficacy of the vaccine was low only about 30% and 10% respectively. However, importantly students had a positive attitude to educate people regarding HPV vaccination and also to clear myths and misconceptions.Conclusions: Medical students should be educated regarding HPV infection, risk factors for causation of cervical cancer, screening methods which are available, HPV vaccines available in India and also about the efficacy and to motivate the society to have a positive attitude towards HPV vaccination by clearing the misconceptions regarding its information.

Download Full-text

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

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20196071 ◽

2020 ◽

Vol 9 (2) ◽

pp. 474

Author(s):

Suchith Hoblidar ◽

Suma S. Moni ◽

Rathnamala M. Desai ◽

Asha Neravi

Keyword(s):

Cervical Cancer ◽

Nursing Students ◽

Human Papilloma Virus ◽

Health Care Professionals ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Target Population ◽

Hpv Infection ◽

Papilloma Virus ◽

Sexually Transmitted

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.

Download Full-text

Single-dose HPV vaccination efficacy among adolescent girls and young women in Kenya (the KEN SHE Study): study protocol for a randomized controlled trial

Trials ◽

10.1186/s13063-021-05608-8 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Ruanne V. Barnabas ◽

Elizabeth R. Brown ◽

Maricianah Onono ◽

Elizabeth A. Bukusi ◽

Betty Njoroge ◽

...

Keyword(s):

Cervical Cancer ◽

Immune Response ◽

Single Dose ◽

Hpv Vaccine ◽

Controlled Trial ◽

Hpv Vaccination ◽

Hpv Infection ◽

Vaccine Group ◽

Meningococcal Vaccine ◽

Randomized Controlled

Abstract Background HPV infection is the primary cause of cervical cancer, a leading cause of cancer among women in Kenya and many sub-Saharan African countries. High coverage of HPV vaccination is a World Health Organization priority to eliminate cervical cancer globally, but vaccine supply and logistics limit widespread implementation of the current two or three dose HPV vaccine schedule. Methods We are conducting an individual randomized controlled trial to evaluate whether a single dose of the bivalent (HPV 16/18) or nonavalent (HPV 16/18/31/33/45/52/58/6/11) HPV vaccine prevents persistent HPV infection, a surrogate marker for precancerous lesions and cervical cancer. The primary objective is to compare the efficacy of immediate, single-dose bivalent or nonavalent vaccination with delayed HPV vaccination. Kenyan women age 15–20 years old are randomized to immediate bivalent HPV and delayed meningococcal vaccine (group 1), immediate nonavalent HPV vaccine and delayed meningococcal vaccine (group 2), or immediate meningococcal vaccine and delayed HPV vaccine (group 3) with 36 months of follow-up. The primary outcome is persistent vaccine-type HPV infection by month 18 and by month 36 for the final durability outcome. The secondary objectives include to (1) evaluate non-inferiority of antibody titers among girls and adolescents (age 9 to 14 years) from another Tanzanian study, the DoRIS Study (NCT02834637), compared to KEN SHE Study participants; (2) assess the memory B cell immune response at months 36 and 37; and (3) estimate cost-effectiveness using the trial results and health economic models. Discussion This study will evaluate single-dose HPV vaccine efficacy in Africa and has the potential to guide public health policy and increase HPV vaccine coverage. The secondary aims will assess generalizability of the trial results by evaluating immunobridging from younger ages, durability of the immune response, and the long-term health benefits and cost of single-dose HPV vaccine delivery. Trial registration ClinicalTrials.gov NCT03675256. Registered on September 18, 2018

Download Full-text

Pilot Study

Californian Journal of Health Promotion ◽

10.32398/cjhp.v4i3.1969 ◽

2006 ◽

Vol 4 (3) ◽

pp. 177-186 ◽

Cited By ~ 16

Author(s):

John Moraros ◽

Yelena Bird ◽

David D. Barney ◽

Sasha C. King ◽

Matthew Banegas ◽

...

Keyword(s):

Cervical Cancer ◽

Pilot Study ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Hpv Infection ◽

Incidence Rates ◽

Successful Implementation ◽

Sexually Transmitted ◽

Parental Preferences ◽

Willingness To Use

The human papillomavirus (HPV) is one of the most common sexually transmitted infections (STI) in the world and it is associated with cervical cancer. The development of a prophylactic HPV vaccine has proven effective in clinical trials and it is now available to the public. The HPV vaccine represents a viable prevention strategy against cervical cancer. However, parental preferences, perceptions, and willingness to use the HPV vaccine are crucial, and if not assessed accurately, may threaten the successful implementation of a broad HPV vaccination program. This pilot study explored the views of 60 adult, Mexican women, all of who were mothers of female children between the ages of ten to 14 years old on the following four areas of interest: HPV knowledge; HPV vaccine knowledge and attitudes; barriers to HPV vaccine use; and potential uses and side effects of the HPV vaccine. Only 7% of respondents knew that HPV was a virus or STI. Eighty-six percent had not heard of the HPV vaccine, but 62% felt that the HPV vaccine would prevent HPV infection. However, 38% said the church would not approve of the HPV vaccine use for 10-14-year-old girls. Twenty-seven percent thought that promiscuous behavior would increase following HPV vaccination. Overall, respondents had very little knowledge of the HPV vaccine, were willing to be vaccinated themselves (83%), but were lesser willing to vaccinate their daughters (63%). Ultimately, understanding the beliefs about and identifying the barriers of HPV vaccine use will influence the effectiveness of the vaccine and its potential impact in reducing cervical cancer incidence rates worldwide.

Download Full-text

Knowledge and acceptance of HPV vaccination among Lagos students

African Journal of Midwifery and Women s Health ◽

10.12968/ajmw.2018.0003 ◽

2019 ◽

Vol 13 (2) ◽

pp. 1-8

Author(s):

Olajumoke Adetoun Ojeleye ◽

Prisca Olabisi Adejumo

Keyword(s):

Cervical Cancer ◽

Private Schools ◽

Hpv Vaccine ◽

Tertiary Education ◽

Hpv Vaccination ◽

Educational Interventions ◽

Female Students ◽

School Students ◽

Lagos State ◽

Knowledge And Acceptance

Background: Human papillomavirus (HPV) is responsible for 99.7% of cervical cancers, the fourth most common cancer in women. The introduction of a vaccine for HPV has been one of the most effective public health interventions for combating infectious diseases. Aims: To investigate the knowledge and acceptance of HPV vaccination among secondary school students in Lagos State, Nigeria Methods: The descriptive study was conducted among 500 male and female students from selected public and private schools located in Education District 1 of Lagos State between June and July 2016. A 44-item adapted questionnaire covering sociodemographic data; knowledge of cervical cancer, HPV and the HPV vaccine; and acceptance of HPV vaccine was used. Statistical analyses were both descriptive and inferential using the SPSS version 20. Findings: The mean age of respondents was 14.4±1.7 years. Students' overall knowledge about cervical cancer, HPV and the HPV vaccine was generally poor, as only 39.8% had good knowledge of the subject matter. Students in private schools (P=0.005), those in their mid-teens (P=0.000), female students (P=0.047) and students whose mothers had up to tertiary education (P=0.005) had better knowledge. Acceptance of the HPV vaccine was poor (40.0%) but this was found to increase (66.8%) if the vaccine were offered for free. Conclusions: It was recommended that strategies should be put in place to develop age-appropriate and socially and culturally sensitive educational interventions to improve HPV vaccine knowledge and acceptance. Significant uptake of the HPV vaccine will eventually reduce the future morbidity and mortality from cervical cancer.

Download Full-text