Knowledge, Attitude and Acceptability of the Human Papilloma Virus Vaccine and Vaccination Among University Students in Indonesia

Introduction: Cervical cancer, a major consequence of persistent HPV infection, is the third most common cancer in women worldwide and has claimed around 311,000 women lives in 2018. The majority of these deaths took place in low- and middle-income countries (LMICs). In LMICs, where cervical cancer screening coverage is low, the HPV vaccine is a promising tool for preventing HPV infections and, thus, averting cervical cancer cases. In Indonesia, cervical cancer is the second most common cancer and HPV vaccination demonstration programs are underway in several provinces, but the HPV vaccine has not yet been introduced nationally. Since students are an important source of information for the community, and medical and nursing students are the future healthcare professionals, this study explored the knowledge, attitude, and acceptability of the HPV vaccine among University students in Indonesia.Methodology: A self-administered online questionnaire was used to assess the knowledge, attitude, and willingness of University students toward HPV vaccination.Result: A total of 433 students from Medical, Nursing, Social Sciences, and other faculties participated in the survey. It was identified that over 90% of the students were aware of cervical cancer and HPV, but only 68% knew about the HPV vaccine before participating in the study. Despite an average knowledge on the HPV vaccine, the students showed a strong willingness to receive the vaccine (95.8% acceptance rate). They believed that the HPV vaccine is safe and effective and that it will protect against HPV infection. The high cost and the lack of adequate information flow on HPV-related topics have been identified as potential barriers to the adoption of the HPV vaccine in Indonesia.Conclusion: Despite a high willingness for HPV vaccine uptake among students, there is a need to provide education on HPV vaccine-related topics to Indonesian students through awareness and training programs and improving the academic curriculum on vaccination for the long-term sustainability of the HPV vaccination program.

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Attitude towards HPV Vaccination and the Intention to Get Vaccinated among Female University Students in Health Schools in Jordan

Vaccines ◽

10.3390/vaccines9121432 ◽

2021 ◽

Vol 9 (12) ◽

pp. 1432

Author(s):

Malik Sallam ◽

Kholoud Al-Mahzoum ◽

Huda Eid ◽

Areej M. Assaf ◽

Maram Abdaljaleel ◽

...

Keyword(s):

Cervical Cancer ◽

Nursing Students ◽

University Students ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Hpv Infection ◽

Hpv Knowledge ◽

Conspiracy Beliefs ◽

History Of ◽

To Receive

Cervical cancer is a leading cause of morbidity and mortality in women worldwide. The availability of prophylactic vaccines for high-risk types of human papillomavirus (HPV) infection represents an important advancement in the prevention of cervical cancer. In Jordan, the availability of the HPV vaccination is restricted to individuals who are willing to pay. The aim of the current study was to evaluate the willingness and attitude of female university students in health schools/faculties in Jordan to get HPV vaccination and their knowledge about the virus. A self-administered online questionnaire was distributed in October 2021, which comprised 27 items to evaluate HPV knowledge, history of HPV vaccination, intentions to get the HPV vaccine, and the reason(s) behind vaccine refusal for those who rejected vaccination. The study sample comprised 836 participants: medical students (39.7%), pharmacy students (26.0%), dental students (21.2%), and nursing students (13.2%). Only 524 participants had heard of HPV prior to the study (62.7%), of which 48.7% knew about the availability of HPV vaccines. The lowest level of HPV knowledge was observed among nursing students. Only 19/524 students reported a history of HPV vaccination (3.6%). The overall willingness to receive HPV vaccination if provided freely was 75.0%, while only 16.0% were willing to pay for the vaccine. The most common reason for HPV vaccine rejection was the perceived low risk to get HPV infection. Significantly higher intentions to get HPV vaccination were found among older participants and medical students. The embrace of vaccine conspiracy beliefs was associated with a significantly less willingness to get the HPV vaccination (p < 0.001). Dependence on the internet/social media as the source of HPV knowledge was associated with a significantly lower intention to get HPV vaccination (p = 0.002). The coverage of the HPV vaccination among female university students in health schools in Jordan appeared extremely low; however, three-fourths of the students who had heard of HPV were willing to receive the HPV vaccination if provided freely. Complacency appeared as a major factor for HPV vaccine rejection. Increasing the levels of knowledge and awareness of HPV infection and its association with cervical cancer through reliable sources is recommended. This can be helpful for the individual benefit of the students besides the potentially positive role they can play in community education. Countering vaccine conspiracy beliefs with proper education and awareness programs can be helpful to appraise the role of HPV vaccines in cancer prevention.

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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.

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Knowledge, perception and utilization of cervical cancer screening and Human Papillomavirus (HPV) vaccination among immigrants and refugees in Central Ohio

The Columbia University Journal of Global Health ◽

10.52214/cujgh.v11i1.7225 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Henon Gebre ◽

Senya Ghamli ◽

Frederica Jackson ◽

Bhakti Chavan ◽

Caroline Kingori

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Hpv Infection ◽

Vaccine Uptake ◽

Cross Sectional ◽

Preventive Practices ◽

Immigrant And Refugee

Background: Immigrants in the US are at higher risk of Human Papilloma Virus (HPV) infection and cervical cancer compared to the general US population. Low awareness surrounding cervical cancer inhibits associated preventive practices. Purpose: This cross-sectional study examined the association between knowledge, attitude, and utilization of health services for cervical cancer screening and HPV vaccine among immigrant and refugee women in Ohio. Method: Preliminary analyses were conducted on a total of 70 participants recruited from immigrant and refugee organizations and community centers, using a validated paper survey. Results: There was a statistically significant association between cervical cancer screening and general knowledge on cervical cancer (p = 0.038). The study also revealed association between screening age (p < 0.001) and insurance status (p = 0.033). Majority of the participants perceived HPV vaccine to be ineffective at preventing cervical cancer, and 40.8% participants had never heard of the vaccine and consequently had not been vaccinated. 94% participants did not receive the HPV vaccine, however, 65.3% participants indicated willingness to be vaccinated against HPV for free or at reduced cost. Conclusion: Culturally appropriate interventions are warranted to develop effective strategies that will influence HPV screening behavior and vaccine uptake in this target population.

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Perception and knowledge of human papillomavirus (HPV) vaccine for cervical cancer prevention among fully vaccinated female university students in the era of HPV vaccination: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-047479 ◽

2021 ◽

Vol 11 (12) ◽

pp. e047479

Author(s):

Kah Teik Chew ◽

Nirmala Kampan ◽

Mohamad Nasir Shafiee

Keyword(s):

Cervical Cancer ◽

University Students ◽

Cancer Prevention ◽

Hpv Vaccine ◽

Pap Smear ◽

Hpv Vaccination ◽

Hpv Infection ◽

Cervical Cancer Prevention ◽

Cross Sectional ◽

The Mean

ObjectiveTo assess the perception and knowledge of cervical cancer prevention among fully vaccinated female university students in the era of human papillomavirus (HPV) vaccination.DesignCross-sectional using a validated questionnaire.SettingFace-to-face interview at a public university in Malaysia.Participants384 fully vaccinated female students were included in the study.ResultsThe total knowledge score in the questionnaire was 18 and was ranked according to score level into three groups: poor (score ≤5), moderate (score 6–10) and good (score ≥11). Mean score for knowledge of cervical cancer prevention was 8.24 (SD ±3.85), with 170 respondents (44.3%) scoring moderate knowledge level. The mean score for knowledge of HPV infection and its association with cervical cancer was 4.56±2.47, while the mean score for knowledge of HPV vaccination for cervical cancer prevention was 3.68 (SD ±1.98). A total of 186 (48.4%) respondents perceived that regular Pap smear was unnecessary after HPV vaccination. Respondents’ perceived seriousness and susceptibility of HPV infection correlated well with knowledge of cervical cancer prevention. Two main reasons for their acceptance of HPV vaccine were self-health awareness and free vaccination.ConclusionThe knowledge of HPV vaccination for cervical cancer prevention was average among vaccinated university students. Many of them had poor knowledge about Pap smear and did not consider regular Pap smear as an important cervical cancer screening tool following HPV vaccination. There is still a need for continued health education to improve the perception and knowledge about HPV infection and cervical cancer prevention among young adults in the community.

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Polish Medical Students’ Knowledge Regarding Human Papillomavirus’s Ways of Transmission, Risk of Cancer Development and Vaccination, and Their Intention to Recommend Vaccination

Vaccines ◽

10.3390/vaccines9070776 ◽

2021 ◽

Vol 9 (7) ◽

pp. 776

Author(s):

Tomasz Milecki ◽

Maciej Michalak ◽

Jakub Milecki ◽

Michał Michalak ◽

Radosław Kadziszewski ◽

...

Keyword(s):

Medical Students ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Hpv Infection ◽

Early Years ◽

Vaccine Uptake ◽

Transmission Risk ◽

Cancer Development ◽

General Level ◽

Risk Of Cancer

Introduction: Human papillomavirus (HPV) is associated with six types of cancer in men and women. A vaccine against HPV, preferably administered before initial sexual intercourse, has been proven to be highly effective in preventing these cancers. An effective healthcare provider recommendation has significant influence on HPV vaccine uptake; therefore, it is critical that medical students receive comprehensive training in this area. Aim: The aim of the study was to assess the knowledge of medical students regarding Human Papillomavirus’s (HPV) ways of transmission, risk of cancer development, and vaccination against HPV. This study also investigated factors among medical students that would affect their intention to recommend HPV vaccination to others. Materials and Methods: The study was conducted among 1061 (678 women and 383 men) medical students who filled in our questionnaire. The medical students were divided into two subgroups: (1) pre-clinical medical students (MS pre-clinical; first-to third-year students; n = 683) and (2) clinical medical students (MS clinical; fourth-to six-year students; n = 378). Results: A total259 (24.41%) of the 1061 medical students were vaccinated against HPV. We found a significant improvement in the general level of knowledge in the later years of education (4–6) compared to the early years of education (1–3). However, it was demonstrated that, despite medical education advancements, there are still significant gaps of knowledge about the relationship between HPV infection and cancers other than cervical cancer, as well as in relation to the routes by which HPV is transmitted. Medical students’ intentions to recommend HPV vaccine to others were related to their own HPV-related knowledge and their own vaccination status. Conclusion: Medical students have gaps of knowledge regarding particular issues and aspects of HPV. It is necessary to further educate medical students in the field of prevention and in the treatment of lesions caused by HPV infection. Medical students’ intention to recommend the HPV vaccine can be improved by including them and members of their families in the HPV vaccination program.

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Introduction of HPV vaccination in Kenya

Afrika Focus ◽

10.21825/af.v29i2.4851 ◽

2016 ◽

Vol 29 (2) ◽

Author(s):

Heleen Vermandere

Keyword(s):

Cervical Cancer ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Organizational Factors ◽

Personal Control ◽

Vaccine Uptake ◽

Vaccine Hesitancy ◽

Open Communication ◽

Vaccine Acceptability ◽

Hpv Vaccine Acceptability

HPV vaccination prevents cervical cancer, the fourth most common cancer among women worldwide. Measured HPV vaccine acceptability is often high but does it also lead to high uptake? Methodology: A cohort was set up assessing HPV vaccine acceptability and other health behav- iour constructs before, and vaccine uptake after an HPV vaccination programme in Eldoret, Kenya. Focus groups shed light on the motivation for vaccine uptake or refusal. Results: Acceptability was high but was no strong predictor of uptake, and neither were the constructs of the Health Belief Model. Lack of information and fear of side effects were major barriers. Feeling uncomfortable to discuss cervical cancer hampered open communication. Discussion: Distrust towards new vaccines and the health system blocked translation from willingness-to-vaccinate to actual uptake, as did organizational factors such as poor promotion. Conclusion: Future research should include broader concepts such as vaccine hesitancy and factors beyond personal control in order to predict vaccine uptake. Key words: HPV vaccination, acceptability, uptake, longitudinal study, Kenya

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Effect of Prophylactic Human Papillomavirus (HPV) Vaccination on Oral HPV Infections Among Young Adults in the United States

Journal of Clinical Oncology ◽

10.1200/jco.2017.75.0141 ◽

2018 ◽

Vol 36 (3) ◽

pp. 262-267 ◽

Cited By ~ 80

Author(s):

Anil K. Chaturvedi ◽

Barry I. Graubard ◽

Tatevik Broutian ◽

Robert K.L. Pickard ◽

Zhen-Yue Tong ◽

...

Keyword(s):

United States ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Population Level ◽

The United States ◽

Hpv Infection ◽

Vaccine Uptake ◽

The Us ◽

Oral Hpv ◽

Level Effect

Purpose The incidence of human papilloma virus (HPV)–positive oropharyngeal cancers has risen rapidly in recent decades among men in the United States. We investigated the US population–level effect of prophylactic HPV vaccination on the burden of oral HPV infection, the principal cause of HPV-positive oropharyngeal cancers. Methods We conducted a cross-sectional study of men and women 18 to 33 years of age (N = 2,627) within the National Health and Nutrition Examination Survey 2011 to 2014, a representative sample of the US population. Oral HPV infection with vaccine types 16, 18, 6, or 11 was compared by HPV vaccination status, as measured by self-reported receipt of at least one dose of the HPV vaccine. Analyses accounted for the complex sampling design and were adjusted for age, sex, and race. Statistical significance was assessed using a quasi-score test. Results Between 2011 and 2014, 18.3% of the US population 18 to 33 years of age reported receipt of at least one dose of the HPV vaccine before the age of 26 years (29.2% in women and 6.9% in men; P < .001). The prevalence of oral HPV16/18/6/11 infections was significantly reduced in vaccinated versus unvaccinated individuals (0.11% v 1.61%; Padj = .008), corresponding to an estimated 88.2% (95% CI, 5.7% to 98.5%) reduction in prevalence after model adjustment for age, sex, and race. Notably, the prevalence of oral HPV16/18/6/11 infections was significantly reduced in vaccinated versus unvaccinated men (0.0% v 2.13%; Padj = .007). Accounting for vaccine uptake, the population-level effect of HPV vaccination on the burden of oral HPV16/18/6/11 infections was 17.0% overall, 25.0% in women, and 6.9% in men. Conclusion HPV vaccination was associated with reduction in vaccine-type oral HPV prevalence among young US adults. However, because of low vaccine uptake, the population-level effect was modest overall and particularly low in men.

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Acceptance of the HPV vaccine and suggested strategies to promote vaccine uptake: a qualitative study with a multi-ethnic sample of Latina mothers (Preprint)

10.2196/preprints.19977 ◽

2020 ◽

Author(s):

Ana Cristina Lindsay ◽

Madelyne J. Valdez ◽

Denisse Delgado Vazquez ◽

Emily Restrepo ◽

Yessica M. Guzman ◽

...

Keyword(s):

Cervical Cancer ◽

Decision Making ◽

Cancer Prevention ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Vaccine Uptake ◽

Latino Parents ◽

Latina Mothers ◽

Direct Benefits ◽

Latino Adolescent

BACKGROUND Parents play a critical decision-making role in vaccinating their age-eligible adolescent children against HPV. Despite evidence indicating that Latino adolescents have higher HPV vaccination rates than non-Hispanic whites, uptake of the HPV vaccine remains lower than the 80% goal set by the Healthy People 2020. Moreover, studies suggest that Latino adolescent males have lower rates of HPV vaccination than Latina adolescent females. OBJECTIVE Given the importance of the HPV vaccination as a cancer prevention strategy and the unique decision-making role parents play in vaccinating their children, this study was designed to explore Latina mothers’: (1) acceptance of the HPV vaccine, and (2) suggested strategies to promote vaccine uptake among Latino parents and their adolescent children. METHODS A descriptive qualitative research employing individual semi-structured interviews. Data were analyzed using a hybrid method of thematic analysis that incorporated deductive and inductive approaches. RESULTS Twenty-two, majority foreign-born (91%; n = 20) Latina mothers of adolescent girls (~ 60%; n = 23) and boys (~ 40%; n = 15) aged between 11 and 19 years (mean age of adolescents: 15.3 years) participated in the study. Results revealed mothers’ high acceptance of the HPV vaccine for their daughters and their positive beliefs about the direct benefits of the vaccine to protect their daughters’ health by preventing STI and future cervical cancer risk. Such positive beliefs influenced mothers’ high uptake and initiation of the vaccine for their daughters. In contrast, study findings revealed mothers’ low acceptance and uptake of the vaccine for their sons. Our findings showed that the majority of mothers did not perceiving HPV infection as a major risk to their sons’ health, and therefore, did not perceive direct health benefits of the HPV vaccine for their sons as they did for their daughters (i.e., prevention of cervical cancer). CONCLUSIONS Findings identified the need for increased efforts to raise awareness and knowledge among Latino parents of the direct benefits of the vaccine for their sons and the cancer prevention benefits of the vaccine for HPV-associated cancers that affect not only females but also males. Finally, findings underscore the need for improved healthcare providers' communication and recommendation of the HPV vaccine for Latino adolescent males. Future research should intervene upon findings identified in this study in order to address barriers that remain and affect Latino parents’ acceptance and uptake of the HPV vaccine for their children, and in particular, for their sons. CLINICALTRIAL n/a

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Impact of prophylactic human papillomavirus (HPV) vaccination on oral HPV infections among young adults in the U.S.

Journal of Clinical Oncology ◽

10.1200/jco.2017.35.15_suppl.6003 ◽

2017 ◽

Vol 35 (15_suppl) ◽

pp. 6003-6003 ◽

Cited By ~ 9

Author(s):

Maura L. Gillison ◽

Tatevik Broutian ◽

Barry Graubard ◽

Robert Pickard ◽

Zhen-Yue Tong ◽

...

Keyword(s):

Young Adults ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Vaccine Dose ◽

Population Level ◽

Hpv Infection ◽

Vaccine Uptake ◽

Infection Prevalence ◽

The Us ◽

Oral Hpv

6003 Background: The incidence of HPV-positive oropharyngeal cancers has risen in recent decades among US men. The potential impact of HPV vaccines on oral HPV infections has yet to be evaluated in efficacy-trials or surveillance studies. Methods: To evaluate the impact of prophylactic HPV vaccination on oral HPV infections in the US population, we conducted a cross-sectional study among men and women aged 18-33 years (n = 2,627) in the National Health and Nutrition Examination Survey, 2011-2014. We examined the effect of self-reported receipt of ≥1 vaccine dose on oral HPV infection (vaccine-types 16/18/6/11) prevalence among vaccinated vs. unvaccinated individuals. Additional outcomes included percent reduction in infection-prevalence among vaccinated individuals and population-level effectiveness of vaccination. Analyses accounted for the complex sampling design. Comparisons between vaccinated and unvaccinated individuals were conducted using binary logistic regression, with adjustment for age, gender, and race. Statistical significance was assessed using a quasi-score test. Results: During 2011-2014, 18.3% of the US population aged 18-33 years reported receipt of ≥1 HPV vaccine-dose prior to age 26 (29.2% in women and 6.9% in men; P< 0.001). The prevalence (population-weighted) of oral HPV16/18/6/11 infections was significantly reduced in vaccinated vs. unvaccinated individuals (0.11% vs. 1.61%; P= 0.008), corresponding to an estimated 88.2% (95%CI = 5.7%-98.5%) reduction in prevalence. Notably, oral HPV16/18/6/11 prevalence was significantly reduced in vaccinated vs. unvaccinated men (0.0% vs. 2.13%; P= 0.007). In contrast, prevalence for 33 non-vaccine HPV types was similar (3.98% vs. 4.74%; P= 0.24). Accounting for HPV vaccine-uptake, the population-level effectiveness of HPV vaccination on the burden of oral HPV16/18/6/11 infections was 17.0% overall, 25.0% in women and 6.9% in men. Conclusions: HPV vaccination substantially reduced vaccine-type oral HPV infection prevalence among young adults (ages 18-33 years) in the US population during 2011-2014. However, due to low vaccine uptake, population-level effectiveness was modest overall and particularly low in men.

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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.

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