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International Journal of Behavioral Medicine

Erschienen in:

01.06.2011

Knowledge and Attitudes About HPV Infection, HPV Vaccination, and Cervical Cancer Among Rural Southeast Asian Women

verfasst von: Li Ping Wong

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 2/2011

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Abstract

Background

The incidence of cervical cancer in developing countries is high and even higher among women in rural areas in these countries.

Purpose

The purpose of this study is to assess the knowledge and attitudes towards human papillomavirus (HPV), HPV vaccination, and cervical cancer among young women in rural settings in a Southeast Asia country.

Methods

A convenience sample of ethnically diverse young rural women in Malaysia was surveyed. Participants were interviewed using a standard questionnaire.

Results

Among the participants (N = 449), knowledge of HPV, HPV vaccination, cervical screening, and cervical cancer risk factors was extremely poor. The mean total knowledge score (14 items) was 2.37 (SD ± 1.97). Although many had never heard of the newly released HPV vaccine, two-thirds professed an intention to receive the HPV vaccine. Intention to receive the vaccine was significantly associated with knowledge of cervical screening and cervical cancer risk factors (OR 1.17; 95% CI 1.03–1.33; P = 0.013). Reasons for vaccine refusal were doubts about safety and efficacy of the new vaccine (27.4%), perceived embarrassment at receiving an STI vaccine (20.7%), and perception of not being at risk of HPV infection (20.0%).

Conclusions

Providing HPV education to the rural residents is a high priority.

Parkin DM, Bray F, Ferlay J, Pisani P. Estimating the world cancer burden: Globocan 2000. Int J Cancer. 2001;94(2):153–6.PubMedCrossRef

Lim GCC, Halimah Y (Eds.) Second Reports of the National Cancer Registry. Cancer Incidence in Malaysia 2003. Kuala Lumpur. National Cancer Registry, 2004.

Walboomers JMM, Jacobs MV, Manos MM, et al. Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. J Pathol. 1999;189:12–9.PubMedCrossRef

Munoz N, Bosch FX, de Sanjos S, et al. Epidemiologic classification of human papillomavirus types associated with cervical cancer. N Engl J Med. 2003;384:518–27.CrossRef

Castellsagué X, Díaz M, de Sanjosé S, et al. Worldwide human papillomavirus etiology of cervical adenocarcinoma and its cofactors: implications for screening and prevention. J Natl Cancer Inst. 2006;98:303–15.PubMedCrossRef

Kane MA, Sherris J, Coursaget P, Aguado T, Cutts F. HPV vaccine use in the developing world. Vaccine. 2006;24(3):S132–9.CrossRef

Agosti JM, Goldie SJ. Introducing HPV vaccine in developing countries—key challenges and issues. N Engl J Med. 2007;356(19):1908–10.PubMedCrossRef

Waller J, McCaffery K, Forrest S, Szarewski A, Cadman L, Wardle J. Awareness of human papillomavirus among women attending a well women clinic. Sex Trans Infect. 2003;79(4):320–2.CrossRef

Lambert EC. College student’s knowledge of human papillomavirus and effectiveness of a brief educational intervention. J Am Board Fam Pract. 2001;14(3):178–83.PubMed

10.

Ramirez JE, Ramos DM, Clayton L, Kanowitz S, Moscicki AB. Genital human papillomavirus infection: knowledge, perception of risk, and actual risk in a nonclinic population of young women. J Womens Health. 1997;6(1):113–21.PubMedCrossRef

11.

Hopenhayn C, Christian A, Christian WJ, Schoenberg NE. Human papillomavirus vaccine: knowledge and attitudes in two Appalachian Kentucky counties. Cancer Causes Control. 2007;18:627–34.PubMedCrossRef

12.

Mays RM, Sturm LA, Zimet GD. Parental perspectives on vaccinating children against sexually transmitted infections. Soc Sci Med. 2004;58:1405–13.PubMedCrossRef

13.

Dempsey AF, Zimet GD, Davis RL, Koutsky L. Factors that are associated with parental acceptance of human papillomavirus vaccines: a randomized intervention study of written information about HPV. Pediatrics. 2006;117(5):1486–93.PubMedCrossRef

14.

Smailyte G, Kurtinaitis J. Cancer mortality differences among urban and rural residents in Lithuania. BMC Public Health. 2008;8:56.PubMedCrossRef

15.

Palacio-Mejía LS, Rangel-Gómez G, Hernández-Avila M. Lazcano-Ponce E cervical cancer, a disease of poverty: mortality differences between urban and rural areas in Mexico. Salud Pública Méx. 2003;45(3):S315–25.PubMedCrossRef

16.

Hopenhayn C, Bush H, Christian A, Shelton BJ. Comparative analysis of invasive cervical cancer incidence rates in three Appalachian states. Prev Med. 2005;41(5–6):859–64.PubMedCrossRef

17.

Elder JP, Castro FG, de Moor C, et al. Differences in cancer-risk-related behavior in Latino and Anglo adults. Prev Med. 1991;20:751–63.PubMedCrossRef

18.

The National Cancer Institute Cancer Screening Consortium for Underserved Women. Breast and cervical cancer screening among underserved women. Baseline survey results from six studies. Arch Fam Med. 1995;4:617–24.CrossRef

19.

Akers AY, Newmann SJ, Smith JS. Factor underlying disparities in cervical cancer incidence, screening and treatment in the United States. Curr Probl Cancer. 2007;31(3):157–81.PubMedCrossRef

20.

Gerend MA, Lee SC, Shepherd JE. Predictors of human papillomavirus vaccination acceptability among underserved women. Sex Transm Dis. 2007;34:468–71.PubMed

21.

Fazekas KI, Brewer NT, Smith JS. HPV vaccine acceptability in a rural, Southern area. J Womens Health. 2008;17(4):539–48.CrossRef

22.

Sperber NR, Brewer NT, Smith JS. Influence of parent characteristics and disease outcome framing on HPV vaccine acceptability among rural, Southern women. Cancer Causes Control. 2008;19(1):115–18.PubMedCrossRef

23.

Wong LP. Preventing cervical cancer through human papillomavirus vaccination: perspective from focus groups. J Low Genit Tract Dis. 2009;13(2):85–93.PubMedCrossRef

24.

Sam IC, Wong LP, Rampal S, et al. Maternal acceptance of human papilomavirus vaccine in Malaysia. J Adolesc Health. 2009;44(6):610–12.PubMedCrossRef

25.

Wong LP. Young multiethnic women's attitudes toward the HPV vaccine and HPV vaccination. Int J Gynecol Obstet. 2008;103(2):131–5.CrossRef

26.

Halcomb B, Bailey JM, Crawford K, Ruffin 4th MT. Adults’ knowledge and behaviors related to human papillomavirus infection. J Am Board Fam Pract. 2004;17(1):26–31.CrossRef

27.

Giles M, Garland S. A study of women’s knowledge regarding human papillomavirus infection, cervical cancer and human papillomavirus vaccines. Aust NZ J Obstet Gynaecol. 2006;46:311–15.CrossRef

28.

Wang JF, Simoni PS, Wu Y. Human papillomavirus (HPV) in rural adolescent females: knowledge, protected sex, and sexual risk behaviors. Online Journal of Rural Nursing and Health Care 2006; 6(1) [online]. Available: http://www.rno.org/journal/index.php/online-journal/article/view/34

29.

Philips Z, Johnson S, Avis M, Whynes DK. Human papillomavirus and the value of screening: young women’s knowledge of cervical cancer. Health Educ Res. 2003;18(3):318–28.PubMedCrossRef

30.

Cates JR, Brewer NT, Fazekas KI, Mitchell CE, Smith JS. Racial differences in HPV knowledge, HPV vaccine acceptability, and related beliefs among rural, southern women. J Rural Health. 2009;25(1):93–7.PubMedCrossRef

31.

Sauvageau C, Duval B, Gilca V, Lavoie F, Ouakki M. Human papilloma virus vaccine and cervical cancer screening acceptability among adults in Quebec, Canada. BMC Public Health. 2007;7(1):304.PubMedCrossRef

32.

Li J, Li LK, Ma JF, Wei LH, Niyazi M, Li CQ, et al. Knowledge and attitudes about human papillomavirus (HPV) and HPV vaccines among women living in metropolitan and rural regions of China. Vaccine. 2009;27(8):1210–15.PubMedCrossRef

33.

Pitts MK, Dyson SJ, Rosenthal DA, Garland SM. Knowledge and awareness of human papillomavirus (HPV): attitudes towards HPV vaccination among a representative sample of women in Victoria, Australia. Sex Health. 2007;4(3):177–80.PubMedCrossRef

34.

Wong LP, Sam IC. Ethnically diverse female university students' knowledge and attitudes toward human papillomavirus (HPV), HPV vaccination and cervical cancer. Eur J Obstet Gyn Reprod Biol. 2010;148:90–5.CrossRef

35.

Wong LP. Physicians’ experiences with HPV vaccine delivery: evidence from developing country with multiethnic populations. Vaccine. 2009;27:1622–7.PubMedCrossRef

36.

Baykal C, Al A, Uğur MG, Cetinkaya N, Attar R, Arioglu P. Knowledge and interest of Turkish women about cervical cancer and HPV vaccine. Eur J Gynecol Oncol. 2008;29:76–9.

37.

Donders GG, Gabrovska M, Bellen G, et al. Knowledge of cervix cancer, human papilloma virus (HPV) and HPV vaccination at the moment of introduction of the vaccine in women in Belgium. Arch Gynecol Obstet. 2008;277:291–8.PubMedCrossRef

38.

Lenselink CH, Schmeink CE, Melchers WJG, et al. Young adults and acceptance of the human papillomavirus vaccine. Public Health. 2008;122:1295–301.PubMedCrossRef

39.

Lisovicz N, Johnson RE, Higginbotham J, et al. The Deep South Network for cancer control—building a community infrastructure to reduce cancer health disparities. Cancer. 2006;107(S8):1971–9.PubMedCrossRef

40.

Brewer NT, Fazekas KI. Predictors of HPV vaccine acceptability: a theory-informed, systematic review. Prev Med. 2007;45:107–14.PubMedCrossRef

Titel: Knowledge and Attitudes About HPV Infection, HPV Vaccination, and Cervical Cancer Among Rural Southeast Asian Women
verfasst von: Li Ping Wong
Publikationsdatum: 01.06.2011
Verlag: Springer US
Erschienen in: International Journal of Behavioral Medicine / Ausgabe 2/2011
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-010-9104-y

Springer Medizin

Abstract

Background

Purpose

Methods

Results

Conclusions

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