Ethnically diverse female university students' knowledge and attitudes toward human papillomavirus (HPV), HPV vaccination and cervical cancer.

OBJECTIVE Cervical HPV is the most common sexually transmitted disease among college-age women. This study aimed to assess knowledge and attitudes towards HPV infection, HPV vaccination and cervical cancer among female university students, to provide insight into development of HPV educational information. STUDY DESIGN A cross-sectional survey using a convenience sample. A total of 1083 ethnically diverse female students attending a public university were approached and 650 were interviewed. RESULTS Knowledge regarding HPV, HPV vaccination, cervical screening and cervical cancer risk factors was remarkably poor. Across the sample, the mean total knowledge score (14-item) was only 3.25 (S.D. +/-2.41; 95% CI 3.07-3.44). Only 10.3% had heard of the newly released HPV vaccine. Approximately 48% of participants indicated an intention to receive an HPV vaccine. Intention to receive an HPV vaccine was significantly associated with knowledge of HPV and genital warts (OR 1.53; 95% CI 1.25-1.88), and knowledge of cervical screening and cervical cancer risk factors (OR 1.21; 95% CI 1.11-1.33). Of those who refused HPV vaccination, 50.9% doubted the safety and efficacy of the new vaccine, and 41.5% perceived themselves as not at risk of HPV infection. CONCLUSION The findings suggest that providing education about the etiology of cervical cancer and the HPV link is an essential component to enhance HPV vaccine uptake.

[1]  Janet F. Wang,et al.  Human Papillomavirus (HPV) in Rural Adolescent Females: Knowledge, Protected Sex, and Sexual Risk Behaviors , 2006 .

[2]  R. Fielding,et al.  Understanding sexual risk taking behaviour in Hong Kong university students. A health promotion perspective. , 2003, Preventive medicine.

[3]  G. Liguori,et al.  Human papillomavirus and vaccination: knowledge, attitudes, and behavioural intention in adolescents and young women in Italy , 2008, British Journal of Cancer.

[4]  J. Hendriks,et al.  Young adults and acceptance of the human papillomavirus vaccine. , 2008, Public health.

[5]  L Beardsley,et al.  Natural history of cervicovaginal papillomavirus infection in young women. , 1998, The New England journal of medicine.

[6]  L. Wong.  Young multiethnic women's attitudes toward the HPV vaccine and HPV vaccination , 2008, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[7]  R. Roetzheim,et al.  University students' knowledge and awareness of HPV. , 1999, Preventive medicine.

[8]  S. de Sanjosé,et al.  The Epidemiology of Human Papillomavirus Infection and Cervical Cancer , 2007, Disease markers.

[9]  S. Garland,et al.  A study of women's knowledge regarding human papillomavirus infection, cervical cancer and human papillomavirus vaccines , 2006, The Australian & New Zealand journal of obstetrics & gynaecology.

[10]  L. Wong.  Physicians' experiences with HPV vaccine delivery: evidence from developing country with multiethnic populations. , 2009, Vaccine.

[11]  K. Lumpur..  Preventing Cervical Cancer Through Human Papillomavirus Vaccination: Perspective From Focus Groups , 2009 .

[12]  R. Cook,et al.  Intent to Receive an HPV Vaccine Among University Men and Women and Implications for Vaccine Administration , 2008, Journal of American college health : J of ACH.

[13]  R. Tindle.  Immune evasion in human papillomavirus-associated cervical cancer , 2002, Nature Reviews Cancer.

[14]  Y. Ngeow,et al.  The prevalence of sexually transmitted diseases among prostitutes in Malaysia. , 1990, Genitourinary medicine.

[15]  M. A. Gerend,et al.  Awareness, knowledge, and beliefs about human papillomavirus in a racially diverse sample of young adults. , 2008, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[16]  Jacques Ferlay,et al.  Estimating the world cancer burden: Globocan 2000 , 2001, International journal of cancer.

[17]  D. Seal,et al.  College students' perceptions of the prevalence of risky sexual behaviour. , 1996, AIDS care.

[18]  K. Holmes,et al.  Epidemiology of genital human papillomavirus infection. , 1988, Epidemiologic reviews.

[19]  Jennifer S. Smith,et al.  Age-specific prevalence of infection with human papillomavirus in females: a global review. , 2008, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[20]  H. Ngan,et al.  Epidemiology of human papillomavirus infection and cervical cancer and future perspectives in Hong Kong, Singapore and Taiwan. , 2008, Vaccine.

[21]  D. Stewart,et al.  Knowledge About Human Papillomavirus Among Adolescents , 2000, Obstetrics and gynecology.

[22]  Z. Obermeyer,et al.  Coverage of Cervical Cancer Screening in 57 Countries: Low Average Levels and Large Inequalities , 2008, PLoS medicine.

[23]  D. Whynes,et al.  Human papillomavirus and the value of screening: young women's knowledge of cervical cancer. , 2003, Health education research.

[24]  L. Wong.  HPV information needs, educational messages and channel of delivery preferences: views from developing country with multiethnic populations. , 2009, Vaccine.

[25]  D. Parkin,et al.  Burden and trends of type-specific human papillomavirus infections and related diseases in the Asia Pacific region. , 2008, Vaccine.

[26]  S. Franceschi,et al.  Worldwide distribution of human papillomavirus types in cytologically normal women in the International Agency for Research on Cancer HPV prevalence surveys: a pooled analysis , 2005, The Lancet.

[27]  K. Vail-Smith,et al.  Risk level, knowledge, and preventive behavior for human papillomaviruses among sexually active college women. , 1992, Journal of American college health : J of ACH.