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Knowledge and Beliefs Regarding Human Papillomavirus Among College Nursing Students at a Minority-Serving Institution

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Abstract

Cervical cancer is a leading cause of death in US women, with Hispanic women at higher risk of mortality than non-Hispanic white women. While the human papillomavirus (HPV) vaccine represents substantial progress towards cervical cancer prevention, little is currently known about Hispanic student’s beliefs regarding the HPV vaccine. To assess the knowledge, attitudes, behaviors, and beliefs of college students in the US–Mexico border region following the release of the HPV vaccine for both males and females. This survey was conducted using a convenience sample were participants were recruited from pre-nursing and nursing courses. The self-administered questionnaire ascertained HPV vaccination status, and knowledge and beliefs regarding the HPV vaccine. 202 male and female students responded. 28.9 % of respondents reported having received the HPV vaccine. Of the non-vaccinated students under age 27, 27.3 % Hispanic students reported an intention to receive the vaccine. Misinformation about HPV was common and was associated with intention to get vaccinated among non-Hispanic white students. We found a relatively small proportion of unvaccinated Hispanic and non-Hispanic nursing students intend to be vaccinated for HPV. Findings indicate an intervention to increase vaccination rates among college-aged students may not be as straightforward as increasing knowledge of HPV. Nurses are in a unique position to educate and recommend HPV to underserved patients. Thus, educating nursing students regarding HPV and the associated cancers is paramount if we are to encourage ethnic minorities to receive the HPV vaccine.

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References

  1. WHO. (2009). Human papillomavirus vaccines: WHO position paper. Biologicals, 37(5), 338–344.

    Article  PubMed  CAS  Google Scholar 

  2. US Mexico Border Health Commission (2010) Border lives: Health status in the United States-Mexico Border region.

  3. Bazargan, M., Bazargan, S. H., Farooq, M., & Baker, R. S. (2004). Correlates of cervical cancer screening among underserved Hispanic and African-American women. Preventive Medicine, 39(3), 465–473.

    Article  PubMed  Google Scholar 

  4. Centers for Disease Control and Prevention (2013). National breast and cervical cancer early detection program (NBCCEDP) http://www.cdc.gov/cancer/nbccedp/about.htm. Accessed 9 Feb 2013.

  5. Jemal, A., Siegel, R., Xu, J., & Ward, E. (2010). Cancer statistics. CA: A Cancer Journal for Clinicians, 60(5), 277–300.

    Article  Google Scholar 

  6. Newmann, S., & Garner, E. (2005). Social inequities along the cervical cancer continuum: a structured review. Cancer Causes and Control, 16(1), 63–70.

    Article  PubMed  Google Scholar 

  7. Center for Disease Control and Prevention. (2010). FDA licensure of bivalent human papillomavirus vaccine (HPV2, Cervarix) for use in females and updated HPV vaccination recommendation for the Advisory Committee on Immunization Practices (ACIP). Morbidity and Mortality Weekly Report, 59(20), 626–629.

    Google Scholar 

  8. Center for Disease Control and Prevention. (2010). FDA licensure of quadrivalent human papillomavirus vaccine (HPV4, Gardasil) for use in males and updated HPV vaccination recommendation for the Advisory Committee on Immunization Practices (ACIP). Morbidity and Mortality Weekly Report, 59(20), 630–632.

    Google Scholar 

  9. Ingledue, K., & Cottrell, R. (2004). A. B. college women’s knowledge, perception, and preventive behavior. American Journal of Health Studies, 19(1), 28–34.

    Google Scholar 

  10. Denny-Smith, T., Bairan, A., & Page, M. C. (2006). A survey of female nursing students’ knowledge, health beliefs, perceptions of risk, and risk behaviors regarding human papillomavirus and cervical cancer. Journal of the American Academy of Nurse Practitioners, 18(2), 62–69.

    Article  PubMed  CAS  Google Scholar 

  11. Vail-Smith, K., & White, D. M. (1992). Risk level, knowledge, and preventive behavior for human papillomaviruses among sexually active college women. Journal of American College Health, 40(5), 227–230.

    Article  PubMed  CAS  Google Scholar 

  12. McPartland, T. S., Weaver, B. A., Shu-Kuang, L., & Koutsky, L. A. (2005). Men’s perceptions and knowledge of human papillomavirus (HPV) infection and cervical cancer. Journal of American College Health, 53(5), 225.

    Article  PubMed  Google Scholar 

  13. Jemal, A., Simard, E. P., Dorell, C., et al. (2013). Annual report to the nation on the status of cancer, 1975–2009, featuring the burden and trends in human papillomavirus (HPV)–associated cancers and HPV vaccination coverage levels. Journal of the National Cancer Institute, 105(3), 175–201.

    Article  PubMed  Google Scholar 

  14. Centers for Disease Control and Prevention. Human Papillomavirus (HPV) Associated Cancers (2013) http://www.cdc.gov/cancer/hpv/. Accessed 11 June 2013.

  15. Ragin, C., Edwards, R., Jones, J., et al. (2009). Knowledge about human papillomavirus and the HPV vaccine: A survey of the general population. Infectious Agents and Cancer, 4(Suppl 1), S10.

    Article  PubMed  Google Scholar 

  16. Jemal, A, Simard, E. P., Dorell, C., et al. (2013). Annual report to the nation on the status of cancer, 1975–2009, Featuring the burden and trends in human papillomavirus (HPV)–associated cancers and HPV vaccination coverage levels. Journal of the National Cancer Institute. 7 January 2013.

  17. Bendik, M., Mayo, R., & Parker, V. (2011). Knowledge, perceptions, and motivations related to HPV vaccination among college women. Journal of Cancer Education, 26(3), 459–464.

    Article  PubMed  Google Scholar 

  18. Marcum, J., Ridenour, M., & Shaff, G. (2002). A study of professional nurses’ perceptions of patient education. Journal of Continuing Education in Nursing, 33(3), 112–118.

    PubMed  Google Scholar 

  19. Dillard, J. P., & Spear, M. E. (2010). Knowledge of human papillomavirus and perceived barriers to vaccination in a sample of US female college students. Journal of American College Health, 59(3), 186–190.

    Article  Google Scholar 

  20. Drewry, J., Garces-Palacio, I. C., & Scarinci, I. (2010). Awareness and knowledge about human papillomavirus among Latina immigrants. Ethnicity and Disease, 20(4), 327–333.

    PubMed  Google Scholar 

  21. Gerend, M. A., & Shepherd, J. E. (2011). Correlates of HPV Knowledge in the era of HPV vaccination: A study of unvaccinated young adult women. Women Health, 51(1), 25–40.

    Article  PubMed  Google Scholar 

  22. Jones, M., & Cook, R. (2008). Intent to receive an HPV vaccine among university men and women and implications for vaccine administration. Journal of American College Health, 57(1), 23–32.

    Article  PubMed  Google Scholar 

  23. Licht, A. S., Murphy, J. M., Hyland, A. J., Fix, B. V., Hawk, L. W., & Mahoney, M. C. (2010). Is use of the human papillomavirus vaccine among female college students related to human papillomavirus knowledge and risk perception? Sexually Transmitted Infections, 86(1), 74–78.

    Article  PubMed  Google Scholar 

  24. Sandfort, J. R., & Pleasant, A. (2009). Knowledge, attitudes, and informational behaviors of college students in regard to the human papillomavirus. Journal of American College Health, 58(2), 141–149.

    Article  PubMed  Google Scholar 

  25. Center for Disease Control and Prevention. National and state vaccination coverage among adolescents aged 13 through 17 years-United States. (2010). Morbidity and Mortality Weekly. Report, 60(33), 1117–1123.

    Google Scholar 

  26. American Social Health Association. HPV and Cervical Cancer Prevention (2011). http://www.ashastd.org/hpv/hpv_vaccines.cfm. Accessed 7 Jan 2011.

  27. Klug, S. J., Hukelmann, M., & Blettner, M. (2008). Knowledge about infection with human papillomavirus: A systematic review. Preventive Medicine, 46(2), 87–98.

    Article  PubMed  Google Scholar 

  28. Caron, R. M., Kispert, E., McGrath, R. J. Human papillomavirus (HPV) vaccine: Attitudes, behaviors, and beliefs of at-risk women. The Internet Journal of Health. Vol 92009.

  29. Sandfort, J. R., & Pleasant, A. (2009). Knowledge, attitudes, and informational behaviors of college students in regard to the human papillomavirus. Journal of American College Health, 58(2), 141–149.

    Article  PubMed  Google Scholar 

  30. Cirilo, C. A., Barbosa, A. S., & Zambrano, E. (2010). Level of behavior and knowledge concerning human papillomavirus among university students of a nursing college. Revista da Sociedade Brasileira de Medicina Tropical, 43(4), 362–366.

    Article  PubMed  Google Scholar 

  31. Bosch, F. X., Castellsagué, X., Muñoz, N., et al. (1996). Male sexual behavior and human papillomavirus DNA: Key risk factors for cervical cancer in Spain. Journal of the National Cancer Institute, 88(15), 1060–1067.

    Article  PubMed  CAS  Google Scholar 

  32. Hippelainen, M., Syrjanen, S., Koskela, H., Pulkkinen, J., Saarikoski, S., & Syrjanen, K. (1993). Prevalence and risk factors of genital human papillomavirus (HPV) infections in healthy males: A study on Finnish conscripts. Sexually Transmitted Diseases, 20(6), 321–328.

    Article  PubMed  CAS  Google Scholar 

  33. Ho, G. Y. F., Bierman, R., Beardsley, L., Chang, C. J., & Burk, R. D. (1998). Natural history of cervicovaginal papillomavirus infection in young women. New England Journal of Medicine, 338(7), 423–428.

    Article  PubMed  CAS  Google Scholar 

  34. Burk, R. D., Ho, G. Y. F., Beardsley, L., Lempa, M., Peters, M., & Bierman, R. (1996). Sexual behavior and partner characteristics are the predominant risk factors for genital human papillomavirus infection in young women. Journal of Infectious Diseases, 174(4), 679–689.

    Article  PubMed  CAS  Google Scholar 

  35. Palefsky, J. M., & Barrasso, R. (1996). HPV infection and disease in men. Obstetrics and Gynecology Clinics of North America, 23(4), 895–916.

    Article  PubMed  CAS  Google Scholar 

  36. Bastani, R., Glenn, B. A., Tsui, J., et al. (2011). Understanding suboptimal human papillomavirus vaccine uptake among ethnic minority girls. Cancer Epidemiology Biomarkers & Prevention, 20(7), 1463–1472.

    Article  Google Scholar 

  37. Drewry, J., Garces-Palacio, I. C., & Scarinci, I. C. (2010). Awareness and knowledge about human papillomavirus among Latina immigrants. Ethnicity and Disease, 20(Autumn), 327–333.

    PubMed  Google Scholar 

  38. Fernandez, M. E., McCurdy, S. A., Arvey, S. R., et al. (2009). HPV knowledge, attitudes, and cultural beliefs among Hispanic men and women living on the Texas–Mexico border. Ethnicity & Health, 14(6), 607–624.

    Article  Google Scholar 

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Authors and Affiliations

  1. School of Nursing, New Mexico State University, PO Box 30001, MSC 3185, Las Cruces, NM, 88003-8001, USA

    Geri L. Schmotzer

  2. School of Nursing, University of Washington, Fred Hutchinson Cancer, Research Center, Seattle, Washington, USA

    Kerryn W. Reding

Authors
  1. Geri L. Schmotzer
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  2. Kerryn W. Reding
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Correspondence to Geri L. Schmotzer.

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Schmotzer, G.L., Reding, K.W. Knowledge and Beliefs Regarding Human Papillomavirus Among College Nursing Students at a Minority-Serving Institution. J Community Health 38, 1106–1114 (2013). https://doi.org/10.1007/s10900-013-9720-y

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