Abstract
Cervical Cancer is the second most leading cause of death among Indian women. Infection by human papillomavirus (HPV) is one of the major causes of cervical cancer. Two prophylactic HPV vaccines approved and recommended for adolescents and young women in India. However, due to lack of appropriate knowledge, education, resources, and proper communication, these tools have little impact on disease burden. It is important to understand attitude, knowledge, and beliefs of females about HPV, cervical cancer, and HPV vaccine. Hence, the present study aimed to check awareness, educate females about cervical cancer and HPV vaccine, and evaluate the major hurdles in acceptability of HPV vaccine. Total 693 females of age 16 to 40 years of diverse background were enrolled in the study. Questionnaires were prepared to assess knowledge about cervical cancer and HPV vaccine before and after education and impact of knowledge on willingness to administer the vaccine. Education was given with the help of concern physicians. Final follow-up was done after 1 month to assess the attitude towards vaccination. The overall awareness before education was found to be 20.63%; maximum in females of medical (51.37%), and paramedical background (33.33%). Improvement after education was observed in terms of improved information about etiology, symptoms, precautions, and vaccination for cervical cancer. Acceptability of HPV vaccine was found to be poor (40.11% refused to undergo vaccination and 32.17% were in dilemma/unable to decide). Besides religious beliefs, high cost of the vaccine and unavailability of proper and convincing information about the vaccine would be the chief reasons for poor acceptability of HPV vaccine.
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References
WHO. 2013. WHO guidance note: comprehensive cervical cancer prevention and control: a healthier future for girls and women
Rashid S, Labani S, Das BC (2016) Knowledge, awareness and attitude on HPV, HPV vaccine and cervical cancer among the college students in India. PLoS One 11(11):e0166713
Siddharthar J, Rajkumar B, Deivasigamani K (2014) Knowledge, awareness and prevention of cervical cancer among women attending a tertiary care hospital in Puducherry, India. J Clin Diagn Res 8(6):OC01–OC03
Castellsagué X, Muñoz N (2003) Chapter 3: cofactors in human papillomavirus carcinogenesis—role of parity, oral contraceptives, and tobacco smoking. JNCI monographs 2003(31):20–28
Fonseca-Moutinho JA (2011) Smoking and cervical cancer. Obstet Gynecol 2011:1–6
Roy B, Tang TS (2008) Cervical cancer screening in Kolkata, India: beliefs and predictors of cervical cancer screening among women attending a women’s health clinic in Kolkata, India. J Cancer Educ 23(4):253–259
Ashtarian H, Mirzabeigi E, Mahmoodi E, Khezeli M (2017) Knowledge about cervical cancer and Pap smear and the factors influencing the Pap test screening among women. Int J Community Based Nurs Midwifery. 5(2):188
Wilson KL, Cowart CJ, Rosen BL, Pulczinski JC, Solari KD, Ory MG, Smith ML (2016) Characteristics associated with HPV diagnosis and perceived risk for cervical cancer among unmarried, sexually active college women. J Cancer Educ:1–13
Schiffman M, Castle PE, Jeronimo J, Rodriguez AC, Wacholder S (2007) Human papillomavirus and cervical cancer. Lancet 370(9590):890–907
Agosti JM, Goldie SJ (2007) Introducing HPV vaccine in developing countries—key challenges and issues. N Engl J Med 356(19):1908–1910
Wigle J, Coast E, Watson-Jones D (2013) Human papillomavirus (HPV) vaccine implementation in low and middle-income countries (LMICs): health system experiences and prospects. Vaccine 31(37):3811–3817
Kaarthigeyan K (2012) Cervical cancer in India and HPV vaccination. Indian J Med Paediatr Oncol 33(1):7
Zahid. 2016. Cervical cancer. https://wwwnhpgovin/disease/reproductive-system/female-gynaecological-diseases-/cervical-cancer Accessed
Gupta A, Kumar A, Stewart DE (2002) Cervical cancer screening among South Asian women in Canada: the role of education and acculturation. Health Care Women Int 23(2):123–134
Mock J, McPhee SJ, Nguyen T, Wong C, Doan H, Lai KQ, Nguyen KH, Nguyen TT, Bui-Tong N (2007) Effective lay health worker outreach and media-based education for promoting cervical cancer screening among Vietnamese American women. Am J Public Health 97(9):1693–1700
Wong LP, Wong YL, Low WY, Khoo EM, Shuib R (2009) Knowledge and awareness of cervical cancer and screening among Malaysian women who have never had a Pap smear: a qualitative study. Singap Med J 50(1):49–53
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Joshi, S.V., Chaudhari, H.R. & Chaudhari, N.A. Effect of Education on Awareness, Knowledge, and Willingness to Be Vaccinated in Females of Western India. J Canc Educ 35, 61–68 (2020). https://doi.org/10.1007/s13187-018-1440-7
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DOI: https://doi.org/10.1007/s13187-018-1440-7